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This is a Systematic Review study.

Comparative analysis of Diagnostic Imaging Modalities for Anatomic Instability in Patellofemoral pain disorders: A Systematic Review

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MRI and CT are superior to X-ray for evaluating trochlear dysplasia and patellar height, enhancing diagnostic accuracy.
Computed tomography is the gold standard for assessing TT-TG distance, demonstrating high sensitivity and specificity.
MRI shows near-perfect accuracy for evaluating MPFL integrity, thereby improving management strategies for PFPD.
Standardized imaging protocols are needed to improve comparability and reliability in diagnosing patellofemoral pain disorders.

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Systematic review reveals MRI and CT outperformed X-ray in diagnosing anatomical instability in PFPD.

Nagolu et al. (2025) studied this question.

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