The innervation of patella: anatomical and clinical study

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dc.contributor.authorMaralcan, Göktürk
dc.contributor.authorKuru, İlhami
dc.contributor.authorIssi, Sinan
dc.contributor.authorEsmer, Ali Fırat
dc.contributor.authorTekdemir, İbrahim
dc.contributor.authorEvcik, Deniz
dc.date.accessioned2020-06-25T17:40:21Z
dc.date.available2020-06-25T17:40:21Z
dc.date.issued2005
dc.departmentKırıkkale Üniversitesi
dc.descriptionEsmer, Ali Firat/0000-0003-2511-9879
dc.description.abstractAs much interest has been focused on afferent innervation of knee than that of patella, there are few articles about patellar innervation. But in clinical practice anterior knee pain due to patellar disorders is a quite frequent problem. Our aim was to review the innervation pattern of patella and to give the topographic anatomy of the nerves. We dissected 30 knees of 15 formaldehyde-fixed cadavers. Two nerves from vastus medialis and lateralis were found to reach patellar edge. Apart from these, we were unable to find any other neural structures around patellae. Mean distances between the tuberosity of the tibia and medial and lateral nerve entry points were 90.1(range 74-102) and 96.3 mm (range 76-109), respectively. The angles between lines which join the entry points of nerves and vertical line to the center point of patella were measured in frontal plane. It was approximately 60 degrees medially and 40 degrees laterally. To confirm that these nerves are patellar pain afferents, we performed a local anesthesia test in 32 knees of 20 patients with patellofemoral pain. Clinically, there was a significant difference between the visual analogue scale (VAS) scores before and after local anesthetic injections (p < 0.01). Previous studies have emphasized especially the medial innervation. We found that both superomedial and superolateral nerves were important for patellar innervation. We described precisely the entry points of these nerves to patella for selective denervation.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1007/s00276-005-0334-7
dc.identifier.endpage335en_US
dc.identifier.issn0930-1038
dc.identifier.issn1279-8517
dc.identifier.issue4en_US
dc.identifier.pmid16172870
dc.identifier.scopus2-s2.0-31044454668
dc.identifier.scopusqualityQ2
dc.identifier.startpage331en_US
dc.identifier.urihttps://doi.org/10.1007/s00276-005-0334-7
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3405
dc.identifier.volume27en_US
dc.identifier.wosWOS:000233246400012
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Franceen_US
dc.relation.ispartofSurgical And Radiologic Anatomy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectpatellaen_US
dc.subjectpatellar innervationen_US
dc.subjectpatellofemoral joint denervationen_US
dc.subjectpatellofemoral osteoarthritisen_US
dc.subjectanatomyen_US
dc.titleThe innervation of patella: anatomical and clinical studyen_US
dc.typeArticle

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