Computerized Tomographic Analysis of Tibial Tubercle Position in the Painful Female Patellofemoral Joint
- 1 January 1994
- journal article
- other
- Published by SAGE Publications in The American Journal of Sports Medicine
- Vol. 22 (1), 67-71
- https://doi.org/10.1177/036354659402200112
Abstract
We used computerized tomography to evaluate the po sition of the tibial tubercle and to determine if the tibial tubercle is positioned more laterally in female patients with patellofemoral pain. We also wanted to determine the relationship of the tibial tubercle to tibial external rotation and patellar tilt. Sixty female patients and 19 healthy female controls were evaluated. To evaluate the position of the tibial tubercle, the tibial tubercle rotation angle (the angle formed by the line between the pos teriormost edges of the medial and lateral femoral con dyle and the line between the central point of the in tercondylar space and the central point of the patellar tendon at the level of the tibial tubercle) was measured by superimposing the images from the level of the distal femoral condyle and the tibial tubercle. The relationship between the tibial tubercle rotation angle and patellar tilt was then assessed by dividing the patients into 3 sub groups according to the patellar tilt. The tibial tubercle rotation angle was significantly different between the patellofemoral pain patients and the controls. There were also significant differences between the patients with moderate patellar tilt (10° to 20°) and the controls, and between the patients with high patellar tilt (>20°) and the controls.Keywords
This publication has 15 references indexed in Scilit:
- Treatment of Chondromalacia Patellae by Lateral Retinacular Release of the PatellaClinical Orthopaedics and Related Research, 1988
- Medial subluxation of the patella as a complication of lateral retinacular releaseThe American Journal of Sports Medicine, 1988
- Evaluation of the results of extensor mechanism reconstructionThe American Journal of Sports Medicine, 1988
- The Elmslie-Trillat procedure: Evaluation in patellar dislocation and subluxationThe American Journal of Sports Medicine, 1984
- Diagnosis of Patellofemoral Malalignment by Computed TomographyJournal of Computer Assisted Tomography, 1983
- The Etiology of Patellofemoral Pain in Young, Active PatientsClinical Orthopaedics and Related Research, 1983
- Lateral Retinacular Release for Intractable Lateral Retinacular PainClinical Orthopaedics and Related Research, 1983
- Evaluation of the Roux-Elmslie-Trillat procedure for knee extensor realignmentThe American Journal of Sports Medicine, 1982
- Awareness of the retinaculum in evaluating patellofemoral painThe American Journal of Sports Medicine, 1982
- Chondromalacia PatellaeClinical Orthopaedics and Related Research, 1979