Abstract
The main biomechanical function of the patella is to improve the quadriceps efficiency by increasing the lever arm of the extensor mechanism. The patella displaces the patellar tendon away from the femorotibial contact point throughout range of motion, therefore increasing the patellar tendon moment arm.1–3 There are other important functions. The patella is necessary to centralize the divergent forces coming from the four heads of the quadriceps, and to transmit tension around the femur, in a frictionless way, to the patellar tendon and tibial tuberosity. The hyaline articular cartilage provides an insensitive (aneural), thick, avascular tissue that is specifically adapted to bearing high compressive loads.2,3
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References
Fulkerson JP, Hungerford DS: Biomechanics of the patellofemoral joint, in Disorders of the patellofemoral joint. Baltimore, The Williams & Wilkins Co, 1990, pp 25–41.
Aglietti P, Buzzi R, Insall JN: Disorders of the patellofemoral joint, in Insall JN (ed.): Surgery of the Knee. Churchill Livingstone, New York, 1993, pp. 246–251.
Hungerford DS, Barry N: Biomechanics of the patellofemoral joint. Clin Orthop 1979; 144: 9–15.
Kaufer H: Mechanical function of the patella. J Bone Joint Surg Am 1971; 53A: 1551–1560.
Kaufer H: Patellar biomechanics. Clin Orthop 1979; 144: 51–54.
Hehne HF: Biomechanics of the patellofemoral joint and its clinical relevance. Clin Orthop 1990; 258: 73–85.
Buff HU, Jones LC, Hungerford DS: Experimental determination of forces transmitted through the patellofemoral joint. J Biomech 1988; 21: 17–23.
Maquet P: Advancement of the tibial tuberosity. Clin Orthop 1976; 115: 225–228.
Van Eijden TMGJ, Kouwenhoven E, Verburg J, et al.: A mathematical model of the patellofemoral joint. J Biomech 1986; 19: 219–229.
Bandi W: Chondromalacia patellae and femoro-patellare arthrose. Helv Chir Acta 1972; l(suppl.):3–70.
Reilly DT, Martens M: Experimental analysis of the quadriceps muscle force and patellofemoral joint reaction force for various activities. Acta Orthop Scand 1972; 43: 126–137.
Smith AJ: Estimates of muscle and joint force at the knee and ankle during jumping activities. J Hum Movement Stud 1975; 1: 78–86.
Zernicke RF, Garhammer J, Jobe FW, et al.: Human patellar-tendon rupture. J Bone Joint Surg Am 1977; 59A (2): 179–183.
Ellis ML, Seedhom BB, Amis AA, et al.: Forces in the knee joint whilst rising from normal and motorized chairs. Eng Med 1979; 8: 33–40.
Dahlkvist NY, Mayo P, Seedhom BB: Forces during squatting and rising from a deep squat. Eng Med 1982; 11: 69–76.
Huberti HH, Hayes WC: Patello femoral con-tact pressures. The influence of Q angle and tendofemoral contact. J Bone Joint Surg Am 1984; 66A: 715–724.
Kaufman KR, An K, Litchy WJ, et al.: Dynamic joint forces during knee isokinetic exercise. Am J Sports Med 1991; 19 (3): 305–316.
Aglietti P, Insall JN, Walker PS, et al.: A new patella prosthesis. Clin Orthop 1975; 107: 175–187.
Goodfellow J, Hungerford DS, Zindel M: Patellofemoral joint mechanics and pathology. 1. Functional anatomy of the patellofemoral joint. J Bone Joint Surg Br 1976; 58B: 287–291.
Hayes WC, Huberti HH, Lewallen DG, et al.: Patellofemoral contact pressure and the effects of surgical reconstructive procedures, in Ewing JW (ed.): Articular Cartilage and Knee Joint Function. Basic Science and Arthroscopy. New York, Raven Press, 1990, pp. 57–77.
Wiberg G: Roentgenographic and anatomic studies on the patellofemoral joint. Acta Orthop Scand 1941; 12: 319–410.
Baumgartl F: Das Kniegelenk. Berlin, Springer-Verlag, 1944.
Reider B, Marshall JL, Koslin B, et al.: The anterior aspect of the knee joint. J Bone Joint Surg Am 1981; 63A (3): 351–356.
Fujikawa K, Seedhom BB, Wright V: Biome-chanics of the patellofemoral joint. Part I: A study of the contact and the congruity of the patellofemoral compartment and movement of the patella. Eng Med 1983; 12: 1, 3–11.
