Trochlear dysplasia and patellar instability in patients with Down syndrome

Autor: Tiago Amaral Rebouças Moreira, Marco Kawamura Demange, Riccardo Gomes Gobbi, Zan Mustacchi, José Ricardo Pécora, Luis Eduardo Passarelli Tírico, Gilberto Luis Camanho
Jazyk: English<br />Portuguese
Rok vydání: 2015
Předmět:
Zdroj: Revista Brasileira de Ortopedia, Vol 50, Iss 2, Pp 159-163 (2015)
Druh dokumentu: article
ISSN: 1982-4378
DOI: 10.1016/j.rboe.2015.03.005
Popis: OBJECTIVE: To analyze occurrences of trochlear dysplasia in patients with Down syndrome in the presence and absence of femoropatellar instability.METHODS: Eleven knees with stable patellae and thirteen with unstable patellae in patients with Down syndrome were compared. Radiographs were produced to evaluate patellar height, trochlear angle and femoropatellar congruence angle.RESULTS: The prevalence ratio for a high patella between the unstable and the stable patients was 1.01 using the Insall-Salvati index and 0.68 using the Caton-Deschamps index. For an abnormal congruence angle, the prevalence ratio was 2.04. An increased congruence angle was only found in four cases, all presenting instability.CONCLUSIONS: Trochlear dysplasia was only found in cases of instability. The trochlear groove angle and the femoropatellar congruence angle correlated with the presence of patellar instability.
Databáze: Directory of Open Access Journals