Is there a relationship between anterior knee pain and femoral trochlear dysplasia? Assessment of lateral trochlear inclination by magnetic resonance imaging

It may be very difficult to diagnose the pathology in patients with anterior knee pain. Patients with chronic anterior knee pain have been reviewed for the study. Our aim was to delineate the presence of subtle trochlear dysplasia by measuring lateral trochlear inclination (LTI) in axial magnetic resonance imaging (MRI) scans. While there were 109 knees in the study group with anterior knee pain (AKP), control group consisted of 74 knees without AKP. The LTI measurements were performed at the level of proximal cartilaginous area of trochlear groove in axial scans. The condition was termed to be trochlear dysplasia when LTI was below 11 degrees. Parameters in both groups were statistically analyzed and compared for their association with LTI. There was no significant difference between LTI values of male and female subjects in each group. The mean LTI values in anterior knee pain and control groups were 17.32 degrees and 21.5 degrees, respectively, and the difference was statistically significant (P < 0.05). The ratio of knees with trochlear dysplasia was 16.5% in AKP group, which was only 2.7% in control. In the AKP group, the ratio of trochlear dysplasia was significantly high (P < 0.05). Although trochlear dysplasia has been generally detected in cases with patellar instability, this study revealed that the frequency of this finding in patients with other causes of anterior knee pain was also considerably high. Measurement of lateral trochlear inclination in axial MRI scans with radiologic assessment seems to be a valuable diagnostic criterion, especially in patients in whom etiology of anterior knee pain could not be identified.

Dergi Adı KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
Dergi Cilt Bilgisi 16
Dergi Sayısı 10
Sayfalar 911 - 915
Yayın Yılı 2008
Eser Adı
[dc.title]
Is there a relationship between anterior knee pain and femoral trochlear dysplasia? Assessment of lateral trochlear inclination by magnetic resonance imaging
Yazar
[dc.contributor.author]
Keser, Selcuk
Yazar
[dc.contributor.author]
Savranlar, Ahmet
Yazar
[dc.contributor.author]
Bayar, Ahmet
Yazar
[dc.contributor.author]
Ege, Ahmet
Yazar
[dc.contributor.author]
Turhan, Egemen
Yayın Yılı
[dc.date.issued]
2008
Yayıncı
[dc.publisher]
SPRINGER
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
It may be very difficult to diagnose the pathology in patients with anterior knee pain. Patients with chronic anterior knee pain have been reviewed for the study. Our aim was to delineate the presence of subtle trochlear dysplasia by measuring lateral trochlear inclination (LTI) in axial magnetic resonance imaging (MRI) scans. While there were 109 knees in the study group with anterior knee pain (AKP), control group consisted of 74 knees without AKP. The LTI measurements were performed at the level of proximal cartilaginous area of trochlear groove in axial scans. The condition was termed to be trochlear dysplasia when LTI was below 11 degrees. Parameters in both groups were statistically analyzed and compared for their association with LTI. There was no significant difference between LTI values of male and female subjects in each group. The mean LTI values in anterior knee pain and control groups were 17.32 degrees and 21.5 degrees, respectively, and the difference was statistically significant (P < 0.05). The ratio of knees with trochlear dysplasia was 16.5% in AKP group, which was only 2.7% in control. In the AKP group, the ratio of trochlear dysplasia was significantly high (P < 0.05). Although trochlear dysplasia has been generally detected in cases with patellar instability, this study revealed that the frequency of this finding in patients with other causes of anterior knee pain was also considerably high. Measurement of lateral trochlear inclination in axial MRI scans with radiologic assessment seems to be a valuable diagnostic criterion, especially in patients in whom etiology of anterior knee pain could not be identified.
Açıklama
[dc.description]
WOS: 000259672200004
Açıklama
[dc.description]
PubMed: 18553069
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
femur/abnormalities
Konu Başlıkları
[dc.subject]
knee joint/pathology
Konu Başlıkları
[dc.subject]
magnetic resonance imaging
Konu Başlıkları
[dc.subject]
joint diseases/diagnosis
Konu Başlıkları
[dc.subject]
trochlear dysplasia
Konu Başlıkları
[dc.subject]
patellofemoral syndrome
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0942-2056
İlk Sayfa Sayısı
[dc.identifier.startpage]
911
Son Sayfa Sayısı
[dc.identifier.endpage]
915
Dergi Adı
[dc.relation.journal]
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
Dergi Sayısı
[dc.identifier.issue]
10
Dergi Cilt Bilgisi
[dc.identifier.volume]
16
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s00167-008-0571-5
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2852
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
14
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 04:53
Google Kontrol
Tıklayınız
trochlear anterior dysplasia control degrees patients inclination lateral statistically groups significant difference values significantly respectively Although generally radiologic identified etiology especially criterion diagnostic valuable assessment detected Measurement considerably causes finding frequency revealed instability patellar Parameters
6698 sayılı Kişisel Verilerin Korunması Kanunu kapsamında yükümlülüklerimiz ve çerez politikamız hakkında bilgi sahibi olmak için alttaki bağlantıyı kullanabilirsiniz.

creativecommons
Bu site altında yer alan tüm kaynaklar Creative Commons Alıntı-GayriTicari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.
Platforms