Skip to main content
SpringerLink
Log in

Standard X-Ray Examination: Patellofemoral Disorders

  • Chapter
  • First Online:
Patellofemoral Pain, Instability, and Arthritis

Abstract

X-rays analysis [21] is the first step before any other investigation for all knee pathology. Coming from this exam and combined with the clinical exam, the physician will be able to request other specific radiological exams (MRI, Arthro MRI, CT scan, arthro CT, bone scan, ultrasonography). The basic incidences do not change much depending on the pathology, chronic or acute. The only factor necessary to obtain these radiographs is the ability of the patient to stand up. Sometimes the physician can ask for ¾ obliques to detect some postero-medial or postero-lateral fractures.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Blackburne JS, Peel TE (1977) A new method of measuring patellar height. J Bone Joint Surg Br 59:241–242

    PubMed  CAS  Google Scholar 

  2. Brazier J, Migaud H, Gougeon F et al (1996) Evaluation of methods for radiographic measurement of the tibial slope. A study of 83 healthy knees. Rev Chir Orthop Reparatrice Appar Mot 82:195–200

    PubMed  CAS  Google Scholar 

  3. Caton J, Deschamps G, Chambat P et al (1982) Patella Infera. Apropos of 128 cases. Rev Chir Orthop Reparatrice Appar Mot 68:317–325

    PubMed  CAS  Google Scholar 

  4. Dejour D, Le Coultre B (2007) Osteotomies in patellofemoral instabilities. Sports Med Arthrosc 15:39–46

    Article  PubMed  Google Scholar 

  5. Dejour D, Reynaud P, Lecoultre B (1998) Douleurs et instabilité rotulienne. Essai de Classification. Médecine et Hygiène

    Google Scholar 

  6. Dejour H, Walch G, Neyret P et al (1990) Dysplasia of the femoral trochlea]. Rev Chir Orthop Reparatrice Appar Mot 76:45–54

    PubMed  CAS  Google Scholar 

  7. Dejour H, Walch G, Nove-Josserand L et al (1994) Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc 2:19–26

    Article  PubMed  CAS  Google Scholar 

  8. Galland O, Walch G, Dejour H et al (1990) An anatomical and radiological study of the femoropatellar articulation. Surg Radiol Anat 12:119–125

    Article  PubMed  CAS  Google Scholar 

  9. Insall JES (1971) Patella position in the normal knee joint. Radiology 101:101–104

    PubMed  CAS  Google Scholar 

  10. Iwano T, Kurosawa H, Tokuyama H et al (1990) Roent­genographic and clinical findings of patellofemoral osteoarthrosis. With special reference to its relationship to femorotibial osteoarthrosis and etiologic factors. Clin Orthop Relat Res 252:190–197

    PubMed  Google Scholar 

  11. Laurin CA, Dussault R, Levesque HP (1979) The tangential x-ray investigation of the patellofemoral joint: x-ray technique, diagnostic criteria and their interpretation. Clin Orthop Relat Res 144:16–26

    PubMed  Google Scholar 

  12. Laurin CA, Levesque HP, Dussault R et al (1978) The abnormal lateral patellofemoral angle: a diagnostic roentgenographic sign of recurrent patellar subluxation. J Bone Joint Surg Am 60:55–60

    PubMed  CAS  Google Scholar 

  13. Malghem J, Maldague B (1989) Depth insufficiency of the proximal trochlear groove on lateral radiographs of the knee: relation to patellar dislocation. Radiology 170:507–510

    PubMed  CAS  Google Scholar 

  14. Malghem J, Maldague B (1989) Patellofemoral joint: 30 degrees axial radiograph with lateral rotation of the leg. Radiology 170:566–567

    PubMed  CAS  Google Scholar 

  15. Malghem J, Maldague B, Lecouvet F, et al. (2008) Plain radiography of the knee: the articular surfaces. J Radiol 89(5 Pt 2):692–697, quiz 708–710

    Google Scholar 

  16. Merchant AC (2001) Patellofemoral imaging. Clin Orthop Relat Res 389:15–21

    Article  PubMed  Google Scholar 

  17. Remy F, Chantelot C, Fontaine C et al (1998) Inter- and intraobserver reproducibility in radiographic diagnosis and classification of femoral trochlear dysplasia. Surg Radiol Anat 20:285–289

    Article  PubMed  CAS  Google Scholar 

  18. Rémy F, Gougeon F, Ala Eddine T et al. (2002) Reproducibility of the new classification of femoral trochlear dysplasia proposed by dejour: predictive value for severity of femoropatellar instability in 47 knees. J Bone Joint Surg Br 84-B(Supp):43

    Google Scholar 

  19. Rosenberg TD, Paulos LE, Parker RD et al (1988) The forty-five-degree posteroanterior flexion weight-bearing radiograph of the knee. J Bone Joint Surg Am 70:1479–1483

    PubMed  CAS  Google Scholar 

  20. Servien E, Ait Si Selmi T, Neyret P (2003) Study of the patellar apex in objective patellar dislocation. Rev Chir Orthop Reparatrice Appar Mot 89:605–612

    PubMed  CAS  Google Scholar 

  21. Tavernier T, Dejour D (2001) Knee imaging: what is the best modality. J Radiol 82(3 Pt 2):387–405, 407–408

    Google Scholar 

  22. Wiberg G (1941) Roentgenographic and anatomic studies on the femoropatellar joint. Acta orthop Scand (12): 319–410

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Knee Surgery Orthopaedic Department, Lyon-Ortho-Clinic, 8 Avenue Ben Gourion, 69009, Lyon, France

    David Dejour

  2. IOT, Rua Uruguai, 2050, Passo Fundo, Brazil

    P. R. Saggin

  3. Department of Radiology, Sauvegarde Hospital, Lyon, France

    X. Meyer & T. Tavernier

Authors
  1. David Dejour
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. R. Saggin
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. X. Meyer
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Tavernier
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to David Dejour .

Editor information

Editors and Affiliations

  1. "Centro di Ricerca ""Codivilla-Putti""", Lab. Biomeccanica, Istituti Ortopedici Rizzoli, Via di Barbiano 1/10, Bologna, 40136, Italy

    Stefano Zaffagnini

  2. Clinique de la Sauvegante, COROLYON, Avenue Ben Gurion 8, Lyon, 69009, France

    David Dejour

  3. Dept. Orthopaedic Surgery, University of Minnesota, Riverside Ave. S. 2450, Minneapolis, 55454, USA

    Elizabeth A. Arendt

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Dejour, D., Saggin, P.R., Meyer, X., Tavernier, T. (2010). Standard X-Ray Examination: Patellofemoral Disorders. In: Zaffagnini, S., Dejour, D., Arendt, E. (eds) Patellofemoral Pain, Instability, and Arthritis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05424-2_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-05424-2_6

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-05423-5

  • Online ISBN: 978-3-642-05424-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation