Abstract
Background
The aim of this study was to evaluate the patellar tendon length (PTL) with focus on gender differences and possible correlations with the total leg length (TLL) and the long bones of the lower extremity.
Materials and Methods
The sample involved 50 paired lower extremities from human adult cadavers. The TLL was measured between the medial malleolus and the apex of the greater trochanter. The femoral length (FL) was evaluated as the interval between the latter and the distal margin of the lateral epicondyle of the femur and the tibial length (TL) from the distal apex of the medial malleolus to the proximal border of the medial condyle of the tibia. The PTL was measured from the apex of the patella to its proximal insertion point at the tibial tuberosity.
Results
The PTL was at a mean length of 4.29 ± 0.49 cm (right side) and 4.20 ± 0.55 cm (left side) in females and 4.42 ± 0.53 cm (right) and 4.32 ± 0.55 cm (left) in males. There were no differences regarding gender (p = .412). The left PTL was significantly shorter in both sexes (p = .022). The PTL correlated positively with FL, TL, and TLL in both sexes and sides.
Conclusion
PTL correlates significantly positively with size without gender differences.
Similar content being viewed by others
References
Balcarek, P., Jung, K., Ammon, J., Walde, T. A., Frosch, S., Schüttrumpf, J. P., et al. (2010). Anatomy of lateral patellar instability: trochlear dysplasia and tibial tubercle-trochlear groove distance is more pronounced in women who dislocate the patella. American Journal of Sports Medicine,38, 2320–2327.
Stefancin, J. J., & Parker, R. D. (2007). First-time traumatic patellar dislocation: a systematic review. Clinical Orthopaedics and Related Research,455, 93–101.
Fithian, D. C., Paxton, E. W., Stone, M. L., Silva, P., Davis, D. K., Elias, D. A., et al. (2004). Epidemiology and natural history of acute patellar dislocation. American Journal of Sports Medicine,32, 1114–1121.
Colvin, A. C., & West, R. V. (2008). Patellar instability. Journal of Bone and Joint Surgery American Volume,90, 2751–2762.
Tecklenburg, K., Dejour, D., Hoser, C., & Fink, C. (2006). Bony and cartilaginous anatomy of the patellofemoral joint. Knee Surgery, Sports Traumatology, Arthroscopy,14, 235–240.
Balcarek, P., Jung, K., Frosch, K. H., & Stürmer, K. M. (2011). Value of the tibial tuberosity-trochlear groove distance in patellar instability in the young athlete. American Journal of Sports Medicine,39, 1756–1761.
Kastner, N., Aigner, B. A., Meikl, T., Friesenbichler, J., Wolf, M., Glehr, M., et al. (2014). Gender-specific outcome after implantation of low-contact-stress mobile-bearing total knee arthroplasty with a minimum follow-up of ten years. International Orthopaedics,38, 2489–2493.
Csintalan, R. P., Schulz, M. M., Woo, J., McMahon, P. J., & Lee, T. Q. (2002). Gender differences in patellofemoral joint biomechanics. Clinical Orthopaedics and Related Research,402, 260–269.
Tuncyurek, O., Ozkol, M., Ozic, U., & Pabuscu, Y. (2010). The role of patellar tendon morphometry on anterior knee pain. Surgical and Radiologic Anatomy,32, 539–543.
van Eijden, T. M., Kouwenhoven, E., & Weijs, W. A. (1987). Mechanics of the patellar articulation. Effects of patellar ligament length studied with a mathematical model. Acta Orthopaedica Scandinavica,58, 560–566.
Thiel, W. (1992). The preservation of the whole corpse with natural color. Annals of Anatomy,174, 185–195.
Panni, A. S., Cerciello, S., Maffulli, N., Di Cesare, M., Servien, E., & Neyret, P. (2011). Patellar shape can be a predisposing factor in patellar instability. Knee Surgery, Sports Traumatology, Arthroscopy,19, 663–670.
Amis, A. A. (2007). Current concepts on anatomy and biomechanics of patellar stability. Sports Medicine and Arthroscopy,15, 48–56.
Cooney, A. D., Kazi, Z., Caplan, N., Newby, M., St Clair Gibson, A., & Kader, D. F. (2012). The relationship between quadriceps angle and tibial tuberosity-trochlear groove distance in patients with patellar instability. Knee Surgery, Sports Traumatology, Arthroscopy,20, 2399–2404.
Sadoghi, P., Camp, C. L., Stuart, M. J., Krych, A. J., Levy, B. A., Bond, J. R., et al. (2013). The tibial tubercle-trochlear groove distance: letter to the editor. American Journal of Sports Medicine,41, NP51–NP52.
Monk, A. P., Doll, H. A., Gibbons, C. L., Ostlere, S., Beard, D. J., Gill, H. S., et al. (2011). The patho-anatomy of patellofemoral subluxation. Journal of Bone and Joint Surgery British Volume,93, 1341–1347.
Neyret, P., Robinson, A. H., Le Coultre, B., Lapra, C., & Chambat, P. (2002). Patellar tendon length–the factor in patellar instability? The Knee,9, 3–6.
Andrikoula, S., Tokis, A., Vasiliadis, H. S., & Georgoulis, A. (2006). The extensor mechanism of the knee joint: an anatomical study. Knee Surgery, Sports Traumatology, Arthroscopy,14, 214–220.
Basso, O., Johnson, D. P., & Amis, A. A. (2001). The anatomy of the patellar tendon. Knee Surgery, Sports Traumatology, Arthroscopy,9, 2–5.
Yoo, J. H., Yi, S. R., & Kim, J. H. (2007). The geometry of patella and patellar tendon measured on knee MRI. Surgical and Radiologic Anatomy,29, 623–628.
Grelsamer, R. P., Dubey, A., & Weinstein, C. H. (2005). Men and women have similar Q angles: a clinical and trigonometric evaluation. Journal of Bone and Joint Surgery British Volume,87, 1498–1501.
Funding
None.
Author information
Authors and Affiliations
Contributions
GMH: protocol development; data collection; manuscript writing. MD: protocol development; data collection; manuscript editing. HK: data collection; manuscript editing. GG: data collection; manuscript editing. RR: data analysis; manuscript editing. AS: data collection; manuscript editing. IV: data collection; manuscript editing. HW: data analysis; manuscript editing. PS: protocol development; manuscript writing and editing.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical standard statement
This article does not contain any studies with human or animal subjects performed by the any of the authors.
Informed consent
For this type of study informed consent is not requied.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Hohenberger, G.M., Dreu, M., Kreuzthaler, H. et al. Patellar Tendon Length is Associated with Lower Extremity Length but Not Gender. JOIO 54, 352–357 (2020). https://doi.org/10.1007/s43465-020-00046-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s43465-020-00046-1