ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
Two-type classification system for femoral trochlear dysplasia in recurrent patellar instability based on three-dimensional morphology.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Inconsistent repeatability of the Dejour classification of trochlear dysplasia due to the variability of imaging modalities: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Differences between skeletally immature and mature patients in recurrent patellar dislocation: a radiological study.Journal of orthopaedic surgery and research · 2026Article
- Excellent Intra- and Interobserver Reliability of the D.H. Dejour Version 2 Classification for Trochlear Dysplasia Using Radiographs Combined With MRI With Evaluation of Shortcomings.Orthopaedic journal of sports medicine · 2026Article
- A novel adapted MRI-based scheme for Dejour classification of trochlear dysplasia.Skeletal radiology · 2025Article
- Gender differences in ethmoid sinus morphology_ 3D reconstruction of computed tomographic images.BMC medical imaging · 2024Article
- Lateral trochlear inclination measured by the transepicondylar axis holds potential for evaluating trochlear dysplasia in patients with lateral patellar dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Three-Dimensional Reproductions for Surgical Decision-Making in the Treatment of Recurrent Patella Dislocation.Arthroscopy techniques · 2023Article
- Association of Trochlear Length on Sagittal MRI to Trochlear Dysplasia in Knees With Patellar Instability.Orthopaedic journal of sports medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRadiographic and two-dimensional (2D) CT/MRI analysis of femoral trochlear dysplasia play a significant role in surgical decision-making for recurrent patellar instability. However, the three-dimensional morphology of dysplastic trochlea is rarely studied due to the limitations of conventional imaging modalities. This study aimed to (1) develop a 3D morphological classification for trochlear dysplasia based on the concavity of the trochlear groove and (2) analyze the interrater reliability of the classification system.
methodsThe 3D trochleae of 132 knees with trochlear dysplasia and recurrent patellar instability were reconstructed using CT scan data and classified using the innovative classification criteria between January 2016 and June 2020. A concave trochlear sulcus with sloped medial and lateral trochlear facets was classified as Type I trochlea. The trochlear groove with no concavity is classified as Type II. Furthermore, in Type II, the trochlea with the elevated trochlear floor at the proximal part was identified as IIa and the trochlea with the hypoplastic trochlear facets as IIb. The intra- and inter-rater reliability was examined using kappa (κ) statistics.
resultsThe 3D classification system showed substantial intra-rater agreement and moderate interrater agreement (0.581 ~ 0.772). The intra- and interrater agreement of Dejour's four-grade classification was fair-to-moderate (0.332 ~ 0.633). Eighty-one trochleae with concave trochlear sulcus were classified as Type I, and fifty-one without concavity as Type II. Twenty-five non-concave trochleae were classified as type IIa due to the elevated trochlear floor and 26 trochleae into IIb with the hypoplasia of trochlear facets.
conclusionThis study developed a 3D classification system to classify trochlear dysplasia according to trochlear concavity and morphology of the trochlear facets. On CT/MRI scans or 3D reconstructions, the interpretation of features of dysplastic trochleae may vary, especially for the flat and convex trochleae. The novel system provides morphological evidence for when to consider trochleoplasty according to the different types of trochlear sulcus.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.