Simon Talbot

Quadriceps Alignment 2 youtu.be/zghyZWmiYz0?si… via @YouTube

Quadriceps Alignment 2 youtu.be/zghyZWmiYz0?si… via @YouTube

Quadriceps alignment part 1 (Why the Q angle is wrong) It is ridiculous that in this era of 3D imaging we still use the 2D Q angle as an indication of the force vector of the quads. youtu.be/PjRr-LhqeSU?si… via @YouTube

@schulte_ss @BennerKneeMD @centerofhip @orthotraumamd @orthobullets @GeisingerOrtho @MDMillerMDUVA @brunovdk1 @itius @lifecycle111 @robgraymd @AleksiReito @NaanDerthaal @DrBhatiaOrtho Cheers

@BennerKneeMD @centerofhip @orthotraumamd @orthobullets @GeisingerOrtho @MDMillerMDUVA @brunovdk1 @itius @lifecycle111 @robgraymd @AleksiReito @NaanDerthaal @DrBhatiaOrtho A novel concept I've come across is the idea of Quad Malalignment. It seems that a better understanding of those prone to patellar maltracking could allow for the judicious use of KA while avoiding some of its pitfalls. x.com/MrSimonTalbot/…

Here is a new case by Dr. John Mercuri and Geisinger @GeisingerOrtho. VARUS KNEE IN 61M How would you manage this #orthotwitter? Vote on this case for CME: orthobullets.tiny.us/m7wjdzp

The Q angle is wrong - a 2D line which ignores the 3/4 of the quadriceps attaching to the femur. When you measure in 3D quads alignment is much more variable and clinically relevant - maltracking, lateral patella OA, instability, TKR outcomes youtu.be/lmSEHMHkD9U?si… via @YouTube

@KSSTA Thanks KSSTA Journal Patella maltracking is caused by mismatch between the alignment of the extensor mechanism (quadriceps) and the flexion axis of the knee. Femoral component external rotation alters the flexion axis of the knee to compensate and was shown to improve outcomes.

Quadriceps malalignment impacts TKR outcomes: Adjusting femoral component rotation >2° improves recovery and patient satisfaction in cases of preoperative maltracking. Reach here: doi.org/10.1002/ksa.12…

Quadriceps malalignment linkedin.com/posts/mrsimont…

@Patelladoc Do you think that this disparity between the patella path and the bony anatomy may be due to a rotational malalignment of hte quadriceps? pubmed.ncbi.nlm.nih.gov/37989778/

The patella tracking path in this recurrent patella dislocator is the green path! Entrance zone for the patella is between the ends of the medial and lateral ridges. If you take care of patella instability patients, please understand this.

The way we have been measuring the alignment of the quadriceps mechanism (the Q angle) is wrong. It doesn’t detect quadriceps malalignment due to rotation of the quads muscle attachment laterally around the femoral shaft. esskajournals.onlinelibrary.wiley.com/doi/10.1007/s0… #knee #physiotherapy #Orthopedics

Quadriceps tendon malalignment is an independent anatomical deformity which is the primary abnormality associated with lateral facet patellofemoral joint osteoarthritis - Talbot - 2023 - Knee Surgery, Sports Traumatology, Arthroscopy - Wiley Online Library esskajournals.onlinelibrary.wiley.com/doi/10.1007/s0…

Check out my latest article: Quadriceps Malalignment 1 linkedin.com/pulse/quadrice… via @LinkedIn

@KSSTA Thanks

Quadriceps tendon malalignment is an independent anatomical deformity, which is strongly associated to lateral patellofemoral osteoarthritis. #patellofemoral #osteoarthritis #knee #malalignment #quadriceps Read the publication here: doi.org/10.1007/s00167…