Yammouri Zineb, Beyyato Soukaina, Chahdi Hajar Ouazzani, Chaouche Ismail, Akammar Amal, Bouardi Nizar El, Haloua Meriem, Lamrani Moulay Youssef Alaoui, Boubbou Meryem, Maaroufi Mustapha, Alami Badreddine
Department of Adult radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Department of Mother and Child radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Radiol Case Rep. 2025 Jul 17;20(10):4979-4982. doi: 10.1016/j.radcr.2025.06.071. eCollection 2025 Oct.
Patella baja, or patella infera, is a condition characterized by an abnormally low patellar position relative to the femur, significantly affecting knee joint mechanics and function. This condition can result from congenital factors, postsurgical changes, trauma, or degenerative diseases. Patella baja leads to increased patellofemoral joint stress, reduced quadriceps efficiency, and restricted knee mobility, contributing to pain and functional impairment. Diagnosis relies on imaging techniques such as X-ray, MRI, CT scan, and ultrasound, which help assess patellar height, soft tissue integrity, and joint alignment. Treatment options range from conservative approaches, including physical therapy, bracing, and anti-inflammatory medications, to surgical interventions such as patellar tendon lengthening, tibial tubercle osteotomy, and arthroscopic debridement. Early diagnosis and appropriate management are essential to prevent long-term complications and improve patient outcomes.
低位髌骨,又称髌下,是一种以髌骨相对于股骨位置异常低下为特征的病症,会显著影响膝关节力学和功能。这种病症可能由先天性因素、术后改变、创伤或退行性疾病引起。低位髌骨会导致髌股关节应力增加、股四头肌效率降低以及膝关节活动受限,进而引发疼痛和功能障碍。诊断依赖于X线、磁共振成像(MRI)、计算机断层扫描(CT)和超声等成像技术,这些技术有助于评估髌骨高度、软组织完整性和关节对线情况。治疗选择范围从保守方法,包括物理治疗、支具固定和抗炎药物,到手术干预,如髌腱延长术、胫骨结节截骨术和关节镜清创术。早期诊断和恰当处理对于预防长期并发症和改善患者预后至关重要。