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Patellar Height: Which Index?

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Patellofemoral Pain, Instability, and Arthritis

Abstract

The definition of the patellar height has been the topic of numerous articles [1–4, 8, 15–19, 21] and still no consensus has been found when to use which index. The patellar height remains to be a widely discussed topic. The importance of a broadly accepted definition is evident, as the patellar height is part of defining anatomical and physiological factors of the extensor mechanism which again demands a standard evaluation.

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References

  1. Noyes FR, Wojtys EM, Marshall MT (1991) The early diagnosis and treatment of developmental Patella Infera syndrome. Clin Orthop 265:241–252

    PubMed  Google Scholar 

  2. Blumensaat C (1938) Die Lageabweichungen und Verren­kungen der Kniescheibe. Ergeb Chir Orthop 31:149–223

    Google Scholar 

  3. Labelle H, Laurin CA (1975) Radiological investigation of normal and abnormal patellae. J Bone Joint Surg 57B:530

    Google Scholar 

  4. Norman O, Egund N, Ekelund L, Runow A (1983) The vertical position of the normal patella. Acta Orthop Scand 54:908–913

    Article  PubMed  CAS  Google Scholar 

  5. Dejour H, Walch G, Nove-Josserand L, Guier C (1994) Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc 2:19–26

    Article  PubMed  CAS  Google Scholar 

  6. Fithian DC, Servien E, Neyret P (2007) Patellar instability: the Lyon experience. Tech Knee Surg 6(2):112–123

    Article  Google Scholar 

  7. Seil R, Muller B, Georg T, Kohn D, Rupp S (2000) Reliability and interobserver varaiability in radiological patellar height ratios. Knee Surg Sports Traumatol Arthrosc 8:231–236

    Article  PubMed  CAS  Google Scholar 

  8. Insall JN, Salvati E (1971) Patella position in the normal knee joint. Radiology 101:101–104

    PubMed  CAS  Google Scholar 

  9. Insall J, Goldberg V, Salvati E (1972) Recurrent dislocation and the high-riding patella. Clin Orthop 88:67–69

    Article  PubMed  CAS  Google Scholar 

  10. Grelsamer RP (1989) Patellar morphology in the sagittal plane. Am J Sports Med 17:725

    Google Scholar 

  11. Grelsamer RP, Proctor CS, Bazos AN (1990) Patellar morphology in the sagital plane. Orthop Trans 14:617

    Google Scholar 

  12. Grelsamer RP, Proctor CS, Bazos AN (1994) Evaluation of patellar shape in the sagittale plane – a clinical analysis. Am J Sports Med 22:61–66

    Article  PubMed  CAS  Google Scholar 

  13. Scuderi GR (1993) The congenital patella nose. Am J Knee Surg 6:159–162

    Google Scholar 

  14. Stäubli HU, Bosshard C, Porcellini B, Rauschning W (2002) Magnetic resonance imaging for articular cartilage: cartilage-bone mismatch. Clin Sports Med 21:1–17

    Article  Google Scholar 

  15. Grelsamer RP, Meadows S (1992) The Modified Insall-Salvati ratio for patellar height. Clin Orthop 282:170–176

    PubMed  Google Scholar 

  16. Caton J, Deschamps G, Chambat P, Lerat JL, Dejour H (1982) Les rotules basses: a propos de 128 observations. Rev Chir Orthop 68:317–325

    PubMed  CAS  Google Scholar 

  17. Blackburne JS, Peel TE (1977) A new method of measuring patellar height. J Bone Joint Surg 59B:241–242

    Google Scholar 

  18. Bernageau J, Goutallier D, Debeyre J, Ferrane J (1969) Nouvelle technique d’exploration de l’articulation fémoro-patellaire. Incidences axiales quadriceps contracté et décontracté. Rev Chir Orthop Reparatrice Appar Mot 61(Suppl 2):286–290

    Google Scholar 

  19. Albrecht S, Biedert RM (2006) The patellotrochlear index: a new index for assessing patellar height. Knee Surg Sports Traumatol Arthrosc 14:707–712

    Article  PubMed  Google Scholar 

  20. Bosshard C, Stäubli HU, Rauschning W (1997) Konturinkon­gruenz von Gelenkoberflächen und subchondralem Kno­chen des Femoropatellargelenks in der sagittalen Ebene. Arthroskopie 10:72–76

    Google Scholar 

  21. de Carvalho A, Andersen AH, Topp S, Jurik AG (1985) A method for assessing the height of the patella. Int Orthop 9:195

    Article  PubMed  Google Scholar 

  22. Scuderi GR (1995) The Patella vol 5. Springer Verlag, Berlin, p 59

    Book  Google Scholar 

  23. Moreel PH, Dejour D, Neyret PH (2002) Les données classiques de la radiographie standard dans la pathologie ­fémoro-patellaire. In Le genou du sportif, 10èmes Journées Lyonnaises de Chirurgie du Genou. Sauramps Medical Montpellier

    Google Scholar 

  24. Neyret PH, Robinson AHN, Le Coultre B, Lapra C, Chambat P (2002) Patellar tendon length – the factor in patellar instability? The Knee 9:3–6

    Article  PubMed  Google Scholar 

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Correspondence to E. Servien MD, PhD .

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Bruderer, J., Servien, E., Neyret, P. (2010). Patellar Height: Which Index?. In: Zaffagnini, S., Dejour, D., Arendt, E. (eds) Patellofemoral Pain, Instability, and Arthritis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05424-2_7

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  • DOI: https://doi.org/10.1007/978-3-642-05424-2_7

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