New MRI tendon-based markers distinguish patellofemoral instability in adolescents
A case-control MRI study of 284 knees (142 with patellofemoral instability, 142 controls) evaluated two tendon-based measures, patellar tendon-lateral trochlear ridge distance (PT-LTR) and a newly introduced patellar tendon inclination angle (PTIA), against established morphologic risk factors. The study reported significantly higher PT-LTR and PTIA in instability patients versus controls, with both measures correlating with patellar tilt, patellar height, and sulcus angle, and showing high diagnostic accuracy (AUC 0.903 and 0.866, respectively). The authors state these markers remain informative even when TT-TG distance is normal, suggesting they may complement existing imaging measures.
Most relevant for: Adolescents undergoing MRI evaluation for suspected patellofemoral instability.
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