Patellar kinematics, part II: the influence of the depth of the trochlear groove in subjects with and without patellofemoral pain.

BACKGROUND AND PURPOSE: A shallow intercondylar groove has been implicated as being contributory to abnormal patellar alignment. The purpose of this study was to assess the influence of the depth of the intercondylar groove on patellar kinematics. SUBJECTS: Twenty-three women (mean age=26.8 years, S...

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Publicado en:Physical Therapy Vol. 80; no. 10; pp. 965 - 974
Autor principal: Powers CM
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Oct2000
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Patellar kinematics, part II: the influence of the depth of the trochlear groove in subjects with and without patellofemoral pain.
      aug:
        au: Powers CM
        affil: Assistant Professor, Dept of Biokinesiology and Physical Therapy, University of Southern California, 1540 E Alcazar St, CHP-155, Los Angeles, CA 90033; powers@hsc.usc.edu
      sug:
        subj:
          Kinematics
          Knee Joint Physiology
          Tibia Anatomy and Histology
          Patella Anatomy and Histology
          Patellofemoral Pain Syndrome Etiology
          Magnetic Resonance Imaging
          Extension
          Flexion
          Comparative Studies
          Pearson's Correlation Coefficient
          Adult
          Female
          Funding Source
          Human
          Adult: 19-44 years
          Female
      ab: BACKGROUND AND PURPOSE: A shallow intercondylar groove has been implicated as being contributory to abnormal patellar alignment. The purpose of this study was to assess the influence of the depth of the intercondylar groove on patellar kinematics. SUBJECTS: Twenty-three women (mean age=26.8 years, SD=8.5, range=14-46) with a diagnosis of patellofemoral pain and 12 women (mean age=29.1 years, SD=5.0, range=24-38) without patellofemoral pain participated. Only female subjects were studied because of potential biomechanical differences between sexes. METHODS: Patellar kinematics were assessed during resisted knee extension using kinematic magnetic resonance imaging. Measurements of medial and lateral patellar displacement and tilt were correlated with the depth of the trochlear groove (sulcus angle) at 45, 36, 27, 18, 9, and 0 degrees of knee flexion using regression analysis. RESULTS: The depth of the trochlear groove was found to be correlated with patellar kinematics, with increased shallowness being predictive of lateral patellar tilt at 27, 18, 9, and 0 degrees of flexion and of lateral patellar displacement at 9 and 0 degrees of flexion (r=.51-.76). CONCLUSION AND DISCUSSION: The results of this study indicate that bony structure is an important determinant of patellar kinematics at end-range knee extension (0 degrees-30 degrees).
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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