Effect of intraarticular pressure on patellar position. Computed tomography study in cadaveric specimens.

Abstract:

RATIONALE AND OBJECTIVES:The purpose of the study was to evaluate the effect of articular fluid distention on patellar position at different degrees of knee angulation. METHODS:Patellar position in 10 cadaveric knee specimens was determined with 30, 100, and 200 mm Hg joint distention at 45, 20, and 5 degrees of knee flexion using computed tomography. Patellar tilting and lateromedial and anteroposterior displacement of the patellar position were analyzed. RESULTS:Lateral tilting increased with greater articular distention and decreasing knee flexion. At 5 degrees of flexion and 200 mm Hg of distention, change in lateral tilting ranged from -7 to +5 degrees. At 45 degrees of flexion and increased distention, the patellar shift ranged from 6 mm medialization to 1 mm lateralization for 200 mm Hg, but the patellar position was more variable at 5 degrees of flexion with increasing intraarticular pressure (range 7 mm medialization to 8 mm lateralization). With increasing articular pressure the patellae were increasingly displaced anteriorly with the most pressure-dependent changes at 45 and 20 degrees of knee flexion. CONCLUSIONS:Fluid distentions of the knee joint have unpredictable and varying effects on the patellar position and vary considerably among persons. When judging patellar position during arthroscopy and in patients with large joint effusions, the arthroscopist and radiologist should be aware of these effects.

journal_name

Invest Radiol

journal_title

Investigative radiology

authors

Brossmann J,Koch S,Schwarzenberg H,Link J,Muhle C,Bull CC,Heller M

doi

10.1097/00004424-199602000-00001

subject

Has Abstract

pub_date

1996-02-01 00:00:00

pages

67-71

issue

2

eissn

0020-9996

issn

1536-0210

journal_volume

31

pub_type

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