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The Knee Joint pp 519–523Cite as

The biomechanics of the patella

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Abstract

Along with the meniscus, the patella has now been permanently removed from the ever-shrinking list of anatomic structures thought to be expendable at best and a mere source of pain at worst.

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References

  1. Kaufer H (1971) Mechanical function of the patella. J Bone Joint Surg [Am] 53(8):1551–1560

    CAS  Google Scholar 

  2. Kwak SD, Colman WW, et al. (1997) Anatomy of the human patellofemoral joint articular cartilage: surface curvature analysis. J Orthop Res 15(3):468–472

    Article  PubMed  CAS  Google Scholar 

  3. Mow VC, Hayes WC (2004) Basic orthopaedic biomechanics. New York, Lippincott Raven

    Google Scholar 

  4. Ateshian GA, Kwak SD, et al. (1994) A stereophotogrammetric method for determining in situ contact areas in diarthrodial joints, and a comparison with other methods. J Biomech 27(1):111–124

    Article  PubMed  CAS  Google Scholar 

  5. Staubli HU, Durrenmatt U, et al. (1999) Anatomy and surface geometry of the patellofemoral joint in the axial plane. J Bone Joint Surg Br 81(3):452–8

    Article  PubMed  CAS  Google Scholar 

  6. van Huyssteen AL, Hendrix MR, et al. (2006) Cartilagebone mismatch in the dysplastic trochlea. An MRI study. J Bone Joint Surg Br 88(5):688–91

    PubMed  Google Scholar 

  7. Mow VC, Ratcliffe A, et al. (1992) Cartilage and diarthrodial joints as paradigms for hierarchical materials and structures. Biomaterials 13(2):67–97

    Article  PubMed  CAS  Google Scholar 

  8. Froimson MI, Ratcliffe A, et al. (1997) Differences in patellofemoral joint cartilage material properties and their significance to the etiology of cartilage surface fibrillation. Osteoarthritis Cartilage 5(6):377–86

    Article  PubMed  CAS  Google Scholar 

  9. Grelsamer RP, McConnell J (1998) The patella — a team approach. Gaithersburg, Aspen

    Google Scholar 

  10. Dye S, Vaupel G, et al. (1998) Conscious neurosensory mapping of the internal structures of the human knee without intraarticular anesthesia. Am J Sports Med 26(6):773–777

    PubMed  CAS  Google Scholar 

  11. Aglietti P, Insall JN, et al. (1983) Patellar pain and incongruence. I: Measurements of incongruence. Clin Orthop (176):217–224

    PubMed  Google Scholar 

  12. Woodland LH, Francis RS (1992) Parameters and comparisons of the quadriceps angle of college-aged men and women in the supine and standing positions. Am J Sports Med 20(2):208–211

    Article  PubMed  CAS  Google Scholar 

  13. Hsu RW, Himeno S, et al. (1990) Normal axial alignment of the lower extremity and load-bearing distribution at the knee. Clin Orthop Relat Res (255):215–227

    PubMed  Google Scholar 

  14. Skalley TC, Terry GC, et al. (1993) The quantitative measurement of normal passive medial and lateral patellar motion limits. Am J Sports Med 21(5):728–732

    Article  PubMed  CAS  Google Scholar 

  15. Grelsamer RP, Dubey A, et al. (2005) Men and women have similar Q angles: a clinical and trigonometric evaluation. J Bone Joint Surg Br 87(11):1498–501

    PubMed  CAS  Google Scholar 

  16. Post WR (1999) Clinical evaluation of patients with patellofemoral disorders. Arthroscopy 15(8):841–851

    Article  PubMed  CAS  Google Scholar 

  17. Post WR (2005) Anterior knee pain: diagnosis and treatment. J Am Acad Orthop Surg 13(8):534–543

    PubMed  Google Scholar 

  18. Raimondo RA, Ahmad CS, et al. (1998) Patellar stabilization: a quantitative evaluation of the vastus medialis obliquus muscle. Orthopedics 21(7):791–795

