Recurrent patellar dislocations in adolescents result in decreased knee flexion during the entire gait cycle
Purpose To evaluate the kinematics/kinetics of the ankle, knee, hip in the sagittal plane in adolescents with recurrent patellar dislocation in comparison to a healthy control. Methods Case–control study. Eighty-eight knees (67 patients) with recurrent patellar dislocation (mean age 14.8 years ± 2.8...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2020-07, Vol.28 (7), p.2053-2066 |
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| creator | Camathias, Carlo Ammann, Elias Meier, Rahel L. Rutz, Erich Vavken, Patrick Studer, Kathrin |
| description | Purpose
To evaluate the kinematics/kinetics of the ankle, knee, hip in the sagittal plane in adolescents with recurrent patellar dislocation in comparison to a healthy control.
Methods
Case–control study. Eighty-eight knees (67 patients) with recurrent patellar dislocation (mean age 14.8 years ± 2.8 SD) were compared to 54 healthy knees (27 individuals, 14.9 years ± 2.4 SD). Kinematics/kinetics of ankle, knee, hip, and pelvis were captured using 3D-gait analysis (VICON, 12 cameras, 200 Hz, Plug-in-Gait, two force plates). One cycle (100%) consisted of 51 data-points. The mean of six trials was computed.
Results
The loading-response increased by 0.02 s ± 0.01SE (10.8%) with dislocations (0.98% of total gait,
P
|
| doi_str_mv | 10.1007/s00167-020-05911-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2371861155</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2421637067</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-e5db01a704a7264fb4a8326d303e36c2a1ee9d269407dd7c08c405640bbf3ed93</originalsourceid><addsrcrecordid>eNp9kUtLxDAUhYMoOj7-gAsJuHFTvXk0mS5FfIEgiK5DmtxqNdOOSQvOvzfjjAouXOUSvnPu4xByyOCUAeizBMCULoBDAWXFWLHYIBMmhSi0kHqTTKCSvOBQqh2ym9IrQC5ltU12BGcCpBQTEh7QjTFiN9C5HTAEG6lvU-idHdq-S7TtqPV9wOQyk2jENIZh-evRRbQJPX3rEGkT8CMLqB9j2z3T4QVpFrQR6bNtB-oWLuA-2WpsSHiwfvfI09Xl48VNcXd_fXtxflc4ocuhwNLXwKwGaTVXsqmlnQquvACBQjluGWLluaokaO-1g6mTy82grhuBvhJ75GTlO4_9-4hpMLM2z5-X67Afk-FCs6lirCwzevwHfe3H2OXpDJecKaFB6UzxFeVin1LExsxjO7NxYRiYZRZmlYXJWZivLMwii47W1mM9Q_8j-T5-BsQKSPPlzTD-9v7H9hMZuJXJ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2421637067</pqid></control><display><type>article</type><title>Recurrent patellar dislocations in adolescents result in decreased knee flexion during the entire gait cycle</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals - AutoHoldings</source><creator>Camathias, Carlo ; Ammann, Elias ; Meier, Rahel L. ; Rutz, Erich ; Vavken, Patrick ; Studer, Kathrin</creator><creatorcontrib>Camathias, Carlo ; Ammann, Elias ; Meier, Rahel L. ; Rutz, Erich ; Vavken, Patrick ; Studer, Kathrin</creatorcontrib><description><![CDATA[Purpose
To evaluate the kinematics/kinetics of the ankle, knee, hip in the sagittal plane in adolescents with recurrent patellar dislocation in comparison to a healthy control.
Methods
Case–control study. Eighty-eight knees (67 patients) with recurrent patellar dislocation (mean age 14.8 years ± 2.8 SD) were compared to 54 healthy knees (27 individuals, 14.9 years ± 2.4 SD). Kinematics/kinetics of ankle, knee, hip, and pelvis were captured using 3D-gait analysis (VICON, 12 cameras, 200 Hz, Plug-in-Gait, two force plates). One cycle (100%) consisted of 51 data-points. The mean of six trials was computed.
Results
The loading-response increased by 0.02 s ± 0.01SE (10.8%) with dislocations (0.98% of total gait,
P
< 0.01). The mid-stance-phase decreased equally (
P
< 0.01). Dislocation decreased knee flexion during the entire gait cycle (
P
< 0.01), with the largest difference during mid-stance (9.0° ± 7.2 SD vs. 18.5° ± 6.7 SD). Dislocation increased plantar-flexion during loading response 4.1° ± 0.4 SE with (
P
< 0.01), afterward, the dorsal-extension decreased 3.2° ± 0.3 SE, (
P
< 0.01). Dislocation decreased hip flexion during all phases (
P
< 0.01). Maximal difference: 7.5° ± 0.5 SE during mid-stance. 80% of all patients developed this gait pattern.
Internal moments of the ankle increased, of the knee and hip decreased during the first part of stance.
Conclusion
Recurrent patellar dislocation decreases knee flexion during the loading-response and mid-stance phase. A decreased hip flexion and increased plantar-flexion, while adjusting internal moments, indicate a compensation mechanism.
