• Elias Ammann, Rahel L Meier, Erich Rutz, Kathrin Studer, Victor Valderrabano, and Carlo Camathias.
• Orthopaedic Department, Spital Thurgau AG, Pfaffenholzstrasse 4, 8500, Frauenfeld, Switzerland. eliasammann@gmail.com.
• Arch Orthop Trauma Surg. 2023 Jul 1; 143 (7): 403140414031-4041.

IntroductionImpaired hip kinematics and kinetics may incite patellar instability. This study tested the hypothesis that hip adduction and internal rotation angles during gait are higher in adolescents with recurrent patellar dislocations compared to healthy controls.Material And MethodsCase-control study. Eighty-eight knees (67 patients) with recurrent patellar dislocation (mean age 14.8 years ± 2.8 SD) were compared to 54 healthy knees (27 individuals, 14.9 years ± 2.4 SD). Peak hip, knee and pelvis kinematics and kinetics were captured using 3D-gait analysis (VICON, 12 cameras, 200 Hz, Plug-in-Gait, two force plates) and compared between the two groups. One cycle (100%) consisted of 51 data points. The mean of six trials was computed.ResultsPeak hip adduction angles and abduction moments were significantly higher in patients with recurrent patellar dislocation compared to the control group (p < 0.001 and 0.002, respectively). Peak internal hip rotation did not differ significantly.ConclusionElevated hip adduction angles and higher hip abduction moments in gait of adolescents with recurrent patellar dislocation may indicate an impaired function of hip abductors that contributes to patellar instability.© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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