Evidence map›Paper›PMID 42158032›Full record

ArticleJournal of experimental orthopaedics2026

Differential effects of knee flexion on Caton-Deschamps, patellotrochlear and Insall-Salvati indices: A dynamic magnetic resonance imaging-controlled study.

Oliver Swietek, Christian Arras, Alexander Korthaus, Matthias Krause, Karl-Heinz Frosch, Jannik Frings

Abstract read
In one paragraph

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. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Oliver SwietekDepartment of Trauma and Orthopaedic Surgery University Medical Center Hamburg-Eppendorf Hamburg Germany.ORCID https://orcid.org/0009-0009-1599-3563
Christian ArrasDepartment of Trauma and Orthopaedic Surgery University Medical Center Hamburg-Eppendorf Hamburg Germany.ORCID https://orcid.org/0009-0008-5328-4103
Alexander KorthausDepartment of Trauma and Orthopaedic Surgery University Medical Center Hamburg-Eppendorf Hamburg Germany.
Matthias KrauseDepartment of Trauma and Orthopaedic Surgery University Medical Center Hamburg-Eppendorf Hamburg Germany.
Karl-Heinz FroschDepartment of Trauma and Orthopaedic Surgery University Medical Center Hamburg-Eppendorf Hamburg Germany.
Jannik FringsDepartment of Orthopaedic and Trauma Surgery University Medical Center Schleswig-Holstein, Campus Luebeck Luebeck Germany.ORCID https://orcid.org/0000-0001-5083-8301

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the influence of knee flexion on patellar height measurements during active muscle movement using dynamic magnetic resonance imaging (MRI). Methods: Dynamic magnetic resonance (MR) images from 48 healthy participants were analyzed. Images were acquired over 30 s using a 3-Tesla MRI unit during active knee motion between 40° of flexion and full extension. Sagittal images were used to determine the femorotibial flexion angle (FTA), and patellar height was assessed at increasing flexion angles (5°-10° increments) using the Caton-Deschamps index (CDI), Insall-Salvati ratio (ISR) and patellotrochlear index (PTI). Measurements were performed independently by two raters on two separate occasions. Statistical analysis was performed using mixed-effects models and regression analyses. Results: Eighty knees from 48 individuals (24 males, 24 females; age 26.7 ± 5.0 years; height 176 ± 9.5 cm) were included. Within a mean active range of motion from 4.3° ± 7.8° to 38.5° ± 10.4°, patellar height changed differentially across all parameters. CDI (mean in extension 1.19 ± 0.16, 95% confidence interval [CI]: 1.10-1.19) decreased by 0.004 per degree of flexion ( Conclusion: Patellar height measurements strongly depend on knee position, particularly at low flexion angles. CDI and PTI demonstrated significant changes, whereas changes in ISR were minimal. Patellar height should therefore be interpreted with careful consideration of knee position and the specific index used. Level of Evidence: Level III, diagnostic study.

Indexed as

dynamic MRIpatella altapatellar heightpatellar instabilitypatellotrochlear Index

Identifiers

PMID42158032
PMCPMC13181803

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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.