Abstract
Patellofemoral syndrome is the most common cause of knee pain in young active patients, and although its aetiology is multifactorial, there is an apparent consensus that the most common cause is the extensor mechanism dysfunction caused by patellofemoral malalignment [1]. Due to the complexity for determining the precise aetiology, additionally to an accurate physical examination, radiographic approach is needed to identify those anatomic factors. In most cases, standard radiographs are sufficient for evaluating those anatomic abnormalities [2, 3]. In specific or complex cases, additional studies such computerised tomography (CT), magnetic resonance (MRI), bone scan (BE) or ultrasonography may be required.
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Fulkerson JP. Patellofemoral pain disorders: evaluation and management. J Am Acad Orthop Surg. 1994;2(2):124–32.
Madott SD, Burak JS, Math KR, Waz DM. Knee Imagin Techniques and Norml Anatomy In Insall & Scott Surgery of the Knee. W. Norman Scott. 5th ed. Churchill Livingstone; 2012;223:252.
Fulkerson JP. Disorders of the patellofemoral joint. Philadelphia: Lippincott Williams & Wilkins; 2004. p. 76–106.
Miranda VE, Muñoz-Ch S, Paolinelli GP, Astudillo AC, Wainer EM, Duboy UJ. Imaging studies of the patellofemoral joint: current reality. Rev Chile Radiol. 2010;16(3):101–15.
Endo Y, Shubin Stein BE, Potter HG. Radiologic assessment of patellofemoral pain in the athlete. Sports Health. 2011;3(2):195–210.
Mirza Tolouei F, Afshar A, Salarilak S, Sina S. CT patellar cortex tilt angle: a radiological method to measure patellar tilt. Iran J Radiol. 2005;3(1):17–21.
Smith TO, Davies L, Toms AP, Hing CB, Donell ST. The reliability and validity of radiological assessment for patellar instability. A systematic review and meta-analysis. Skeletal Radiol. 2011;40(4):399–414.
Biedert RM, Netzer P, Gal I, Sigg A, Tscholl PM. The lateral condyle index: a new index for assessing the length of the lateral articular trochlea as predisposing factor for patellar instability. Int Orthop. 2011;35:1327–31.
Biedert RM, Albrecht S. The patellotrochlear index: a new index for assessing patellar height. Knee Surg Sports Traumatol Arthrosc. 2006;14(8):707–12.
Alemparte J, Ekdahl M, Burnier L, Hernández R, Cardemil A, Cielo R, Danilla S. Patellofemoral evaluation with radiographs and computed tomography scans in 60 knees of asymptomatic subjects. Arthroscopy. 2007;23(2):170–7.
Schoettle PB, Zanetti M, Seifert B, Pfirrmann CW, Fucentese SF, Romero J. The tibial tuberosity-trochlear groove distance; a comparative study between CT and MRI scanning. Knee. 2006;13(1):26–31.
Delgado-Martins AD, Rodríguez-Merchán EC, Ballesteros R, Luna JD. Reproducibility of patellofemoral CT scan measurements. Int Orthop. 2000;24:5–8. Springer-Verlag 2000.
Laprade J, Lee R. Real-time measurement of patellofemoral kinematics in asymptomatic subjects. Knee. 2005;12(1):63–72.
Nicolaas L, Tigchelaar S, Koeter S. Patellofemoral evaluation with magnetic resonance imaging in 51 knees of asymptomatic subjects. Knee Surg Sports Traumatol Arthrosc. 2011;19:1735–9.
Wittstein JR, Bartlett EC, Easterbrook J, Byrd JC. Magnetic resonance imaging evaluation of patellofemoral malalignment. Arthroscopy. 2006;22(6):643–9.
Chhabra A, Subhawong TK, Carrino JA. A systematised MRI approach to evaluating the patellofemoral joint. Skeletal Radiol. 2011;40(4):375–87.
Jibri Z, Martin D, Mansour R, Kamath S. The association of infrapatellar fat pad edema with patellar maltracking: a case–control study. Skeletal Radiol. 2012;41(8):925–31.
Aquerreta-Beola JD. Diagnostic imaging of articular cartilage disease. Rev Orthop Traumatol. 2002;5:417–27.
Harris JD, Brophy RH, Jia G, Price B, Knopp M, Siston RA, Flanigan DC. Sensitivity of magnetic resonance imaging for detection of patellofemoral articular cartilage defects. Arthroscopy. 2012;28(11):1728–37.
Pan J, Pialat JB, Joseph T, Kuo D, Joseph GB, Nevitt MC, Link TM. Knee cartilage T2 characteristics and evolution in relation to morphologic abnormalities detected at 3-T MR imaging: a longitudinal study of the normal control cohort from the Osteoarthritis Initiative. Radiology. 2011;261(2):507–15.
LaPrade RF, Burnett 2nd QM, Veenstra MA, Hodgman CG. The prevalence of abnormal magnetic resonance imaging findings in asymptomatic knees. With correlation of magnetic resonance imaging to arthroscopic findings in symptomatic knees. Am J Sports Med. 1994;22(6):739–45.
Dye SF, Boll DA. Radionuclide imaging of the patellofemoral joint in young adults with anterior knee pain. Orthop Clin North Am. 1986;17(2):249–62.
Naslund JE, Odenbring S, Naslund U-B, Lundeberg T. Diffusely increased bone scintigraphic uptake in patellofemoral pain syndrome. Br J Sports Med. 2005;39:162–5.
Gemignani M, Busoni F, Tonerini M, Scaglione M. The patellar tendinopathy in athletes: a sonographic grading correlated to prognosis and therapy. Emerg Radiol. 2008;15(6):399–404.
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Cardona-Muñoz, I., Cardona-Medina, J.I., de la Rosa, A. (2014). Imaging of Patellofemoral Joint. In: Gobbi, A., Espregueira-Mendes, J., Nakamura, N. (eds) The Patellofemoral Joint. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54965-6_6
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