Level of evidence
III.]]></description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-020-05911-y</identifier><identifier>PMID: 32130443</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adolescents ; Ankle ; Biomechanical Phenomena - physiology ; Cameras ; Case-Control Studies ; Clinical trials ; Control methods ; Female ; Force plates ; Gait ; Gait Analysis - methods ; Hip dislocation ; Humans ; Kinematics ; Kinetics ; Knee ; Knee Joint - physiopathology ; Lower Extremity - physiology ; Male ; Medicine ; Medicine & Public Health ; Orthopedics ; Patellar Dislocation - physiopathology ; Pelvis ; Plantar flexion ; Range of Motion, Articular - physiology ; Recurrence ; Teenagers</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020-07, Vol.28 (7), p.2053-2066</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-e5db01a704a7264fb4a8326d303e36c2a1ee9d269407dd7c08c405640bbf3ed93</citedby><cites>FETCH-LOGICAL-c375t-e5db01a704a7264fb4a8326d303e36c2a1ee9d269407dd7c08c405640bbf3ed93</cites><orcidid>0000-0002-7959-1506</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-020-05911-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-020-05911-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32130443$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Camathias, Carlo</creatorcontrib><creatorcontrib>Ammann, Elias</creatorcontrib><creatorcontrib>Meier, Rahel L.</creatorcontrib><creatorcontrib>Rutz, Erich</creatorcontrib><creatorcontrib>Vavken, Patrick</creatorcontrib><creatorcontrib>Studer, Kathrin</creatorcontrib><title>Recurrent patellar dislocations in adolescents result in decreased knee flexion during the entire gait cycle</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description><![CDATA[Purpose
To evaluate the kinematics/kinetics of the ankle, knee, hip in the sagittal plane in adolescents with recurrent patellar dislocation in comparison to a healthy control.
Methods
Case–control study. Eighty-eight knees (67 patients) with recurrent patellar dislocation (mean age 14.8 years ± 2.8 SD) were compared to 54 healthy knees (27 individuals, 14.9 years ± 2.4 SD). Kinematics/kinetics of ankle, knee, hip, and pelvis were captured using 3D-gait analysis (VICON, 12 cameras, 200 Hz, Plug-in-Gait, two force plates). One cycle (100%) consisted of 51 data-points. The mean of six trials was computed.
Results
The loading-response increased by 0.02 s ± 0.01SE (10.8%) with dislocations (0.98% of total gait,
P
< 0.01). The mid-stance-phase decreased equally (
P
< 0.01). Dislocation decreased knee flexion during the entire gait cycle (
P
< 0.01), with the largest difference during mid-stance (9.0° ± 7.2 SD vs. 18.5° ± 6.7 SD). Dislocation increased plantar-flexion during loading response 4.1° ± 0.4 SE with (
P
< 0.01), afterward, the dorsal-extension decreased 3.2° ± 0.3 SE, (
P
< 0.01). Dislocation decreased hip flexion during all phases (
P
< 0.01). Maximal difference: 7.5° ± 0.5 SE during mid-stance. 80% of all patients developed this gait pattern.
Internal moments of the ankle increased, of the knee and hip decreased during the first part of stance.
Conclusion
Recurrent patellar dislocation decreases knee flexion during the loading-response and mid-stance phase. A decreased hip flexion and increased plantar-flexion, while adjusting internal moments, indicate a compensation mechanism.
Level of evidence
III.]]></description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Ankle</subject><subject>Biomechanical Phenomena - physiology</subject><subject>Cameras</subject><subject>Case-Control Studies</subject><subject>Clinical trials</subject><subject>Control methods</subject><subject>Female</subject><subject>Force plates</subject><subject>Gait</subject><subject>Gait Analysis - methods</subject><subject>Hip dislocation</subject><subject>Humans</subject><subject>Kinematics</subject><subject>Kinetics</subject><subject>Knee</subject><subject>Knee Joint - physiopathology</subject><subject>Lower Extremity - physiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Patellar Dislocation - physiopathology</subject><subject>Pelvis</subject><subject>Plantar flexion</subject><subject>Range of Motion, Articular - physiology</subject><subject>Recurrence</subject><subject>Teenagers</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kUtLxDAUhYMoOj7-gAsJuHFTvXk0mS5FfIEgiK5DmtxqNdOOSQvOvzfjjAouXOUSvnPu4xByyOCUAeizBMCULoBDAWXFWLHYIBMmhSi0kHqTTKCSvOBQqh2ym9IrQC5ltU12BGcCpBQTEh7QjTFiN9C5HTAEG6lvU-idHdq-S7TtqPV9wOQyk2jENIZh-evRRbQJPX3rEGkT8CMLqB9j2z3T4QVpFrQR6bNtB-oWLuA-2WpsSHiwfvfI09Xl48VNcXd_fXtxflc4ocuhwNLXwKwGaTVXsqmlnQquvACBQjluGWLluaokaO-1g6mTy82grhuBvhJ75GTlO4_9-4hpMLM2z5-X67Afk-FCs6lirCwzevwHfe3H2OXpDJecKaFB6UzxFeVin1LExsxjO7NxYRiYZRZmlYXJWZivLMwii47W1mM9Q_8j-T5-BsQKSPPlzTD-9v7H9hMZuJXJ</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Camathias, Carlo</creator><creator>Ammann, Elias</creator><creator>Meier, Rahel L.