Radiological evaluation of patellofemoral instability and possible causes of assessment errors

dc.authorid0000-0001-8532-4917
dc.authorid0000-0002-5539-2342
dc.contributor.authorÖrmeci, Tuğrul
dc.contributor.authorTürkten, İsmail
dc.contributor.authorSakul, Bayram Ufuk
dc.date.accessioned2023-02-23T13:09:09Z
dc.date.available2023-02-23T13:09:09Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Anatomi Ana Bilim Dalı
dc.description.abstractPatellofemoral instability (PI) is the disruption of the patella's relationship with the trochlear groove as a result of abnormal movement of the patella. To identify the presence of PI, conventional radiographs (anteroposterior, lateral, and axial or skyline views), magnetic resonance imaging, and computed tomography are used. In this study, we examined four main instability factors: Trochlear dysplasia, patella alta, tibial tuberosity-trochlear groove distance, and patellar tilt. We also briefly review some of the other assessment methods used in the quantitative and qualitative assessment of the patellofemoral joint, such as patellar size and shape, lateral trochlear inclination, trochlear depth, trochlear angle, and sulcus angle, in cases of PI. In addition, we reviewed the evaluation of coronal alignment, femoral anteversion, and tibial torsion. Possible causes of error that can be made when evaluating these factors are examined. PI is a multi-factorial problem. Many problems affecting bone structure and muscles morphologically and functionally can cause this condition. It is necessary to understand normal anatomy and biomechanics to make more accurate radiological measurements and to identify causes. Knowing the possible causes of measurement errors that may occur during radiological measurements and avoiding these pitfalls can provide a more reliable road map for treatment. This determines whether the disease will be treated medically and with rehabilitation or surgery without causing further complications.
dc.identifier.citationÖrmeci, T., Türkten, İ. ve Sakul, B. U. (2022). Radiological evaluation of patellofemoral instability and possible causes of assessment errors. World Journal of Methodology, 12(2), 64-82. https://doi.org/10.5662/wjm.v12.i2.64
dc.identifier.doi10.5662/wjm.v12.i2.64
dc.identifier.endpage82
dc.identifier.issn2222-0682
dc.identifier.issue2
dc.identifier.pmid35433342
dc.identifier.startpage64
dc.identifier.urihttps://doi.org/10.5662/wjm.v12.i2.64
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10519
dc.identifier.volume12
dc.indekslendigikaynakPubMed
dc.institutionauthorÖrmeci, Tuğrul
dc.institutionauthorTürkten, İsmail
dc.institutionauthorSakul, Bayram Ufuk
dc.language.isoen
dc.publisherBaishideng Publishing Group
dc.relation.ispartofWorld Journal of Methodologyen_US
dc.relation.publicationcategoryDiğer
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectPatella Alta
dc.subjectPatellar Tilt
dc.subjectPatellofemoral Instability
dc.subjectRadiological Evaluation Errors
dc.subjectTibial Tuberosity-Trochlear Groove Distance
dc.titleRadiological evaluation of patellofemoral instability and possible causes of assessment errors
dc.typeReview Article

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