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Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

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Same author

Patellar tendinopathy with intratendinous alteration on MRI may be related to patellofemoral dysplasia.

Scandinavian journal of medicine & science in sports·2017
Same author

Landmarks of the normal adult human trochlea based on axial MRI measurements: a cross-sectional study.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2014
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[Patellofemoral joint: still the poor relative in knee treatment?].

Der Orthopade·2008
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[Women's soccer. Injuries, risks, and prevention].

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Correlation between the Q angle and the patella position: a clinical and axial computed tomography evaluation.

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Related Experiment Video

Updated: Jul 3, 2026

Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique
07:06

Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique

Published on: May 23, 2021

[Osteotomies].

R M Biedert1

  • 1Sportclinic Villa Linde, Swiss Olympic Medical Center Magglingen-Biel, Blumenrain 87, CH-2503 Biel, Schweiz. Info@scvl.ch

Der Orthopade
|August 7, 2008
PubMed
Summary

Abnormal skeletal geometry can cause knee pain and instability. Surgical correction of underlying bone deformities and soft tissue issues may offer the best treatment for patellofemoral problems.

Area of Science:

  • Orthopedics
  • Biomechanics
  • Knee Surgery

Background:

  • The patellofemoral joint's gliding mechanism is influenced by skeletal geometry, soft tissues, and neuromuscular control.
  • Abnormalities in femoral anteversion, trochlear dysplasia, patella alta, tibial torsion, and tibial tubercle position can lead to patellofemoral pain.
  • Altered joint forces due to these deformities can result in cartilage damage, arthrosis, instability, and musculotendinous issues.

Purpose of the Study:

  • To review the impact of skeletal geometry on patellofemoral joint function.
  • To highlight potential causes of patellofemoral complaints stemming from anatomical variations.
  • To discuss surgical approaches for correcting underlying pathomorphology.

Main Methods:

  • Literature review of studies on patellofemoral biomechanics and surgical outcomes.

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  • Analysis of skeletal deformities contributing to patellofemoral dysfunction.
  • Evaluation of osteotomy and soft tissue repair as treatment modalities.

    • Main Results:

    • Specific skeletal variations (e.g., increased femoral anteversion, trochlear dysplasia) are linked to patellofemoral pathology.
    • Pathological forces on the patellofemoral joint can precipitate cartilage failure and instability.
    • Surgical intervention, including osteotomy and soft tissue repair, is often indicated to address the root cause.

    Conclusions:

    • Correcting underlying skeletal pathomorphology is crucial for managing patellofemoral complaints.
    • Treatment strategies should be tailored to the specific anatomical abnormalities identified.
    • Surgical aims include restoring normal joint mechanics and preventing further degeneration.