Evidence map›Paper›PMID 41473844›Full record

ArticleJournal of experimental orthopaedics2025

In females with anterior knee pain, the infratuberositary contribution to external tibial torsion increases with torsion severity and does not correlate with tibial tubercle lateralisation.

Vicente Sanchis-Alfonso, Cristina Ramírez-Fuentes, Jose Yañez-Rodríguez, Laura Parra-Calabuig, Marcos López-Vega, Julio Domenech-Fernandez

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Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Vicente Sanchis-AlfonsoDepartment of Orthopaedic Surgery Hospital Arnau de Vilanova Valencia Spain.ORCID https://orcid.org/0000-0002-9191-796X
Cristina Ramírez-FuentesDepartment of Radiology Hospital Universitario y Politécnico La Fe Valencia Spain.
Jose Yañez-RodríguezDepartment of Radiology Hospital Universitario y Politécnico La Fe Valencia Spain.
Laura Parra-CalabuigDepartment of Orthopaedic Surgery Hospital Arnau de Vilanova Valencia Spain.
Marcos López-VegaDepartment of Orthopaedic Surgery Hospital Arnau de Vilanova Valencia Spain.
Julio Domenech-FernandezDepartment of Orthopaedic Surgery Hospital Arnau de Vilanova Valencia Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To perform a segmental analysis of tibial torsion in females with refractory anterior knee pain (AKP) and investigate the relationship between external tibial torsion (ETT) and the position of the tibial tubercle (TT). Methods: All disabling AKP patient refractory to adequate physical therapy, that presented to our clinic between January 2013 and December 2024 were retrospectively reviewed. Inclusion criteria: (1) females, (2) ≥18 years old, (3) torsional CT scan performed for strictly clinical reasons. Patients were classified into three groups according to ETT: normal (≤30°), moderate (31°-40°), and severe (>40°). ETT was measured proximally and distally to the TT, and the contribution of distal tibial torsion (DTT) to total tibial torsion (TTT) was calculated. TT lateralisation (TTL) relative to the tibial plateau's maximum transverse diameter was measured. Statistical analysis for comparisons was conducted using one-way ANOVA with Bonferroni correction and Student's Results: A total of 197 tibial CT scans from 101 AKP females were analysed. The percentage of contribution of DTT to TTT was significantly higher in the severe group (35.2%, SD 11.5) compared to the moderate (22.1%, SD 12.1) and normal (18.2%, SD 16.7) groups ( Conclusion: The infratuberositary contribution to pathological ETT increases with the severity of the torsion. Moreover, the degree of ETT does not affect TTL. Level of Evidence: Level IV.

Indexed as

anterior knee painpatellofemoral painpathological external tibial torsionrotational tibial osteotomytibial tubercletorsional abnormalities

Identifiers

PMID41473844
PMCPMC12745182

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