Q Angle: Difference between revisions
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== Measurement | == Measurement<br> == | ||
The Q angle is acute angle formed between: | The Q angle is acute angle formed between: | ||
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The Q-angle is usually measured with the knee at or near full extension (but not hyperextension) because lateral forces on the patella may be more of a problem in these circumstances. With the knee flexed, the patella is set within the intercondylar notch, and even a very large lateral force on the patella is unlikely to result in dislocation. Furthermore, the Q-angle will reduce with knee flexion as the tibia rotates medially in relation to the femur.<ref name="norkin" /><br> | |||
== Normative Values == | == Normative Values == |
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Background[edit | edit source]
Measurement
[edit | edit source]
The Q angle is acute angle formed between:
- A line representing the resultant line of force of the quadriceps, made by connecting a point near the ASIS to the mid-point of the patella
- A line representing a long axis of the patellar tendon, made by connecting a point on the tibial tuberosity with the mid-point of the patella.
The Q-angle is usually measured with the knee at or near full extension (but not hyperextension) because lateral forces on the patella may be more of a problem in these circumstances. With the knee flexed, the patella is set within the intercondylar notch, and even a very large lateral force on the patella is unlikely to result in dislocation. Furthermore, the Q-angle will reduce with knee flexion as the tibia rotates medially in relation to the femur.[1]
Normative Values[edit | edit source]
Factors affecting 'Q' Angle[edit | edit source]
Increases in q-angle are associated with [2]:
- Femoral anteversion
- External tibial torsion
- Laterally displaced tibial tubercle
- Genu valgus
Clinical Importance[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 Levangie, P.K. and Norkin, C.C. (2005). Joint structure and function: A comprehensive analysis (4th ed.). Philadelphia: The F.A. Davis Company.
- ↑ http://moon.ouhsc.edu/dthompso/namics/qangle.htm
- ↑ Horton MG, Hall TL. Quadriceps Femoris Muscle Angle:Normal Values and Relationships with Gender and Selected Skeletal Measures. Phy Ther 1989; 69: 17-21