</creator><creator>Rutz, Erich</creator><creator>Vavken, Patrick</creator><creator>Studer, Kathrin</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7959-1506</orcidid></search><sort><creationdate>20200701</creationdate><title>Recurrent patellar dislocations in adolescents result in decreased knee flexion during the entire gait cycle</title><author>Camathias, Carlo ; Ammann, Elias ; Meier, Rahel L. ; Rutz, Erich ; Vavken, Patrick ; Studer, Kathrin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-e5db01a704a7264fb4a8326d303e36c2a1ee9d269407dd7c08c405640bbf3ed93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Ankle</topic><topic>Biomechanical Phenomena - physiology</topic><topic>Cameras</topic><topic>Case-Control Studies</topic><topic>Clinical trials</topic><topic>Control methods</topic><topic>Female</topic><topic>Force plates</topic><topic>Gait</topic><topic>Gait Analysis - methods</topic><topic>Hip dislocation</topic><topic>Humans</topic><topic>Kinematics</topic><topic>Kinetics</topic><topic>Knee</topic><topic>Knee Joint - physiopathology</topic><topic>Lower Extremity - physiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Patellar Dislocation - physiopathology</topic><topic>Pelvis</topic><topic>Plantar flexion</topic><topic>Range of Motion, Articular - physiology</topic><topic>Recurrence</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Camathias, Carlo</creatorcontrib><creatorcontrib>Ammann, Elias</creatorcontrib><creatorcontrib>Meier, Rahel L.</creatorcontrib><creatorcontrib>Rutz, Erich</creatorcontrib><creatorcontrib>Vavken, Patrick</creatorcontrib><creatorcontrib>Studer, Kathrin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Camathias, Carlo</au><au>Ammann, Elias</au><au>Meier, Rahel L.</au><au>Rutz, Erich</au><au>Vavken, Patrick</au><au>Studer, Kathrin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrent patellar dislocations in adolescents result in decreased knee flexion during the entire gait cycle</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>28</volume><issue>7</issue><spage>2053</spage><epage>2066</epage><pages>2053-2066</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract><![CDATA[Purpose
To evaluate the kinematics/kinetics of the ankle, knee, hip in the sagittal plane in adolescents with recurrent patellar dislocation in comparison to a healthy control.
Methods
Case–control study. Eighty-eight knees (67 patients) with recurrent patellar dislocation (mean age 14.8 years ± 2.8 SD) were compared to 54 healthy knees (27 individuals, 14.9 years ± 2.4 SD). Kinematics/kinetics of ankle, knee, hip, and pelvis were captured using 3D-gait analysis (VICON, 12 cameras, 200 Hz, Plug-in-Gait, two force plates). One cycle (100%) consisted of 51 data-points. The mean of six trials was computed.
Results
The loading-response increased by 0.02 s ± 0.01SE (10.8%) with dislocations (0.98% of total gait,
P
< 0.01). The mid-stance-phase decreased equally (
P
< 0.01). Dislocation decreased knee flexion during the entire gait cycle (
P
< 0.01), with the largest difference during mid-stance (9.0° ± 7.2 SD vs. 18.5° ± 6.7 SD). Dislocation increased plantar-flexion during loading response 4.1° ± 0.4 SE with (
P
< 0.01), afterward, the dorsal-extension decreased 3.2° ± 0.3 SE, (
P
< 0.01). Dislocation decreased hip flexion during all phases (
P
< 0.01). Maximal difference: 7.5° ± 0.5 SE during mid-stance. 80% of all patients developed this gait pattern.
Internal moments of the ankle increased, of the knee and hip decreased during the first part of stance.
Conclusion
Recurrent patellar dislocation decreases knee flexion during the loading-response and mid-stance phase. A decreased hip flexion and increased plantar-flexion, while adjusting internal moments, indicate a compensation mechanism.
Level of evidence
III.]]></abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32130443</pmid><doi>10.1007/s00167-020-05911-y</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-7959-1506</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020-07, Vol.28 (7), p.2053-2066 |
| issn | 0942-2056 1433-7347 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adolescents Ankle Biomechanical Phenomena - physiology Cameras Case-Control Studies Clinical trials Control methods Female Force plates Gait Gait Analysis - methods Hip dislocation Humans Kinematics Kinetics Knee Knee Joint - physiopathology Lower Extremity - physiology Male Medicine Medicine & Public Health Orthopedics Patellar Dislocation - physiopathology Pelvis Plantar flexion Range of Motion, Articular - physiology Recurrence Teenagers |
| title | Recurrent patellar dislocations in adolescents result in decreased knee flexion during the entire gait cycle |
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