Radiological evaluation of patellofemoral instability and possible causes of assessment errors

作     者：Tugrul Ormeci Ismail Turkten Bayram Ufuk Sakul 

作者机构：Department of RadiologySchool of Medicineİstanbul Medipol UniversityIstanbul 34200Turkey Department of AnatomySchool of Medicineİstanbul Medipol UniversityIstanbul 34820BeykozTurkey 

出 版 物：《World Journal of Methodology》 (世界方法学杂志)

年 卷 期：2022年第12卷第2期

页      面：64-82页

学科分类：1002[医学-临床医学] 1010[医学-医学技术（可授医学、理学学位）] 100215[医学-康复医学与理疗学] 10[医学] 

基　　金：Tugrul Ormeci,ORCID number:0000-0001-8532-4917 Ismail Turkten,ORCID number:0000-0003-0787-7000 Bayram Ufuk Sakul,ORCID number:0000-0002-5539-2342 

主　　题：Patellofemoral instability Radiological evaluation errors Trochlear dysplasia Patella alta Tibial tuberosity-trochlear groove distance Patellar tilt 

摘      要：Patellofemoral instability(PI)is the disruption of the patella’s relationship with the trochlear groove as a result of abnormal movement of the *** identify the presence of PI,conventional radiographs(anteroposterior,lateral,and axial or skyline views),magnetic resonance imaging,and computed tomography are *** this study,we examined four main instability factors:Trochlear dysplasia,patella alta,tibial tuberosity–trochlear groove distance,and patellar *** 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 *** addition,we reviewed the evaluation of coronal alignment,femoral anteversion,and tibial *** causes of error that can be made when evaluating these factors are *** is a multi-factorial *** problems affecting bone structure and muscles morphologically and functionally can cause this *** is necessary to understand normal anatomy and biomechanics to make more accurate radiological measurements and to identify *** the possible causes of measurement errors that may occur during radiological measurements and avoiding these pitfalls can provide a more reliable road map for *** determines whether the disease will be treated medically and with rehabilitation or surgery without causing further complications.