ArticleOrthopaedic journal of sports medicine2026
Introducing Increased Lateral Tibial Height and Decreased Medial Meniscal Bone Angle as Independent Risk Factors for Recurrent Patellar Dislocation.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Tibiofemoral rotational malalignment, recognized as a risk factor for recurrent patellar dislocation (RPD), has become a research focus. Although the relationship between femoral morphology and RPD is widely studied, the association between RPD and the tibial plateau and meniscus geometries related to the tibiofemoral rotation remains unexamined. Hypothesis: After accounting for the classic risk factors associated with knee rotation-tibial tuberosity-trochlear groove (TT-TG) distance and tibiofemoral angle (TFA)-targeted anatomical parameters are independently associated with adult RPD. Study Design: Cross-sectional study; Level of evidence, 3. Methods: This retrospective case-control study included 50 adult patients with RPD and 50 age-, sex-, and body mass index-matched controls. Knee magnetic resonance imaging scans were used to assess parameters-including the lateral tibial slope (LTS), medial tibial slope (MTS), lateral tibial height (LTH), medial tibial depth (MTD), medial meniscal bone angle (MMBA), MTS-LTS (slope difference), MTS: LTS ratio, MTS: MMBA ratio, TT-TG distance, and TFA. Differences among groups were compared; a multivariate logistic regression model was created to evaluate independent factors, and the diagnostic performance of the substantial risk factors, individually and in combination, was assessed. Results: The LTS ( Conclusion: The decreased LTS, increased LTH, decreased MMBA, increased MTS-LTS, and increased MTS: LTS ratio were associated with adult RPD. Importantly, even after controlling for TT-TG distance and TFA, increased LTH and decreased MMBA persisted as independent risk factors for adult RPD.
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