Which patellofemoral joint imaging features are associated with patellofemoral pain? Systematic review and meta-analysis

Drew, Benjamin; Redmond, Anthony; Smith, Toby; Penny, Florence; Conaghan, Philip G.

doi:10.1016/j.joca.2015.09.004

Cited by 49 publications

(52 citation statements)

References 89 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, an increased MRI bisect offset, increased patellar tilt, and increased congruence angle under load and without load were associated with PFP 10. All of these imaging parameters are indices of patellar maltracking 7.…”

Section: Pfp Pathophysiology or Pathomechanicssupporting

confidence: 50%

“…A recent systematic review examined the association of other PFJ imaging features, such as bisect offset, congruence angle, and patellar tilt, with PFP 10. In this study, an increased MRI bisect offset, increased patellar tilt, and increased congruence angle under load and without load were associated with PFP 10.…”

Section: Pfp Pathophysiology or Pathomechanicsmentioning

confidence: 76%

“…All of these imaging parameters are indices of patellar maltracking 7. This provides strong scientific evidence that PFP is associated with patellar maltracking 10. Interestingly, both patellar tilt and bisect offset were increased when MRI was performed under load 10.…”

Section: Pfp Pathophysiology or Pathomechanicsmentioning

confidence: 87%

“…This provides strong scientific evidence that PFP is associated with patellar maltracking 10. Interestingly, both patellar tilt and bisect offset were increased when MRI was performed under load 10. Wilson et al11 used skin markers and an optoelectronic motion capture system to examine patellar glide in young patients with PFPS while in a standing position and while squatting.…”

Section: Pfp Pathophysiology or Pathomechanicsmentioning

confidence: 99%

See 3 more Smart Citations

Patellofemoral pain in athletes

Petersen

Rembitzki

Liebau

2017

OAJSM

View full text Add to dashboard Cite

Patellofemoral pain (PFP) is a frequent cause of anterior knee pain in athletes, which affects patients with and without structural patellofemoral joint (PFJ) damage. Most younger patients do not have any structural changes to the PFJ, such as an increased Q angle and a cartilage damage. This clinical entity is known as patellofemoral pain syndrome (PFPS). Older patients usually present with signs of patellofemoral osteoarthritis (PFOA). A key factor in PFPS development is dynamic valgus of the lower extremity, which leads to lateral patellar maltracking. Causes of dynamic valgus include weak hip muscles and rearfoot eversion with pes pronatus valgus. These factors can also be observed in patients with PFOA. The available evidence suggests that patients with PFP are best managed with a tailored, multimodal, nonoperative treatment program that includes short-term pain relief with nonsteroidal anti-inflammatory drugs (NSAIDs), passive correction of patellar maltracking with medially directed tape or braces, correction of the dynamic valgus with exercise programs that target the muscles of the lower extremity, hip, and trunk, and the use of foot orthoses in patients with additional foot abnormalities.

show abstract

Section: Pfp Pathophysiology or Pathomechanicssupporting

confidence: 50%

Section: Pfp Pathophysiology or Pathomechanicsmentioning

confidence: 76%

Section: Pfp Pathophysiology or Pathomechanicsmentioning

confidence: 87%

Section: Pfp Pathophysiology or Pathomechanicsmentioning

confidence: 99%

See 2 more Smart Citations

Patellofemoral pain in athletes

Petersen

Rembitzki

Liebau

2017

OAJSM

View full text Add to dashboard Cite

show abstract

“…In some clinical and research settings, magnetic resonance imaging (MRI) is used to evaluate knee alignment in patellofemoral osteoarthritis (OA) and related conditions (patellofemoral pain or instability) . The advantages of MRI include lack of ionizing radiation and versatility of sequence parameters.…”

mentioning

confidence: 99%