ArticleJournal of experimental orthopaedics2026
Increased tibiofemoral rotation is associated with anatomical risk factors for lateral patella instability.
Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Assessment and management of torsional malalignment in paediatric patients with patellofemoral joint instability.Journal of children's orthopaedics · 2026Article
- Measurement of intraarticular tibiofemoral rotation in routine MRI is not reliable: A comparison of knee joints in torsional and routine MRI.Journal of experimental orthopaedics · 2026Article
- Limited ability of coronal alignment parameters to assess rotational alignment in patients with varus knee osteoarthritis: a cross-sectional study.BMC musculoskeletal disorders · 2026Article
- Increased tibiofemoral rotation is associated with anatomical risk factors for lateral patella instability.Journal of experimental orthopaedics · 2026Article
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7 authors.
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Abstract
Purpose: Chronic patellofemoral instability (PFI) and pain are influenced by axial malalignment of the patellofemoral joint. Tibiofemoral rotation, defined as the rotation between femur and tibia knee, has shown to be correlated to PFI. This study aimed to determine whether tibiofemoral rotation is associated with anatomical risk factors for patellofemoral maltracking in patients with PFI. It was hypothesised that greater tibiofemoral rotation correlates with other predisposing factors for PFI. Methods: Eighty-five consecutive patients (mean age 22.6 ± 8.9 years; 58 female) with PFI underwent standardised bilateral knee MRI in 0° extension for rotational analysis. Tibiofemoral rotation was measured as the angle between the posterior femoral condylar tangent and posterior tibial plateau tangent on axial images. Ipsilateral and contralateral values along other anatomical patellofemoral risk factors were recorded. One-sample Results: Mean ipsilateral tibiofemoral rotation was 6.9° ± 6.0° (range: -6.5° to 21.6°). Contralateral version averaged 6.4° ± 6.2° with no significant side difference. Absolute side-to-side difference was 3.7° ± 2.7°. Ipsilateral tibiofemoral rotation correlated with the tuberositas tibiae-trochlea groove (TT-TG) and medial posterior cruciate ligament distance (TT-PCL) ( Conclusion: Tibiofemoral rotation showed a significant correlation with anatomical risk factors associated with lateral patellar maltracking in patients with PFI. Moreover, patients with PFI demonstrated a wide variability in tibiofemoral rotation. Consideration of tibiofemoral rotation may enhance anatomical assessment and aid clinical decision-making in patients with PFI. Level of Evidence: Level III.
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