Skip to main content

Computed Tomography and Arthro-CT Scan in Patellofemoral Disorders

  • Chapter
  • First Online:
Patellofemoral Pain, Instability, and Arthritis

Abstract

The computed tomography (CT) scan has great importance in the analysis of the patellofemoral joint [17]. It shows perfectly the bone morphology of the knee and allows the measurement of many knee parameters [1, 6, 7, 13, 14]. Some criticism exists about it not being able to evaluate the cartilage, but this can be solved if a contrast protocol (intra-articular) is used with the CT (arthro-CT).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Alemparte J, Ekdahl M, Burnier L et al (2007) Patellofemoral evaluation with radiographs and computed tomography scans in 60 knees of asymptomatic subjects. Arthroscopy 23(2):170–177

    Article  PubMed  Google Scholar 

  2. Carrillon Y, Abidi H, Dejour D et al (2000) Patellar instability: assessment on MR images by measuring the lateral trochlear inclination-initial experience. Radiology 216(2):582–585

    PubMed  CAS  Google Scholar 

  3. Dejour D, Le Coultre B (2007) Osteotomies in patello-femoral instabilities. Sports Med Arthrosc 15(1):39–46

    Article  PubMed  Google Scholar 

  4. Dejour D, Reynaud P, Lecoultre B (1998) Douleurs et instabilité rotulienne. Essai de Classification. Médecine et Hygiène

    Google Scholar 

  5. Dejour H, Walch G, Neyret P et al (1990) Dysplasia of the femoral trochlea. Rev Chir Orthop Reparatrice Appar Mot 76(1):45–54

    PubMed  CAS  Google Scholar 

  6. Dejour H, Walch G, Nove-Josserand L et al (1994) Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc 2(1):19–26

    Article  PubMed  CAS  Google Scholar 

  7. Diks MJ, Wymenga AB, Anderson PG (2003) Patients with lateral tracking patella have better pain relief following CT-guided tuberosity transfer than patients with unstable patella. Knee Surg Sports Traumatol Arthrosc 11(6):384–388

    Article  PubMed  CAS  Google Scholar 

  8. Galland O, Walch G, Dejour H et al (1990) An anatomical and radiological study of the femoropatellar articulation. Surg Radiol Anat 12(2):119–125

    Article  PubMed  CAS  Google Scholar 

  9. Goutallier D, Bernageau J, Lecudonnec B (1978) The measurement of the tibial tuberosity. Patella groove distanced technique and results (author’s trans). Rev Chir Orthop Reparatrice Appar Mot 64(5):423–428

    PubMed  CAS  Google Scholar 

  10. Ihara H (1985) Double-contrast CT arthrography of the cartilage of the patellofemoral joint. Clin Orthop Relat Res 198:50–55

    PubMed  Google Scholar 

  11. Jakob RP, Haertel M, Stussi E (1980) Tibial torsion calculated by computerised tomography and compared to other methods of measurement. J Bone Joint Surg Br 62-B(2):238–242

    PubMed  Google Scholar 

  12. Jakob RP, Stussi E, Haertel M (1981) Measurement of tibial torsion-Comparison of various methods was computerised axial tomography (author’s trans). Z Orthop Ihre Grenzgeb 119(5):525–534

    Article  PubMed  CAS  Google Scholar 

  13. Koeter S, Horstmann WG, Wagenaar FC et al (2007) A new CT scan method for measuring the tibial tubercle trochlear groove distance in patellar instability. Knee 14(2): 128–132

    Article  PubMed  Google Scholar 

  14. Lustig S, Servien E, Ait Si Selmi T et al (2006) Factors affecting reliability of TT-TG measurements before and after medialization: a CT-scan study. Rev Chir Orthop Reparatrice Appar Mot 92(5):429–436

    Article  PubMed  CAS  Google Scholar 

  15. Murphy SB, Simon SR, Kijewski PK et al (1987) Femoral anteversion. J Bone Joint Surg Am 69(8):1169–1176

    PubMed  CAS  Google Scholar 

  16. Staubli HU, Durrenmatt U, Porcellini B et al (1999) Anatomy and surface geometry of the patellofemoral joint in the axial plane. J Bone Joint Surg Br 81(3):452–458

    Article  PubMed  CAS  Google Scholar 

  17. Tavernier T, Dejour D (2001) Knee imaging: what is the best modality. J Radiol 82 (3 Pt 2):387–405, 407–408

    PubMed  CAS  Google Scholar 

  18. Yoshioka Y, Siu D, Cooke TD (1987) The anatomy and functional axes of the femur. J Bone Joint Surg Am 69(6):873–880

    PubMed  CAS  Google Scholar 

  19. Yoshioka Y, Siu DW, Scudamore RA et al (1989) Tibial anatomy and functional axes. J Orthop Res 7(1):132–137

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David Dejour MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Saggin, P.R., Dejour, D., Meyer, X., Tavernier, T. (2010). Computed Tomography and Arthro-CT Scan in Patellofemoral Disorders. In: Zaffagnini, S., Dejour, D., Arendt, E. (eds) Patellofemoral Pain, Instability, and Arthritis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05424-2_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-05424-2_9

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-05423-5

  • Online ISBN: 978-3-642-05424-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics