Knee joint proprioception in patients with posttraumatic recurrent patella dislocation

  • J. Jerosch
  • M. Prymka
Knee Injuries


In 30 healthy volunteers with clinically inconspicuous knee joints and nine patients with posttraumatic recurrent patella dislocation, the proprioceptive abilities of the knee joint were evaluated by an angle reproduction test. The results of the control goup showed no gender-or dominant-specific difference. The patient group showed a significant deterioration of proprioceptive capability in the injured knee joint. Even in the contralateral, uninjured knee joint, the angle reproduction test result was significantly reduced compared with the control group. After applying an elastic knee bandage, the control group and the patients with patella dislocation showed a significant improvement of the proprioceptive capability.

Key words

Patella dislocation Proprioception 


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  1. 1.
    Aglietti P, Buzzi R, DeBiase P, Giron F (1994) Surgical treatment of recurrent dislocation of the patella. Clin Orthop 308:8–17Google Scholar
  2. 2.
    Arnibjornsson A, Egund N, Rydling O, Stokerup R, Ryd L (1992) The natural history of recurrent dislocation of the patella. Long term results of conservative and operative treatment. J Bone Joint Surg [Br] 74:140–142Google Scholar
  3. 3.
    Avila GA de, O'Connor BL, Visco DM, Sisk TD (1989) The mechanoreceptor innervation of the human fibular collateral ligament. J Anat 162:1–7Google Scholar
  4. 4.
    Barrack RL, Skinner HB, Cook SD, Haddad RJ Jr (1983) Effect of articular disease and total knee arthroplasty on knee joint position sense. J Neurophysiol 50:684–687Google Scholar
  5. 5.
    Barrack RL, Skinner HB, Cook SD (1984) Proprioception of the knee joint, paradoxical effect of training. Am J Phys Med 63:175–181Google Scholar
  6. 6.
    Barrack RL, Skinner HB, Brunet ME, Cook SD (1984) Joint kinesthesia in the highly trained knee. J Sports Med 24:18–20Google Scholar
  7. 7.
    Barrett DS (1991) Proprioception and function after anterior cruciate reconstruction. J Bone Joint Surg [Br] 73: 833–837Google Scholar
  8. 8.
    Barrett DS, Cobb AG, Bentley G (1991) Joint proprioception in normal, osteoarthritic and replaced knees. J Bone Joint Surg [Br] 73:53–56Google Scholar
  9. 9.
    Beard DJ, Kyberg PJ, Fergusson CM, Dodd CAF (1994) Reflex hamstring contraction latency in anterior cruciate ligament deficiency. J Orthop Res 12: 219–228Google Scholar
  10. 10.
    Brief LP (1993) Lateral patellar instability: treatment with a combined open-arthroscopic approach. Arthroscopy 9:617–623Google Scholar
  11. 11.
    Co FH, Skinner HB, Cannon WD (1993) Effect of the anterior cruciate ligament on proprioception of the knee and the heel strike transient. J Orthop Res 11:696–704Google Scholar
  12. 12.
    Dandy DJ, Desai SS (1994) The results of arthroscopic lateral realease of the extensor mechanism for recurrent dislocation of the patella after 8 years. Arthroscopy 10:540–545Google Scholar
  13. 13.
    Eyssel M, Böhm B, Findt K (1993) Operative Behandlung habitueller Patellaluxation durch eine kombinierte Weichteiloperation. Unfallchirurg 96: 24–28Google Scholar
  14. 14.
    Freeman MAR, Wyke BD (1964) The innervation of the knee joint. An anatomical and histological study in the cat. J Anat 101:505–532Google Scholar
  15. 15.
    Gerlach UJ, Lierse W, Wolter D (1993) Mechanorezeptoren in den distalen Anteilen des M. vastus medialis? Unfallchirurg 96:41–44Google Scholar
  16. 16.
    Haus J, Halata Z, Refior HJ (1992) Propriozeption im vorderen Kreuzband des menschlichen Kniegelenks — morphologische Grundlagen. Z. Orthop 130:484–494Google Scholar
  17. 17.
    Hertel P, Bernard M (1993) Arthoskopie und Patellaluxation. Arthroskopie 6:242–248Google Scholar
  18. 18.
    Jerosch J, Bischof M (1994) Der Einfluß der Propriozeptivität auf die funktionelle Stabilität des oberen Sprunggelenkes unter besonderer Berücksichtigung von Stabilisierungshilfen. Sportverl Sportschaden 8:111–121Google Scholar
  19. 19.
    Jerosch J, Prymka M (1995) Propriozeptive Fähigkeiten des gesunden Kniegelenks: Beeinflussung durch eine elastische Bandage. Sportverl Sportschaden 9:72–74Google Scholar
  20. 20.
    Jerosch J, Hoffstetter I, Bork H, Bischof M (1995) The influence of orthoses on the proprioception of the ankle joint. Knee Surg Sports Traumatol Arthroscopy 3:39–46Google Scholar
  21. 21.
    Jerosch J, Castro WHM, Große-Hackmann A, Clahßen H (1995) Über die Funktion der glenohumeralen Ligamente bei der aktive Sicherung der Schulterstabilität. Z. Orthop 133:67–71.Google Scholar
  22. 22.
    Kennedy JC, Weinberg HW, Wilson AS (1974) The anatomy and function of the anterior cruciate ligament. J Bone Joint Surg [Am] 56:223–235Google Scholar
  23. 23.
    Kennedy JC, Alexander IJ, Haynes KC (1992) Nerve supply of the human knee and its functional importance. Am J Sports Med 10:329–335Google Scholar
  24. 24.
    Marks R, Quinney HA, Wessel J (1993) Proprioceptive sensibility in women with normal and osteoarthritic knee joints. Clin Rheumatol 12:170–175Google Scholar
  25. 25.
    Miller R, Barlett J (1993) Recurrent patella dislocation treated by closed lateral retinacular release. Aust NZ J Surg 63:200–202Google Scholar
  26. 26.
    O'Connor BL, McConnaughey JS (1978) The structure and innervation of cat knee menisci, and their relation to a ‘sensory hypothesis’ of meniscal function. J Anat 153:431–442Google Scholar
  27. 27.
    Sell S, Zacher J, Lack S (1993) Propriozeptionsstörung am arthrotischen Kniegelenk. Z Rheumatol 52:150–155Google Scholar
  28. 28.
    Skinner HB, Barrack RL, Cook SD, Haddad RJ Jr (1984) Joint position sense in total knee arthroplasty. J Orthop Res 1:276–283Google Scholar
  29. 29.
    Smilie JS (1974) Diseases of the knee joint. Churchill Livingstone. Edinburgh, pp 82–87Google Scholar
  30. 30.
    Wilson AS, Lee HB (1986) Hypothesis relevant to defective position sense in a damaged knee. J Neurol Neurosurg Psychiatry 49:1462–1463Google Scholar

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • J. Jerosch
    • 1
  • M. Prymka
    • 2
  1. 1.Department of Orthopaedic SurgeryWestfälische Wilhelms UniversityMünsterGermany
  2. 2.Institute of Sports MedicineWestfälische Wilhelms UniversityMünsterGermany

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