    PubMed  CAS  Google Scholar 

  19. Amis AA, Firer P, et al. (2003) Anatomy and biomechanics of the medial patellofemoral ligament. Knee 10(3):215–220

    Article  PubMed  CAS  Google Scholar 

  20. Bicos J, Fulkerson JP, et al. (2007) Current concepts review: the medial patellofemoral ligament. Am J Sports Med 35(3):484–492

    Article  PubMed  Google Scholar 

  21. Elias JJ, Cosgarea AJ (2006) Technical errors during medial patellofemoral ligament reconstruction could overload medial patellofemoral cartilage: a computational analysis. Am J Sports Med 34(9):1478–85

    Article  PubMed  Google Scholar 

  22. Nomura E, Inoue M, et al. (2007) Long-term follow-up and knee osteoarthritis change after medial patellofemoral ligament reconstruction for recurrent patellar dislocation. Am J Sports Med 35(11):1851–8

    Article  PubMed  Google Scholar 

  23. Sharkey NA, Donahue SW, et al. (1997) Patellar strain and patellofemoral contact after bone-patellar tendon-bone harvest for anterior cruciate ligament reconstruction. Arch Phys Med Rehabil 78(3):256–263

    Article  PubMed  CAS  Google Scholar 

  24. Smirk C, Morris H (2003) The anatomy and reconstruction of the medial patellofemoral ligament. Knee 10(3):221–7

    Article  PubMed  Google Scholar 

  25. Smith TO, Walker J, et al. (2007) Outcomes of medial patellofemoral ligament reconstruction for patellar instability: a systematic review. Knee Surg Sports Traumatol Arthrosc 15(11):1301–14

    Article  PubMed  Google Scholar 

  26. Steiner TM, Torga-Spak R, et al. (2006) Medial patellofemoral ligament reconstruction in patients with lateral patellar instability and trochlear dysplasia. Am J Sports Med 34(8):1254–61

    Article  PubMed  Google Scholar 

  27. Tuxoe JI, Teir M, et al. (2002) The medial patellofemoral ligament: a dissection study. Knee Surg Sports Traumatol Arthrosc 10(3):138–40

    Article  PubMed  Google Scholar 

  28. Arendt EA (2007). Core Strengthening. Instruct Course Lect 56:379–384

    Google Scholar 

  29. Pollard CD, Sigward SM, et al. (2007) Gender diff erences in hip joint kinematics and kinetics during side-step cutting maneuver. Clin J Sport Med 17(1):38–42

    Article  PubMed  Google Scholar 

  30. Willson JD, Dougherty CP, et al. (2005) Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg 13(5):316–325

    PubMed  Google Scholar 

  31. Grelsamer R (2000) Patellar malalignment — current concepts review. J Bone Joint Surg 82-A(November):1639–1650

    PubMed  CAS  Google Scholar 

  32. van Kampen A, Huiskes R (1990). The three-dimensional tracking pattern of the human patella. J Orthop Res 8(3):372–82

    Article  PubMed  Google Scholar 

  33. Veress SA, Lippert FG, et al. (1979) Patellar tracking patterns measurement by analytical x-ray photogrammetry. J Biomech 12(9):639–50

    Article  PubMed  CAS  Google Scholar 

  34. Blankevoort L, Kwak SD, et al. (1996) Effects of global and anatomic coordinate systems on knee joint kinematics. Trans Eur Soc Biomech 10:260

    Google Scholar 

  35. Powers CM, Chen YJ, et al. (2006) The influence of patellofemoral joint contact geometry on the modeling of three dimensional patellofemoral joint forces. J Biomech 39(15):2783–2791

    Article  PubMed  Google Scholar 

  36. Biedert RM, Albrecht S (2006) The patellotrochlear index: a new index for assessing patellar height. Knee Surg Sports Traumatol Arthrosc 14(8):707–712

    Article  PubMed  Google Scholar 

  37. Grelsamer RP, Meadows S (1992) The modified Insall-Salvati ratio for assessment of patellar height. Clin Orthop (282):170–6

    PubMed  Google Scholar 

  38. Ward SR, Terk MR, et al. (2007) Patella alta: association with patellofemoral alignment and changes in contact area during weight-bearing. J Bone Joint Surg Am 89(8):1749–1755

