Patellar maltracking: an update on the diagnosis and treatment strategies

Abstract Patellar maltracking occurs as a result of an imbalance in the dynamic relationship between the patella and trochlea. This is often secondary to an underlying structural abnormality. The clinical evaluation can provide useful clues for the presence of such entity; however, the diagnosis can...

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Main Authors: Zaid Jibri, Paul Jamieson, Kawan S. Rakhra, Marcos L. Sampaio, Geoffrey Dervin
Format: Article
Language:English
Published: SpringerOpen 2019-06-01
Series:Insights into Imaging
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13244-019-0755-1
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author Zaid Jibri
Paul Jamieson
Kawan S. Rakhra
Marcos L. Sampaio
Geoffrey Dervin
author_facet Zaid Jibri
Paul Jamieson
Kawan S. Rakhra
Marcos L. Sampaio
Geoffrey Dervin
author_sort Zaid Jibri
collection DOAJ
description Abstract Patellar maltracking occurs as a result of an imbalance in the dynamic relationship between the patella and trochlea. This is often secondary to an underlying structural abnormality. The clinical evaluation can provide useful clues for the presence of such entity; however, the diagnosis can often be challenging especially in the absence of a documented history of patellar dislocation. Imaging, particularly MRI, can detect subtle features that could lead to the diagnosis, probably even more importantly when there is no clear history of patellar dislocation or before its development. This can provide a road map for formulating a treatment strategy that would be primarily aimed at stabilizing the patellofemoral joint to halt or slow the progression of articular cartilage loss. The purpose of this article is to discuss the clinical and radiologic evaluation of patellar maltracking providing an update on the cross-sectional imaging assessment and also a synopsis of the management options.
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spelling doaj.art-6096426cedf0492abc445d5f052afd682022-12-22T00:36:39ZengSpringerOpenInsights into Imaging1869-41012019-06-0110111110.1186/s13244-019-0755-1Patellar maltracking: an update on the diagnosis and treatment strategiesZaid Jibri0Paul Jamieson1Kawan S. Rakhra2Marcos L. Sampaio3Geoffrey Dervin4Department of Medical Imaging, The Ottawa HospitalFaculty of Medicine, University of OttawaDepartment of Medical Imaging, The Ottawa HospitalDepartment of Medical Imaging, The Ottawa HospitalFaculty of Medicine, University of OttawaAbstract Patellar maltracking occurs as a result of an imbalance in the dynamic relationship between the patella and trochlea. This is often secondary to an underlying structural abnormality. The clinical evaluation can provide useful clues for the presence of such entity; however, the diagnosis can often be challenging especially in the absence of a documented history of patellar dislocation. Imaging, particularly MRI, can detect subtle features that could lead to the diagnosis, probably even more importantly when there is no clear history of patellar dislocation or before its development. This can provide a road map for formulating a treatment strategy that would be primarily aimed at stabilizing the patellofemoral joint to halt or slow the progression of articular cartilage loss. The purpose of this article is to discuss the clinical and radiologic evaluation of patellar maltracking providing an update on the cross-sectional imaging assessment and also a synopsis of the management options.http://link.springer.com/article/10.1186/s13244-019-0755-1Patellar maltrackingPatellar instabilityAnterior knee painPatellofemoral osteoarthritis
spellingShingle Zaid Jibri
Paul Jamieson
Kawan S. Rakhra
Marcos L. Sampaio
Geoffrey Dervin
Patellar maltracking: an update on the diagnosis and treatment strategies
Insights into Imaging
Patellar maltracking
Patellar instability
Anterior knee pain
Patellofemoral osteoarthritis
title Patellar maltracking: an update on the diagnosis and treatment strategies
title_full Patellar maltracking: an update on the diagnosis and treatment strategies
title_fullStr Patellar maltracking: an update on the diagnosis and treatment strategies
title_full_unstemmed Patellar maltracking: an update on the diagnosis and treatment strategies
title_short Patellar maltracking: an update on the diagnosis and treatment strategies
title_sort patellar maltracking an update on the diagnosis and treatment strategies
topic Patellar maltracking
Patellar instability
Anterior knee pain
Patellofemoral osteoarthritis
url http://link.springer.com/article/10.1186/s13244-019-0755-1
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AT marcoslsampaio patellarmaltrackinganupdateonthediagnosisandtreatmentstrategies
AT geoffreydervin patellarmaltrackinganupdateonthediagnosisandtreatmentstrategies