Skip to main content

Advertisement

Log in

Patellofemoral characteristics in patients with increased femoral anteversion

  • Articles
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

In this study, the association between increased femoral anteversion and the characteristics of the patellofemoral joint was investigated in adults. In 17 female control patients, the anteversion angle of the femoral neck measured 12°±8° and 11°±9° for the right and left side, respectively. The sulcus angle of the patellofemoral joint was 145°±10° and 146°±11°, the congruence angle 7.2°±14° and 7.8°±15°, and the lateral patellofemoral angle 5.9°± 6° and 5.7°±6°, respectively. In 15 female patients who were evaluated for clinical symptoms of increased femoral anteversion, the anteversion angle of the femoral neck was 30°±7° and 31°±8° degrees for the right and left side, respectively. The sulcus angle was 143°±8° and 147°±9°, the congruence angle 7.3°±12° and 7.1°±13°, and the lateral patellofemoral angle 6.4°±8° and 6.1°±7°, respectively. There was no correlation between the degree of femoral anteversion and the indices of the patellofemoral relationships. Thus, this study indicates that there is no association between increased femoral anteversion and abnormal patellofemoral characteristics.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Brattström H (1964) Shape of the intercondylar groove normally and in recurrent dislocation of the patella. Acta Orthop Scand [Suppl] 68

  2. Carson WG, James SL, Larson RL, Singer KM, Winternitz WW (1984) Patellofemoral disorders: physical and radiographic evaluation. Clin Orthop 185:165

    Google Scholar 

  3. Delgado MH (1979) A study of the position of the patella using computerized tomography. J Bone Joint Surg [Br] 61:443

    Google Scholar 

  4. Fabry F, McEwen GD, Shands AR (1973) Trosion of the femur. A follow up study in normal and abnormal conditions. J Bone Joint Surg [Am] 55:1726

    Google Scholar 

  5. Ficat RP, Hungerford DS (1977) Disorders of the patellofemoral joint. Williams & Wilkins, Baltimore

    Google Scholar 

  6. Goodfellow J, Hungerford DS, Zidel M (1976) Patellofemoral joint mechanics and pathology. J Bone Joint Surg [Br] 58:291

    Google Scholar 

  7. Hvid I, Andersen LIG, Schmidt H (1981) Chondromalacia patella. The relation to abnormal patellofemoral joint mechanism. Acta Orthop Scand 52:261

    Google Scholar 

  8. Kujala UM, Osterman K, Kormano M, Komu M, Schlenzka D (1989) Patellar motion analyzed by magnetic resonance imaging. Acta Orthop Scand 60:13

    Google Scholar 

  9. Larson RC, Cabaud HE, Slocum DB, James SL, Keenan T, Huchinson T (1978) The patellar compression syndrome. Clin Orthop 134:158

    Google Scholar 

  10. Laurin CA, Dussault R, Levesque HP (1989) The tangential X-ray investigation of the patellofemoral joint: X-ray technique, diagnostic criteria and their interpretation. Clin Orthop 144:16

    Google Scholar 

  11. Martinez S, Korobkin M, Fondren FB, Hedlund LW, Goldner JL (1983) Computed tomography of the normal patellofemoral joint. Invest Radiol 18:249

    Google Scholar 

  12. Merchant AC, Mercer RL, Jacobsen RH, Cool CR (1974) Roentgenographic analysis of patellofemoral congruence. JBone Joint Surg [Am] 56:1391

    Google Scholar 

  13. Outerbridge RD (1961) The etiology of chondromalacia patella. J Bone Joint Surg [Br] 43:752

    Google Scholar 

  14. Reikerås O, Bjerkreim I (1982) Anteversion of the femoral neck. Acta Orthop Scand 53:839

    Google Scholar 

  15. Reikerås O, Bjerkreim I, Kolbenstvedt A (1983) Anteversion of the acetabulum and femoral neck in normals and in patients with osteoarthritis of the hip. Acta Orthop Scand 54:18

    CAS  PubMed  Google Scholar 

  16. Sasaki T, Yagi T (1986) Subluxation of the patella. Investigation by computerized tomography. Int Orthop 10:115

    Google Scholar 

  17. Scholder P (1968) L'antetorsion physiologique du col femorale et la coxa antetorsa en marge des dysplasies congenitales des la hanche. Ther Umsch 25:545

    Google Scholar 

  18. Staheli LT, Duncan WR, Schaefer E (1968) Growth alterations in the hemiplegic child. A study of femoral anteversion, neck shaft angle, hip rotation, CE angle, limb length and circumference in 50 hemiplegic children. Clin Orthop 60:205

    Google Scholar 

  19. Svenningsen S, Apalset K, Terjesen T, Anda S (1989) Regression of femoral anteversion. Acta Orthop Scand 60:170

    CAS  PubMed  Google Scholar 

  20. Whitelaw GP Jr, Rullo DJ, Markowitz HD, Marandola MS, DeWaele MJ (1989) A conservative approach to anterior knee pain. Clin Orthop 246:234

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reikerås, O. Patellofemoral characteristics in patients with increased femoral anteversion. Skeletal Radiol. 21, 311–313 (1992). https://doi.org/10.1007/BF00241771

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00241771

Key words

Navigation