    Article  PubMed  Google Scholar 

  39. Grelsamer R, Stein D (2005) Rotational malalignment of the patella. Common disorders of the patellofemoral joint. JP Fulkerson, American Academy of Orthopaedic Surgeons:19–28

    Google Scholar 

  40. Heegaard J, Leyvraz PF, et al. (1995) The biomechanics of the human patella during passive knee flexion. J Biomech 28(11):1265–79

    Article  PubMed  CAS  Google Scholar 

  41. Feller JA, Amis AA, et al. (2007) Surgical biomechanics of the patellofemoral joint. Arthroscopy 23(5):542–53

    Article  PubMed  Google Scholar 

  42. Powers CM, Chen YJ, et al. (2006) Role of peripatellar retinaculum in transmission of forces within the extensor mechanism. J Bone Joint Surg Am 88(9):2042–2048

    Article  PubMed  Google Scholar 

  43. Teitge RA, Faerber WW, et al. (1996) Stress radiographs of the patellofemoral joint. J Bone Joint Surg Am 78(2):193–203

    PubMed  CAS  Google Scholar 

  44. Goodfellow J, Hungerford DS, et al. (1976) Patello-femoral joint mechanics and pathology. 1. Functional anatomy of the patello-femoral joint. J Bone Joint Surg [Br] 58(3):287–90

    CAS  Google Scholar 

  45. Ahmed AM, Burke DL (1983) In-vitro measurement of static pressure distribution in synovial joints — Part I: Tibial surface of the knee. J Biomech Eng 105(3):216–225

    Article  PubMed  CAS  Google Scholar 

  46. Ahmed AM, Burke DL, et al. (1987) Force analysis of the patellar mechanism. J Orthop Res 5(1):69–85

    Article  PubMed  CAS  Google Scholar 

  47. Retaillaud JL, Darmana R, et al. (1989) Experimental biomechanical study of the advancement of tibial tuberosity. Rev Chir Orthop Reparatrice Appar Mot 75(8):513–523

    PubMed  CAS  Google Scholar 

  48. D’Agata SD, Pearsall AW, et al. (1993) An in vitro analysis of patellofemoral contact areas and pressures following procurement of the central one-third patellar tendon. Am J Sports Med 21(2):212–219

    Article  CAS  Google Scholar 

  49. Huberti HH, Hayes WC (1984) Patellofemoral contact pressures. The influence of q-angle and tendofemoral contact. J Bone Joint Surg [Am] 66(5):715–24

    CAS  Google Scholar 

  50. Seedhom BB, Tsubuku M (1977) A technique for the study of contact between visco-elastic bodies with special reference to the patello-femoral joint. J Biomech 10(4):253–260

    Article  PubMed  CAS  Google Scholar 

  51. Hehne HJ (1990) Biomechanics of the patellofemoral joint and its clinical relevance. Clin Orthop (258):73–85

    PubMed  Google Scholar 

  52. Matthews LS, Sonstegard DA, et al. (1977) Load bearing characteristics of the patello-femoral joint. Acta Orthop Scand 48(5):511–6

    Article  PubMed  CAS  Google Scholar 

  53. Huberti HH, Hayes WC, et al. (1984) Force ratios in the quadriceps tendon and ligamentum patellae. J Orthop Res 2(1):49–54

    Article  PubMed  CAS  Google Scholar 

  54. Cohen Z, Roglic H, et al. (2001) Patellofemoral stresses during open and closed kinetic chain exercises. An analysis using computer simulation. Am J Sports Med 29(4):480–487

    PubMed  CAS  Google Scholar 

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Authors
  1. R. P. Grelsamer
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  2. J. Gould
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Grelsamer, R.P., Gould, J. (2012). The biomechanics of the patella. In: The Knee Joint. Springer, Paris. https://doi.org/10.1007/978-2-287-99353-4_44

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  • DOI: https://doi.org/10.1007/978-2-287-99353-4_44

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-99352-7

  • Online ISBN: 978-2-287-99353-4

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