CARTILAGE-BONE MISMATCH IN THE DYSPLASTIC TROCHLEA: AN MRI STUDY

Trochlear dysplasia is an important anatomical abnormality in symptomatic patellar instability. Our study assessed the mismatch between the bone and cartilaginous morphology in patients with a dysplastic trochlea compared with a control group. MRI scans of 25 knees in 23 patients with trochlear dysplasia and in 11 patients in a randomly selected control group were reviewed retrospectively, in order to assess the morphology of the cartilaginous and bony trochlea. Inter- and intra-observer error was assessed. In the dysplastic group there were 15 women and 8 men with a mean age of 20.4 years (14 to 30). The mean bony sulcus angle was 167.9 0 (141 0 to 203 0 ), whereas the mean cartilaginous sulcus angle was 186.5 0 (152 0 to 214 0 ; p Our study shows that the morphology of the cartilaginous trochlea differs markedly from that of the underlying bony trochlea in patients with trochlear dysplasia. MRI is necessary in order to demonstrate the pathology and to facilitate surgical planning.