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Effects of quadriceps angle on patellofemoral contact pressure

Journal of Veterinary Science 2020년 21권 5호 p.69 ~ 69
유윤형, 이승준, 정순욱,
소속 상세정보
유윤형 ( Yoo Yoon-Hyeong ) - Konkuk University College of Veterinary Medicine
이승준 ( Lee Sung-Jun ) - Konkuk University College of Veterinary Medicine
정순욱 ( Jeong Soon-Wuk ) - Konkuk University College of Veterinary Medicine

Abstract


Background: An inappropriate Q angle may affect the biomechanics of the canine patellofemoral joint.

Objectives: The purpose of this study was to evaluate the effects of changes in quadriceps angle (Q angle) on patellofemoral joint pressure distribution in dogs.

Methods: Eight stifles were positioned at 45, 60, 75, 90, 105, and 120° of flexion in vitro, and 30% body weight was applied through the quadriceps. Patellofemoral contact pressure distribution was mapped and quantified using pressure-sensitive film. For the pressure area, mean pressure, peak pressure, medial peak pressure, and lateral peak pressure, differences between groups according to conditions for changing the Q angle were statistically compared.

Results: Increases of 10° of the Q angle result in increases in the pressure area (P = 0.04), mean pressure (P = 0.003), peak pressure, and medial peak pressure (P ≤ 0.01). Increasing the Q angle by 20° increases the pressure area (P = 0.021), mean pressure (P ≤ 0.001), peak pressure (P ≤ 0.01), and medial peak pressure (P ≤ 0.01) significantly, and shows higher mean (P ≤ 0.001) and peak pressures than increasing by 10°. Decreasing the Q angle increases the mean pressure (P = 0.013), peak pressure, and lateral peak pressure (P ≤ 0.001).

Conclusions: Both increases and decreases in the Q angle were associated with increased peak patellofemoral pressure, which could contribute to the overloading of the cartilage. Therefore, the abnormal Q angle should be corrected to the physiologically normal value during patellar luxation repair and overcorrection should be avoided.

키워드

Patellofemoral pressure; patellar luxation; quadriceps angle; dogs

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