{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T03:25:34Z","timestamp":1791775534092,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Chronic patellofemoral instability (PFI) and pain are influenced by axial malalignment of the patellofemoral joint. Tibiofemoral rotation, defined as the rotation between femur and tibia knee, has shown to be correlated to PFI. This study aimed to determine whether tibiofemoral rotation is associated with anatomical risk factors for patellofemoral maltracking in patients with PFI. It was hypothesised that greater tibiofemoral rotation correlates with other predisposing factors for PFI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Eighty\u2010five consecutive patients (mean age 22.6\u2009\u00b1\u20098.9 years; 58 female) with PFI underwent standardised bilateral knee MRI in 0\u00b0 extension for rotational analysis. Tibiofemoral rotation was measured as the angle between the posterior femoral condylar tangent and posterior tibial plateau tangent on axial images. Ipsilateral and contralateral values along other anatomical patellofemoral risk factors were recorded. One\u2010sample\n                      <jats:italic>t\u2010<\/jats:italic>\n                      tests compared to the healthy contralateral side. Pearson correlations assessed associations between tibiofemoral rotation and anatomic risk factors for patellofemoral maltracking.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean ipsilateral tibiofemoral rotation was 6.9\u00b0\u2009\u00b1\u20096.0\u00b0 (range: \u22126.5\u00b0 to 21.6\u00b0). Contralateral version averaged 6.4\u00b0\u2009\u00b1\u20096.2\u00b0 with no significant side difference. Absolute side\u2010to\u2010side difference was 3.7\u00b0\u2009\u00b1\u20092.7\u00b0. Ipsilateral tibiofemoral rotation correlated with the tuberositas tibiae\u2013trochlea groove (TT\u2013TG) and medial posterior cruciate ligament distance (TT\u2013PCL) (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.37,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.43,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), femoral torsion (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.32,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) and lateral trochlea inclination (\n                      <jats:italic>r\u2009<\/jats:italic>\n                      =\u2009\u22120.344,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) whereas other patellofemoral risk factors showed no correlation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Tibiofemoral rotation showed a significant correlation with anatomical risk factors associated with lateral patellar maltracking in patients with PFI. Moreover, patients with PFI demonstrated a wide variability in tibiofemoral rotation. Consideration of tibiofemoral rotation may enhance anatomical assessment and aid clinical decision\u2010making in patients with PFI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70626","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T08:32:29Z","timestamp":1767947549000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Increased tibiofemoral rotation is associated with anatomical risk factors for lateral patella instability"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0578-4142","authenticated-orcid":false,"given":"Julius","family":"Watrinet","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Sports Medicine TUM University Hospital Ismaninger Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lennart","family":"Gerdesmeyer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine TUM University Hospital Ismaninger Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Meurer","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology TUM University Hospital Ismaninger Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romed P.","family":"Vieider","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine TUM University Hospital Ismaninger Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armin","family":"Runer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine TUM University Hospital Ismaninger Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3193-6869","authenticated-orcid":false,"given":"Sebastian","family":"Siebenlist","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine TUM University Hospital Ismaninger Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Willinger","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine TUM University Hospital Ismaninger Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-03947-4"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118S00076"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-005-0015-4"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-010-1210-4"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.216.2.r00au07582"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-009-0929-4"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203771587"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1063-4584(97)80030-1"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0b013e31803035ae"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01552649"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512464691"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199706000-00020"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(200008)43:8<1874::AID-ANR25>3.0.CO;2-2"},{"key":"e_1_2_11_15_1","first-page":"423","article-title":"[The measurement of the tibial tuberosity. 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