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Femoral and Tibial Rotational Abnormalities Are the Most Ignored Factors in the Diagnosis and Treatment of Anterior Knee Pain Patients. A Critical Analysis Review

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Anterior Knee Pain and Patellar Instability

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Abstract

At the end of 1970s, skeletal malalignment of the limb was suggested as one of the causes of anterior knee pain (AKP) in some young patients.

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References

  1. James SL. Chondromalacia of the Patella in the Adolescent. In: Kennedy JC. editor. The Injured Adolescent Knee. Baltimore: The Williams & Wilkins Company, 1979.

    Google Scholar 

  2. Teitge RA. Does lower limb torsion matter? Tech Knee Surg. 2012;11:137–46.

    Article  Google Scholar 

  3. Teitge RA. The power of transverse plane limb mal-alignment in the genesis of anterior knee pain—clinical relevance. Ann Joint. 2018;3:70.

    Article  Google Scholar 

  4. Meister K, James SL. Proximal tibial derotation osteotomy for anterior knee pain in the miserably malaligned extremity. Am J Orthop (Belle Mead NJ). 1995;24:149–55.

    CAS  PubMed  Google Scholar 

  5. Cooke TD, Price N, Fisher B. The inwardly pointing knee. An unrecognized problem of external rotational malalignment. Clin Orthop 1990;56–60.

    Google Scholar 

  6. Sanchis-Alfonso V, Domenech-Fernández J, Ferras-Tarrago J, et al. The incidence of complications after derotational femoral and/or tibial osteotomies in patellofemoral disorders in adolescents and active adult patients. A Systematic Review with Meta-Analysis. (In press).

    Google Scholar 

  7. Scorcelletti M, Reeves ND, Rittweger J, et al. Femoral anteversion: significance and measurement. J Anat. 2020;237(5):811–26. https://doi.org/10.1111/joa.13249.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Stephen JM, Teitge RA, Williams A, et al. A validated, automated, 3-Dimensional method to reliably measure tibial torsion. Am J Sports Med. 2021;49(3):747–56.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Snow M. Tibial torsion and patellofemoral pain and instability in the adult population: current concept review. Curr Rev Musculoskelet Med. 2021;14(1):67–75.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Jeanmart L, Baert AL, Wackenheim A. Computer tomography of neck, chest, spine and limbs. Atlas of pathologic computer tomography, vol 3. Springer, Berlin Heidelberg New York, 1983; pp 171–177.

    Google Scholar 

  11. Murphy SB, Simon SR, Kijewski PK, et al. Femoral anteversion. J Bone Joint Surg Am. 1987;69(8):1169–76.

    Article  CAS  PubMed  Google Scholar 

  12. Kaiser P, Attal R, Kammerer M, et al. Significant differences in femoral torsion values depending on the CT measurement technique. Arch Orthop Trauma Surg. 2016;136(9):1259–64.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Schmaranzer F, Lerch TD, Siebenrock KA. Differences in femoral torsion among various measurement methods increase in hips with excessive femoral torsion. Clin Orthop Relat Res. 2019;477(5):1073–83.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Ferràs-Tarragó J. Planificación quirúrgica tridimensional de las osteotomías femorales en el dolor anterior de rodilla. Doctoral Thesis. University of Valencia, 2021.

    Google Scholar 

  15. Archibald HD, Petro KF, Liu RW. An anatomic study on whether femoral version originates in the neck or the shaft. J Pediatr Orthop. 2019;39:e50–3.

    Article  PubMed  Google Scholar 

  16. Kim HY, Lee SK, Lee NK, et al. An anatomical measurement of medial femoral torsion. J Pediatr Orthop B. 2012;21(6):552–7.

    Article  PubMed  Google Scholar 

  17. Seitlinger G, Moroder P, Scheurecker G, et al. The contribution of different femur segments to overall femoral torsion. Am J Sports Med. 2016;44(7):1796–800.

    Article  PubMed  Google Scholar 

  18. Waisbrod G, Schiebel F, Beck M. Abnormal femoral antetorsion—a subtrochanteric deformity. J Hip Preserv Surg. 2017;4(2):153–8.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Herzberg W, Meitz R, Halata Z. Antetorsion of the femur neck. A variable of the trochanter minor? Unfallchirurg 1991;94:168–171.

    Google Scholar 

  20. Sanchis-Alfonso V, Domenech-Fernández J, Beser-Robles M, et al. Pathological femoral anteversion in the anterior knee pain patient depends on both the neck and the shaft (Submitted).

