Patellar alignment evaluated by MRI

We analyzed the congruence of the articular cartilage surfaces and the corresponding subchondral bone in the patellar joint. 20 volunteers underwent MRI investigations of the right patellar joint in 20° and 45° flexion in the axial plane. The sulcus, congruence, and lateral patellofemoral angles, measured on MRI slices centered through the midtrans-verse patella, were recorded. In 20° and 45° knee flexion, the bony sulcus and lateral patellofemoral angles were significantly different from the respective cartilagineous angle. We conclude that 1) measurement of the bony sulcus and lateral patellofemoral angles does not allow conclusions about the articular cartilage surface and its thickness, 2) the bony congruence angle corresponds well to the articular cartilage surface as an indicator of patellar centralization.