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Review Question - QID 435

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QID 435 (Type "435" in App Search)
A high school softball player has chronic activity-related anterior knee pain without a history of instability. Which radiographic measurement is used to indicate when a lateral retinacular release may be helpful?

Congruence angle

13%

422/3303

Q angle

22%

735/3303

Sulcus angle

9%

289/3303

Lateral patello-femoral angle

55%

1826/3303

Patellar height index

1%

17/3303

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The lateral patello-femoral angle is the angle formed by lateral patellar facet and a line drawn across most prominent aspects of anterior portion of the trochlea on a CT scan or Sunrise view radiograph. If there is a negative patellar tilt on this measurement, the patient may benefit from a lateral release for pain relief. Lateral release is not used for instability. The sulcus angle refers to the depth of the trochlea; the congruence angle measures the relationship of the center of the patella to the center of the trochlea. These are used to assess malalignment and instability.

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