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The Q-angle is the angle formed by the intersection of a line from the anterior superior iliac spine to the center of the patella and a line from the center of the patella to the tibial tuberle. Angles up to 17 degrees are considered normal in females. Differences in pelvic structure and lower extremity alignment between men and women have been blamed for much of the ACL problem...
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A woman’s pelvis is wider than a man’s, creating sharper angle between the calf and thigh and putting stress on the knee. This increases the tendency of the kneecap to pull out of line and rub, causing pain.
A final intrinsic factor is an area of current study is the effect of hormones on ligamentous relaxation, which allows for pelvic changes that accommodate fetal passage through the birth canal...
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