Purpose The purpose of this study was to assess the variations in tibial tubercle–trochlear groove distance and angle as a function of age and gender in a population of children without patellar instability (PI) compared with those with PI. Methods A retrospective review of 869 children’s knee MRIs, ages 5 to 15 years, were evaluated using a control group (792 children) without evidence of PI and a group with PI (77 children). Tibial tubercle–trochlear groove distance (TT–TGd) and angle (TT–TGa) were measured twice by two readers to assess intra- and inter-observer reliability and compared between PI and control groups. In both groups, functions of age and gender on TT–TGd and TT–TGa values were evaluated. Results Both TT–TGd and TT–TGa measurements showed excellent intra- and inter-observer reliability. The mean TT– TGd for the PI group was 17.2 mm (SD 6.6) and significantly higher than the mean TT–TGd for the control group (10.4 SD 3.8 mm, P = 0.001). The mean TT–TGa for the PI was 20.8° (SD 8.3°), which was also significantly higher than the mean TT–TGa for the control group (12.5° SD 4.6°, P < 0.001). Control group revealed a positive correlation between age and TT–TGd measurements (r = 0.243, P <
Knee Surgery, Sports Traumatology, Arthroscopy – Springer Journals
Published: Jun 1, 2018
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