Abstract
We aim to assess the value of patellofemoral Computed Tomography in assessing patients with anterior knee symptoms. Anterior knee symptoms are often due to patellar malalignment. Plain axial radiography or (CT) can be used to investigate these abnormalities. We have evaluated the use of patellofemoral CT scanning in 63 patients and compared the CT findings with the patients’ symptoms. We compared patellar centralisation and patellar tilt angle with the symptom described for each of 126 knees. No difference could be detected in the CT appearances of affected and unaffected knees in those patients with unilateral symptoms (all patients have both knees scanned). A significant association between maltracking and osteoarthiritic changes was demonstrated.
Correspondence should be addressed to Roger Smith, Honorary Secretary, BASK c/o Royal College of Surgeons, 35 – 43 Lincoln’s Inn Fields, London WC2A 3PN