The Schöttle point needs to be used with care for paediatric knees: A cross‐sectional radiological study

The Schöttle point's cortical position is consistently distal to the DFP in paediatric knees on 3D assessment, a relationship often different from 2D radiographs. Crucially, surgeons must respect the U-shaped 3D morphology of the physis when planning tunnel trajectory to avoid physeal damage. The distance from Schöttle point to the DFP increases with age. Intraoperatively, the position can be controlled using fluoroscopic 2D images combined with palpation of bony landmarks, though 3D planning is recommended for precision during paediatric MPFL reconstruction. Level of Evidence Level III, cross-sectional study.