Evidence map›Paper›PMID 40926241›Full record

ArticleJournal of orthopaedic surgery and research2025

Haptic-visual evaluation of the J-Sign revealed a significant correlation with patella height, tibial tubercle - trochlear groove distance, trochlear bump height and the total number of risk factors for lateral patellar instability.

Felix Zimmermann, Eric Mandelka, Jula Gierse, Sven Y Vetter, Paul Alfred Grützner, Peter Balcarek

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 1 paper.

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

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Felix ZimmermannBG Klinik Ludwigshafen, Department for Orthopaedics and Trauma Surgery at, Heidelberg University, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen am Rhein, Germany. felix.zimmermann@bgu-ludwigshafen.de.
Eric MandelkaBG Klinik Ludwigshafen, Department for Orthopaedics and Trauma Surgery at, Heidelberg University, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen am Rhein, Germany.
Jula GierseBG Klinik Ludwigshafen, Department for Orthopaedics and Trauma Surgery at, Heidelberg University, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen am Rhein, Germany.
Sven Y VetterBG Klinik Ludwigshafen, Department for Orthopaedics and Trauma Surgery at, Heidelberg University, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen am Rhein, Germany.
Paul Alfred GrütznerBG Klinik Ludwigshafen, Department for Orthopaedics and Trauma Surgery at, Heidelberg University, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen am Rhein, Germany.
Peter BalcarekArcus Sportklinik, Pforzheim, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJ-sign assessment is considered a helpful clinical parameter in the treatment of lateral patellar instability (LPI). However, it is unclear whether there is a correlation between the degree of the J-sign and anatomic risk factors. The aim of this study was to investigate whether there is a correlation between the degree of the J-sign assessed by haptic-visual assessment and anatomic risk factors of LPI.

methodsJ-sign grading was prospectively assessed by two experienced observers in 51 knee joints in 46 patients (male/female 19/32; age 25.1 ± 10 years; ≥ 1 patellar dislocation) according to the quadrant method of Zhang et al. Assessment was done with haptic-visual assessment, including palpation of the medial and lateral patellar facets with the thumb and index finger. The J-Sign grade was correlated with known anatomic risk factors for patellar instability, including the Caton‒Deschamps index, the Dejour type of trochlear dysplasia with additional measurements of trochlear bump height and lateral trochlear inclination angle, the tibial tuberosity–trochlear groove (TT–TG) distance, the tibial tuberosity–posterior cruciate ligament (TT–PCL) distance, the varus/valgus deformity and the total number of anatomic risk factors.

resultsThere was a significant correlation between the J-sign and the Caton–Deschamps index (r1 = 0.51; p < 0.001 and r2 = 0.41; p = 0.005), the total number of anatomic risk factors (r1 = 0.34; p = 0.015 and r2 = 0.30; p = 0.032) and the trochlear bump height (r1 = 0.36; p = 0.021 and r2 = 0.35; p = 0.027) for both raters. Moreover, the results revealed a significant correlation between the J-sign grade assessed by one rater and the TT–TG distance (r1 = 0.31; p = 0.044).

conclusionHaptic-visual assessment of the J-sign revealed a significant correlation with patella height, trochlear bump height, TT–TG distance and the total number of anatomic risk factors for patellar instability.

Indexed as

Joint InstabilityPatellaPatellar DislocationTibiaAdolescentAdultFemaleHumansMaleProspective StudiesRisk FactorsYoung AdultAnatomic risk factorsCorrelationJ-signPatella altaPatellar instabilityTrochlear bump height

Identifiers

PMID40926241
PMCPMC12418624

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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.