Evidence map›Paper›PMID 39844279›Full record

ArticleJournal of orthopaedic surgery and research2025

The patellar compression angle: a new, accurate diagnostic angle for lateral patellar compression syndrome.

Xiaokang Gao, Jinwei Liu, Jingyu Zhang, Zhitao Xie, Chengyue Yu, Yufei Yuan, Leming Mou, Weiguo Xu

Abstract read
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Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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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.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xiaokang Gao *Clinical School/College of Orthopedics, Tianjin Medical University, 406 Jiefang South Road, Tianjin, 300211, China.
Jinwei Liu *Clinical School/College of Orthopedics, Tianjin Medical University, 406 Jiefang South Road, Tianjin, 300211, China.
Jingyu ZhangTianjin Hospital, 406 Jiefang South Road, Tianjin City, Tianjin, 300211, China.
Zhitao XieDepartment of Orthopedics Surgery, Affiliated Hospital of Hebei Engineering University, 81 Congtai Road, Handan, 056002, Hebei, China.
Chengyue YuTianjin Hospital, Tianjin University, 406 Jiefang South Road, Tianjin, 300211, China.
Yufei YuanThe fifth Orthopedics Department of Handan Central Hospital, 15 Zhonghua South Street, Handan, 056001, Hebei, China.
Leming MouWeifang People's Hospital, 151 Guangwen Street, Weifang, 261000, Shandong, China.
Weiguo XuClinical School/College of Orthopedics, Tianjin Medical University, 406 Jiefang South Road, Tianjin, 300211, China. 13702172721@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLateral patellar compression syndrome (LPCS) is a common cause of anterior knee pain. Early diagnosis of LPCS using an accurate radiological examination is, therefore, important. However, the currently used radiological examinations for detecting LPCS are poor diagnostic indicators. Therefore, the aim of this study was to establish a new diagnostic imaging examination for LPCS and evaluate its accuracy in comparison with conventional examinations.

methodsFrom June 2020 to May 2023, a retrospective analysis was conducted on 72 patients in the LPCS group and 140 patients in the Control group, all of whom underwent axial radiographs of the patella and knee MRI. The patellar compression angle (PCA), Tilting angle (TA), Congruence angle (CA), Grelsamer angle (AG), and Lateral patellofemoral angle (LPA) were used and compared statistically for their accuracy in terms of diagnosing LPCS.

resultsThe area under the receiver operating characteristic curve (ROC) for the PCA was 0.87, which was the highest among the five examinations. ROC analysis revealed that a smaller PCA, less than 14.7°, was associated with LPCS, with the highest sensitivity (80.6%), specificity (82.9%), accuracy (82.1%), positive predictive value (PPV, 70.7%), negative predictive value (NPV, 89.2%), positive likelihood ratio (PLR, 4.71), and lowest negative likelihood ratio (NLR, 0.23) compared with the other four examinations. The interobserver reproducibility of the PCA was good, with an intraclass correlation coefficients (ICCs) of 0.85.

conclusionsThe PCA can detect LPCS with a moderate diagnostic performance and could, therefore, might be a new angle for the diagnosis of LPCS in clinical settings.

Indexed as

PatellaPatellofemoral Pain SyndromeAdultAgedFemaleHumansKnee JointMagnetic Resonance ImagingMaleMiddle AgedRadiographyRetrospective StudiesROC CurveSensitivity and SpecificityYoung AdultAxial radiographLateral patellar compression syndromePatellaPatellar compression angle

Identifiers

PMID39844279
PMCPMC11753087

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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.