    Google Scholar 

  21. Ferràs-Tarragó J, Sanchis-Alfonso V, Ramírez-Fuentes C, et al. A 3D-CT analysis of femoral symmetry—surgical implications. J Clin Med. 2020;9:3546.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Ferràs-Tarragó J, Sanchis-Alfonso V, Ramírez-Fuentes C, et al. Locating the origin of femoral maltorsion using 3D volumetric technology—the hockey stick theory. J Clin Med. 2020;9:3835.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Gracia-Costa C. Análisis por elementos finitos de las presiones femoropatelares previas y posteriores a osteotomía desrrotadora. Trabajo de Fin de Grado. Escuela de Ingeniería y Arquitectura: University of Zaragoza; 2019.

    Google Scholar 

  24. Karaman O, Ayhan E, Kesmezacar H, et al. Rotational malalignment after closed intramedullary nailing of femoral shaft fractures and its influence on daily life. Eur J Orthop Surg Traumatol. 2013;24(7):1243–7.

    Article  PubMed  Google Scholar 

  25. Yildirim AO, Aksahin E, Sakman B. The effect of rotational deformity on patellofemoral parameters following the treatment of femoral shaft fracture. Arch Orthop Trauma Surg. 2013;133(5):641–8.

    Article  PubMed  Google Scholar 

  26. Erkocak OF, Altan E, Altintas M, et al. Lower extremity rotational deformities and patellofemoral alignment parameters in patients with anterior knee pain. Knee Surg Sports Traumatol Arthrosc. 2016;24(9):3011–20.

    Article  PubMed  Google Scholar 

  27. Wride J, Bannigan K. Investigating the prevalence of anxiety and depression in people living with patellofemoral pain in the UK: the Dep-Pf Study. Scand J Pain. 2019;19(2):375–82.

    Article  PubMed  Google Scholar 

  28. Domenech J, Sanchis-Alfonso V, Lopez L, et al. Influence of kinesiophobia and catastrophizing on pain and disability in anterior knee pain patients. Knee Surg Sports Traumatol Arthrosc. 2013;21(7):1562–8.

    Article  PubMed  Google Scholar 

  29. Winkler PhW, Lutz PM, Rupp MC, et al. Increased external tibial torsion is an infratuberositary deformity and is not correlated with a lateralized position of the tibial tuberosity. Knee Surg, Sports Traumatol, Arthroscopy. 2021;29:1678–85.

    Article  Google Scholar 

  30. Muller ME, Allgower M, Schneider R, et al. Manual of internal fixation. Third Edition. Springer. 1991.

    Google Scholar 

  31. Mani S, Kirkpatrick MS, Saranathan A, et al. Tibial tuberosity osteotomy for patellofemoral realignment alters tibiofemoral kinematics. Am J Sports Med. 2011;39(5):1024–31.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Tensho K, Akaoka Y, Shimodaira H, et al. What components comprise the measurement of the tibial tuberosity-trochlear groove distance in a patellar dislocation population? J Bone Joint Surg Am. 2015;97(17):1441–8.

    Article  PubMed  Google Scholar 

  33. Franciozi CE, Ambra LF, Albertoni LJ, et al. Increased femoral anteversion influence over surgically treated recurrent patellar instability patients. Arthroscopy. 2017;33(3):633–40.

    Article  PubMed  Google Scholar 

  34. Zhang ZZ, Zhang H, Song GY, et al. Increased femoral anteversion is associated with inferior clinical outcomes after MPFL reconstruction and combined tibial tubercle osteotomy for the treatment of recurrent patellar instability. Knee Surg Sports Traumatol Arthrosc. 2020;28(7):2261–9.

    Article  PubMed  Google Scholar 

  35. Payne J, Rimmke N, Schmitt LC, et al. The incidence of complications of tibial tubercle osteotomy: a systematic review. Arthroscopy. 2015;31(9):1819–25.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Hospital Arnau de Vilanova, Valencia, Spain

    Vicente Sanchis-Alfonso

  2. Wayne State University, Detroit, MI, USA

    Robert A. Teitge

Authors
  1. Vicente Sanchis-Alfonso
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  2. Robert A. Teitge
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Correspondence to Vicente Sanchis-Alfonso .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, Hospital Arnau de Vilanova, Valencia, Spain

    Vicente Sanchis-Alfonso

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Sanchis-Alfonso, V., Teitge, R.A. (2023). Femoral and Tibial Rotational Abnormalities Are the Most Ignored Factors in the Diagnosis and Treatment of Anterior Knee Pain Patients. A Critical Analysis Review. In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, Cham. https://doi.org/10.1007/978-3-031-09767-6_3

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  • DOI: https://doi.org/10.1007/978-3-031-09767-6_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-09766-9

  • Online ISBN: 978-3-031-09767-6

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