Insall-Salvati Ratio: Difference between revisions

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The Insall-Salvati ratio is the ratio of the patella tendon length to the length of the patella. This can be measured on a lateral knee xray or sagittal MRI. Ideally the knee is 30 degrees flexed  
<br> The Insall-Salvati ratio is the ratio of the patellar tendon length to the length of the patella. This can be measured on a lateral knee xray or sagittal MRI. Ideally the knee is 30 degrees flexed.


In the modified Insall-Salvati ratio, patellar bone length is replaced with patellar articular cartilage length. The Insall-Salvati index, however, is the most widely accepted method because of its lack of dependence on the degree of knee flexion and its established MRI criteria <ref>Syed A. Ali, Robert Helmer and Michael R. Terk; Patella Alta: Lack of Correlation Between Patellotrochlear Cartilage Congruence and Commonly Used Patellar Height Ratios; AJR November 2009 vol. 193 no. 5 1361-1366. (Level of evidence: B)</ref><ref>JEROLD E  et al; Patella Alta and Patella Infera, THEIR ETIOLOGICAL ROLE IN PATELLAR DISLOCATION, CHONDROMALACIA, AND APOPHYSITIS OF THE TIBIAL TUBERCLE; J Bone Joint Surg Am. 1975 Dec;57(8):1112-5. (Level of evidence: B)</ref> &nbsp;
In the modified Insall-Salvati ratio, patellar bone length is replaced with patellar articular cartilage length. The Insall-Salvati index, however, is the most widely accepted method because of its lack of dependence on the degree of knee flexion and its established MRI criteria.&nbsp;<ref>Syed A. Ali, Robert Helmer and Michael R. Terk; Patella Alta: Lack of Correlation Between Patellotrochlear Cartilage Congruence and Commonly Used Patellar Height Ratios; AJR November 2009 vol. 193 no. 5 1361-1366. (Level of evidence: B)</ref><ref>JEROLD E  et al; Patella Alta and Patella Infera, THEIR ETIOLOGICAL ROLE IN PATELLAR DISLOCATION, CHONDROMALACIA, AND APOPHYSITIS OF THE TIBIAL TUBERCLE; J Bone Joint Surg Am. 1975 Dec;57(8):1112-5. (Level of evidence: B)</ref>  


== References  ==
== References  ==
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[[Category:Knee]] [[Category:Musculoskeletal/Orthopaedics|Orthopaedics]]
[[Category:Assessment]] [[Category:Special_Tests]] [[Category:Knee]] [[Category:Musculoskeletal/Orthopaedics|Orthopaedics]]

Revision as of 17:35, 3 May 2015

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To edit: general formatting, addition of images


The Insall-Salvati ratio is the ratio of the patellar tendon length to the length of the patella. This can be measured on a lateral knee xray or sagittal MRI. Ideally the knee is 30 degrees flexed.

In the modified Insall-Salvati ratio, patellar bone length is replaced with patellar articular cartilage length. The Insall-Salvati index, however, is the most widely accepted method because of its lack of dependence on the degree of knee flexion and its established MRI criteria. [1][2]

References[edit | edit source]

  1. Syed A. Ali, Robert Helmer and Michael R. Terk; Patella Alta: Lack of Correlation Between Patellotrochlear Cartilage Congruence and Commonly Used Patellar Height Ratios; AJR November 2009 vol. 193 no. 5 1361-1366. (Level of evidence: B)
  2. JEROLD E et al; Patella Alta and Patella Infera, THEIR ETIOLOGICAL ROLE IN PATELLAR DISLOCATION, CHONDROMALACIA, AND APOPHYSITIS OF THE TIBIAL TUBERCLE; J Bone Joint Surg Am. 1975 Dec;57(8):1112-5. (Level of evidence: B)