Hirokawa S: Three-dimensional mathematical model analysis of the patellofemoral joint. J Biomech 1991; 24: 659–669.
Dejour H: Factor responsible for patellar in-stability, in Fifth European Congress of Knee Surgery and Arthroscopy. Stockholm, June 1990.
Kujala UM, Osterman K, Kormano M, et al.: Patellar motion analyzed by magnetic reso-nance imaging. Acta Orthop Scand 1989; 60 (1): 13–16.
Kelly MA, Brittis DA: Patellectomy. Orthop Clin North Am 1992; 23 (4): 657–663.
Stougard J: Patellectomy. Acta Orthop Scand 1970; 41: 110–121.
Sutton FS, Thompson CH, Lipke J, et al.: The effect of patellectomy on knee function. J Bone Joint Surg Am 1976; 58A (4): 537–540.
Steurer PA, Gradisar IA, Hoyt WA, et al.: Patellectomy: A clinical study and biomechanical evaluation. Clin Orthop 1979; 144: 84–90.
Watkins MP, Harris BA, Wender S, et al.: Effect of patellectomy on the function of the quadriceps and hamstrings. J Bone Joint Surg Am 1983; 65A (3): 390–395.
Wendt PP, Johnson RP: A study of quadriceps excursion, torque, and the effect of patellectomy cadaver knees. J Bone Joint Surg Am 1985; 67A (5): 726–732.
Maquet P: Mechanics and osteoarthritis of the patellofemoral joint. Clin Orthop 1979; 144: 70–73.
Ferguson AB, Brown TD, Fu FH, et al.: Relief of patellofemoral contact stress by anterior displacement of the tibial tubercle. J Bone Joint Surg Am 1979; 61A: 159–166.
Fulkerson JP: Anteromedialization of the tibial tuberosity for patellofemoral malalignment. Clin Orthop 1983; 177: 176–181.
Fulkerson JP, Becker GJ, Meaney JA, et al.: Anteromedial tibial tubercle transfer without bone graft. Am J Sports Med 1990; 18 (5): 490–497.
Nakamura N, Ellis M, Seedhom BB: Advance-ment of the tibial tuberosity. A biomechanical study. J Bone Joint Surg Br 1985; 67B: 255–260.
Doucette SA, Goble EM: The effect of exercise on patellar tracking in lateral patellar compression syndrome. Am J Sports Med 1992; 20 (4): 434–440.
Steinkamp LA, Dillingham MF, Markel MD, et al.: Biomechanical considerations in patellofemoral joint rehabilitation. Am J Sports Med 1993; 21 (3): 438–444.
Werner S: Patello Femoral Pain Syndrome—An Experimental Clinical Investigation, thesis. Konel Carolinska Medico Chirurgiska Institutet Stockholm, 1993.
Dandy DJ, Pusey RJ: The long-term results of unrepaired tears of the posterior cruciate ligament. J Bone Joint Surg Br 1982; 64B: 92–94.
Dejour H, Walch G, Peyrot J, et al.: Histoire naturelle de la rupture du ligament croisé postérieur. Rev Chir Orthop Réparatrice Appar Mot 1988; 74: 35–43.
Keller PM, Shelbourne KD, McCarrol JR, et al.: Nonoperatively treated isolated posterior cruciate ligament injuries. Am J Sports Med 1993; 21: 132–136.
Tibone JE, Antich TJ, Perry J, et al.: Functional analysis of untreated and reconstructed posterior cruciate ligament injuries. Am J Sports Med 1988; 16: 217–223.
Castle TH, Noyés FR, Grood ES: Posterior tibial subluxation of the posterior cruciate deficient knee. Clin Orthop 1992; 284: 193–202.
Skyhar MJ, Warren RF, Ortiz GJ, et al.: The effects of the sectioning of the posterior cruciate ligament and the posterolateral complex on the articular contact pressure within the knee. J Bone Joint Surg Am 1993; 75A: 694–699.
Hirokawa S, Solomonow M, Lu Y, et al.: An-terior-posterior and rotational displacement of the tibia elicited by quadriceps contraction. Am J Sports Med 1992; 20 (3): 299–306.
Lutz GE, Palmitier RA, An KN, et al.: Comparison of tibiofemoral joint forces during open kinetic chain and closed kinetic chain exercises. J Bone Joint Surg Am 1993; 75A: 732–739.
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Aglietti, P., Menchetti, P.P.M. (1995). Biomechanics of the Patellofemoral Joint. In: Scuderi, G.R. (eds) The Patella. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-4188-1_3
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DOI: https://doi.org/10.1007/978-1-4612-4188-1_3
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