Effect of patellar brace on patellofemoral relationships


Seppo K. Koskinen, MD, Department of Diagnostic Radiology, University Central Hospital, SF-20520 Turku, Finland


The effect of patellar brace on patellofemoral relationships was analyzed using magnetic resonance imaging in 17 knees with patellar subluxation or dislocation. Images were produced in 0° and 20° knee flexions without the patellar brace, with patellar brace and with patellar brace after 1 h of walking. In knee extension, the patellar brace had an unfavorable effect on lateral patellar tilt, but decreased the tilt in 20° knee flexion. The excessive lateral patellar displacement was alleviated in both knee flexion angles. The corrected position was still apparent after physical exercise. Isometric quadriceps muscle contraction increased the displacement. These results suggest a positive stabilizing effect of the brace in patients with patellar instability.