Dynamic Evaluation of Patellofemoral Instability: A Clinical Reality or Just a Research Field? A Literature review
Patellofemoral instability (PFI) is one of the most disabling conditions in the knee, often affecting young individuals. Despite its not uncommon presentation, the underlying biomechanical features leading to this entity are not entirely understood. The suitability of classic physical examination ma...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-12-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.12549 |
| _version_ | 1828484217130975232 |
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| author | Sergio Barroso Rosa Peter Mc Ewen Kenji Doma Juan Francisco Loro Ferrer Andrea Grant |
| author_facet | Sergio Barroso Rosa Peter Mc Ewen Kenji Doma Juan Francisco Loro Ferrer Andrea Grant |
| author_sort | Sergio Barroso Rosa |
| collection | DOAJ |
| description | Patellofemoral instability (PFI) is one of the most disabling conditions in the knee, often affecting young individuals. Despite its not uncommon presentation, the underlying biomechanical features leading to this entity are not entirely understood. The suitability of classic physical examination manoeuvres and imaging tests is a matter of discussion among treating surgeons, and so are the findings provided by these means. A potential cause for this lack of consensus is the fact that, classically, the diagnostic approach for PFI has relied on statically obtained data. Many authors advocate for the study of this entity in a dynamic scenario, closer to the actual situation in which the instability episodes occur. In this literature review, we have compiled the available data from the last decades regarding dynamic evaluation methods for PFI and related conditions. Several categories are presented, grouping the related techniques and devices: physical examination, imaging modalities (ultrasound (US), magnetic resonance imaging (MRI), computed tomography (CT) and combined methods), arthroscopic evaluation, and others. In conclusion, although a vast number of quality studies are presented, in which comprehensive data about the biomechanics of the patellofemoral joint (PFJ) are described, this evidence has not yet reached clinical practice universally. Most of the data still stays in the research field and is seldom employed to assist a better understanding of the PFI cases and their ideal treatment targets. |
| first_indexed | 2024-12-11T08:51:56Z |
| format | Article |
| id | doaj.art-d00253f4807549cebc0bd36b01a62b6b |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-12-11T08:51:56Z |
| publishDate | 2019-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-d00253f4807549cebc0bd36b01a62b6b2022-12-22T01:13:59ZengWileyOrthopaedic Surgery1757-78531757-78612019-12-0111693294210.1111/os.12549Dynamic Evaluation of Patellofemoral Instability: A Clinical Reality or Just a Research Field? A Literature reviewSergio Barroso Rosa0Peter Mc Ewen1Kenji Doma2Juan Francisco Loro Ferrer3Andrea Grant4The ORIQL, Orthopaedic Research Institute of Queensland Townsville (QLD) AustraliaThe ORIQL, Orthopaedic Research Institute of Queensland Townsville (QLD) AustraliaThe ORIQL, Orthopaedic Research Institute of Queensland Townsville (QLD) AustraliaClinical Sciences Department University of Las Palmas de Gran Canaria Las Palmas de Gran Canaria Canary Islands SpainThe ORIQL, Orthopaedic Research Institute of Queensland Townsville (QLD) AustraliaPatellofemoral instability (PFI) is one of the most disabling conditions in the knee, often affecting young individuals. Despite its not uncommon presentation, the underlying biomechanical features leading to this entity are not entirely understood. The suitability of classic physical examination manoeuvres and imaging tests is a matter of discussion among treating surgeons, and so are the findings provided by these means. A potential cause for this lack of consensus is the fact that, classically, the diagnostic approach for PFI has relied on statically obtained data. Many authors advocate for the study of this entity in a dynamic scenario, closer to the actual situation in which the instability episodes occur. In this literature review, we have compiled the available data from the last decades regarding dynamic evaluation methods for PFI and related conditions. Several categories are presented, grouping the related techniques and devices: physical examination, imaging modalities (ultrasound (US), magnetic resonance imaging (MRI), computed tomography (CT) and combined methods), arthroscopic evaluation, and others. In conclusion, although a vast number of quality studies are presented, in which comprehensive data about the biomechanics of the patellofemoral joint (PFJ) are described, this evidence has not yet reached clinical practice universally. Most of the data still stays in the research field and is seldom employed to assist a better understanding of the PFI cases and their ideal treatment targets.https://doi.org/10.1111/os.12549Patellofemoral jointPatellar dislocationMuscle contractionMovementDiagnostic techniquesProcedures |
| spellingShingle | Sergio Barroso Rosa Peter Mc Ewen Kenji Doma Juan Francisco Loro Ferrer Andrea Grant Dynamic Evaluation of Patellofemoral Instability: A Clinical Reality or Just a Research Field? A Literature review Orthopaedic Surgery Patellofemoral joint Patellar dislocation Muscle contraction Movement Diagnostic techniques Procedures |
| title | Dynamic Evaluation of Patellofemoral Instability: A Clinical Reality or Just a Research Field? A Literature review |
| title_full | Dynamic Evaluation of Patellofemoral Instability: A Clinical Reality or Just a Research Field? A Literature review |
| title_fullStr | Dynamic Evaluation of Patellofemoral Instability: A Clinical Reality or Just a Research Field? A Literature review |
| title_full_unstemmed | Dynamic Evaluation of Patellofemoral Instability: A Clinical Reality or Just a Research Field? A Literature review |
| title_short | Dynamic Evaluation of Patellofemoral Instability: A Clinical Reality or Just a Research Field? A Literature review |
| title_sort | dynamic evaluation of patellofemoral instability a clinical reality or just a research field a literature review |
| topic | Patellofemoral joint Patellar dislocation Muscle contraction Movement Diagnostic techniques Procedures |
| url | https://doi.org/10.1111/os.12549 |
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