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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-11-2012 | Hip

The patellofemoral kinematics in patients with untreated developmental dislocation of the hip suffering from patellofemoral pain

Authors: Ertuğrul Akşahin, Ahmet Güzel, Aysun Oktay Erdoğan, Halil Yalçın Yüksel, Levent Çelebi, Cem Nuri Aktekin, Ali Biçimoğlu

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 11/2012

Abstract

Purpose

This study reviews the dynamic patellofemoral CT results of 39 patients with untreated developmental dislocation of the hip who are suffering from knee pain.

Method

The mean age of the patients with unilateral developmental dislocation of the hip was 33.3 (±7.9), for bilateral patients 36.2 (±11.3), and for the control group, it was 31.5 (±8.5). While 14 of them were bilateral, 25 were unilateral. The CT results of 24 asymptomatic adult knees served as the control group. The patellofemoral parameters of patients with unilateral and bilateral developmental dislocation of the hip, the control group’s parameters and the effect of femoral anteversion, limb length discrepancy, severity of dislocation, the mechanical axis deviation on patellofemoral parameters were analyzed.

Results

In patients with unilateral untreated developmental dislocation of the hip, although the patella was located more laterally at initial flexion degrees, it was located more medially at 30° and 60° flexion with respect to the control group. For the involved extremity, the PTA angles at 15°, 30°, and 60° flexion were significantly higher than in the control group corresponding to medial patellar tilt. In patients with bilateral developmental dislocation of the hip, the course of the patella during tracking in terms of patellar shift was similar to that of the unilateral patients. The amount of leg length discrepancy and the severity of dislocation, as well as the mechanical axis deviation, did not affect the patellofemoral parameters.

Conclusion

The patients with untreated developmental dislocation of the hip and suffering from knee pain should be analyzed not only for tibiofemoral abnormalities but also for patellofemoral malalignment.

Level of evidence

Case–control study, Level III.

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Title: The patellofemoral kinematics in patients with untreated developmental dislocation of the hip suffering from patellofemoral pain
Authors: Ertuğrul Akşahin
Ahmet Güzel
Aysun Oktay Erdoğan
Halil Yalçın Yüksel
Levent Çelebi
Cem Nuri Aktekin
Ali Biçimoğlu
Publication date: 01-11-2012
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 11/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-011-1807-3

At a glance: The STEP trials

Springer Medicine

The patellofemoral kinematics in patients with untreated developmental dislocation of the hip suffering from patellofemoral pain

Abstract

Purpose

Method

Results

Conclusion

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

Level of evidence

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