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Table 2 Measurement methods and changes in DDH knees of the significant knee parameters

From: Knee morphology and patella malalignment in neglected developmental dysplasia of the hip: a systematic review and meta-analysis

Study

Measuring plane

Parameters

Image modality

Abbr.

Definition

Change in DDH knees

Kandemir 2002 [3]

Coronal plane

mechanical axis deviation

X-ray

MAD

distance from the center of the knee to the mechanical axis of lower extremity

Increase

 

Coronal plane

lateral distal femoral angle

X-ray

LDFA

angle between the mechanical axis of the femur and joint orientation line of the distal part of the femur

Decrease

 

Coronal plane

medial proximal tibial angle

X-ray

MPTA

angle between the mechanical axis of the tibia and joint orientation line of the proximal part of the tibia

Decrease

 

Coronal plane

horizontal dimension of the MFC

X-ray

HDMFC

distances from the anatomic axis of the femur to the most medial point of the medial femoral condyle

Decrease

 

Coronal plane

horizontal dimension of the LFC

X-ray

HDLFC

distances from the anatomic axis of the femur to the most medial point of the lateral femoral condyle

Decrease

 

Coronal plane

vertical dimension of the MFC

X-ray

VDMFC

distances from the line perpendicular to the femoral anatomic axis at the tip of the intercondylar notch to the most distal points of the medial femoral condyles

Increase

 

Coronal plane

vertical dimension of the LFC

X-ray

VDLFC

distances from the line perpendicular to the femoral anatomic axis at the tip of the intercondylar notch to the most distal points of the lateral femoral condyles

Increase

 

Transverse plane

femoral anteversion

CT

FAA

angle between femoral neck axis and posterior bicondyle line

Increase

 

Transverse plane

sulcus angle

CT

SA

angle among most anterior points on the medial and lateral facets and the deepest point in the trochlear groove

Increase

AkÅŸahin 2012 [10]

Transverse plane

sulcus angle

CT

SA

as described above

Increase

 

Transverse plane

patellar tilt angle

CT

PTA

angle between the coronal axis of the patella and a line tangent to the medial and lateral trochlear ridges

Increase

 

Transverse plane

Lateral shift of patella

CT

LSP

distance between perpendicular line from the apex of the MFC to tangent line of the posterior condyle and perpendicular line from the patella medial edge to the tangent line of the posterior condyle

Increase

Li 2013 [17]

Transverse plane

femoral anteversion

CT

FAA

as described above

Increase

 

Transverse plane

anteroposterior diameter of MFC

CT

APMFC

anteroposterior diameter of the medial femoral condyle

Decrease

 

Transverse plane

anteroposterior diameter of LFC

CT

APLFC

anteroposterior diameter of the lateral femoral condyle

Decrease

 

Transverse plane

condyle asymmetry

CT

CA

APLFC/APMFC

Decrease

 

Transverse plane

width of femoral condylar

CT

WFC

width of femoral condylar

Decrease

 

Transverse plane

patellar tilt angle

CT

PTA

as described above

Increase

Li 2014 [16]

Coronal plane

horizontal dimension of the LFC

X-ray

HDLFC

as described above

Decrease

 

Coronal plane

vertical dimension of the MFC

X-ray

VDMFC

as described above

Increase

 

Coronal plane

vertical dimension of the LFC

X-ray

VDLFC

as described above

Decrease

 

Coronal plane

horizontal dimension of the MFC

X-ray

HDMFC

as described above

Increase

 

Coronal plane

lateral distal femoral angle

X-ray

LDFA

as described above

Decrease

Imai 2018 [7]

Transverse plane

femoral anteversion

CT

FAA

as described above

Increase

 

Transverse plane

knee rotation angle

CT

TRA

angle between the tibial anteroposterior axis and the line perpendicular to the clinical epicondylar axis

Increase

Hu 2019 [8]

Coronal plane

quadriceps angle

X-ray

QA

angle between a line drawn from the cranial lip of the acetabulum to the center of the patella and a line from the center of the patella to the center of the tibial tuberosity

Increase

 

Transverse plane

femoral anteversion

CT

FAA

as described above

Increase

 

Transverse plane

patellar tilt angle

CT

PTA

as described above

Increase

 

Transverse plane

sulcus angle

CT

SA

as described above

Increase

 

Transverse plane

lateral shift of patella

CT

LSP

as described above

Increase

Imai 2019 [6]

Transverse plane

femoral anteversion

CT

FAA

as described above

Increase

 

Transverse plane

knee rotation angle

CT

TRA

as described above

Increase

 

Transverse plane

anteroposterior diameter of MFC

CT

APMFC

as described above

Decrease

 

Transverse plane

condyle asymmetry

CT

CA

APLFC/APMFC

Decrease

Peng 2022 [18]

Transverse plane

sulcus angle

CT

SA

as described above

Increase

 

Transverse plane

femoral trochlear depth

CT

FTD

distance from the deepest point of the femoral trochlear groove to the line connecting the most anterior points on the medial and lateral femur condyles

Decrease

 

Transverse plane

lateral shift of patella

CT

LSP

as described above

Increase

 

Transverse plane

patellar tilt angle

CT

PTA

as described above

Increase

Fithian 2023 [19]

Transverse plane

femoral trochlear depth

MRI

FTD

difference between the mean height of the cartilaginous facets and the height of the cartilaginous groove relative to the posterior condylar axis.

Decrease

  1. MFC, medial femoral condyle; LFC, lateral femoral condyle; CT: computed tomography; MRI, magnetic resonance imaging; NA, not available