Correlation between Chondromalacia Patella and Patellofemoral Factors in Middle-Age Population: A Clinical, Functional, and Radiological Analysis

Kaur, Rashmeet; Dahuja, Anshul; Kaur, Chandanpreet; Singh, Jagdeep; Singh, Paramdeep; Shyam, Radhe

doi:10.1055/s-0041-1734361

Cited by 3 publications

(4 citation statements)

References 30 publications

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“…In a study in Chinese individuals, the trochlear groove angle was found 138.83 ± 4.77 degrees [20]. In the study by Kaur et al, in 80 patients who were diagnosed with chondromalacia patella on magnetic resonance imaging, Insall-Salvati index was found 1.2 and trochlear groove angle was found 153 degrees [22].…”

Section: Discussionmentioning

confidence: 92%

Anatomo-radyographic study in individuals with and without medial patellofemoral ligament rupture

Kabakçı

Ögüt

Tekbaş³

et al. 2022

Preprint

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Purpose; The purpose of the present study was to evaluate of patella elevation (patellar height) and trochlear groove angle in individuals with and without medial patellofemoral ligament rupture for surgical reconstruction and possible clinical use.Materials and Methods; The study had a retrospective design, and included 149 people (53 females, 96 men) who were between the ages of 18 and 36 admitting to the Orthopedic Clinic of Bartın State Hospital with various complaints in knee joints and different preliminary diagnoses between January 2005 and December 2020. 61 of the 149 people in the study were patients with medial patellofemoral rupture. Two groups were examined, those with and without medial patellofemoral rupture.Results; As a result of the study, while significant differences were detected in trochlear groove angle, there wasn’t significant differences in patella elevation (patellar height) between the groups (with and without medial patellofemoral ligament rupture).Conclusion; Patella elevation (patellar height) was similar in the group with and without medial patellofemoral rupture, while a significant difference was found in the trochlear groove angle.

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Section: Discussionmentioning

confidence: 92%

Anatomo-radyographic study in individuals with and without medial patellofemoral ligament rupture

Kabakçı

Ögüt

Tekbaş³

et al. 2022

Preprint

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“…In the present study, the factors affecting the stage of chondromalacia were trochlear morphological measurements, whereas there was no significant relationship between the IS index and patellar facet asymmetry. In a study investigating the chondromalacia stage and PFM morphology, it was reported that trochlear morphological measurements were associated with chondromalacia patella, but no significant correlation was found with the IS index (5). Similarly, Ali et al revealed that trochlear morphological measurements were associated with severe chondromalacia, but no correlation was found between patellar measurements and chondromalacia stage (1).…”

Section: Discussionmentioning

confidence: 99%

“…The relationship of the patella-another component of the joint-with the femur and patellar-shaped abnormalities may also affect the relationship with the joint. There are conflicting data regarding the effects of shape abnormalities of the structures forming the PF joint on patellar chondromalacia in the relevant literature (1,(3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

Relationship between patellofemoral joint morphology and chondromalacia patella

ÖZTÜRK

Güngör

2023

Acta Radiol

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Background For the normal functioning of the patellofemoral joint (PF), the relationship between the patella and the trochlear groove must be compatible. Purpose To investigate the relationship between patellofemoral joint morphology (PFM) and patellar chondromalacia. Material and Methods Overall, 136 knees of patients aged 20–55 years examined between March 2020 and March 2021 were included in this study. In all patients, trochlear sulcus angle, trochlear sulcus depth, trochlear facet asymmetry, patella alta (Insall–Salvati [IS] index), and patellar facet asymmetry were measured. Of these cases, 66 knees with an abnormality detected in any of the measurements for PFM were included in the case group. Moreover, 70 knees with demonstrating normal PFM measurements were included in the control group. Results The incidence and grade of chondromalacia was higher in the case group than in the control group ( P < 0.001). Between the patients with and without chondromalacia trochlear sulcus angle (mean = 138.25° ± 10.02° vs. 132.58° ± 7.24°; P = 0.001), IS index (mean = 1.25 ± 0.21 vs. 1.16 ± 0.15; P = 0.014), patellar facet asymmetry (mean = 0.77 ± 0.09 vs. 0.73 ± 0.12; P = 0.039), trochlear sulcus depth (mean = 5.39 ± 1.42 mm vs. 6.27 ± 1.04 mm; P < 0.001), and trochlear facet asymmetry (mean = 0.67 ± 0.11 vs. 0.71 ± 0.09; P = 0.023) measurements, there was a significant difference. Conclusion The presence of at least one of the measures indicating pathology in PFM is associated with the presence and severity of chondromalacia.

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“…Arthroscopy is the gold standard for the diagnosis of patellar chondromalacia, but it is an invasive pro-Many studies in the literature have evaluated trochlear morphology and its relationship with chondromalacia patella using MRI [4][5][6][7][8][9][10] . Unlike the literature, we aimed to investigate the relationship between MRI measurements of both trochlear and patellar morphology and grade 3-4 patellar chondromalacia in our study.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the relationship between trochlear and patellar morphology and patellar chondromalacia with magnetic resonance imaging

DEMIR,

ŞAHAN

2023

Acta Orthop Belg

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It was aimed to investigate the relationship between magnetic resonance imaging (MRI) measurements of trochlear and patellar morphology and grade 3-4 patellar chondromalacia. Grade 3-4 patellar chondromalacia group, and an age- and sex-matched control group with normal patellar joint cartilage were comprised. For trochlear morphology evaluation in MRI; sulcus angle, trochlear angle, lateral trochlear inclination angle and medial trochlear inclination angle were measured. For patellar morphology evaluation; patella trochlear ratio, insall-salvati ratio, modified Insall- Salvati ratio and Blackburne-Peel ratio were measured. Obtained measurements were statistically analyzed according to demographic characteristics. One hundred and twenty-five patients with chondromalacia and 125 controls participated. The sulcus angle and the trochlear angle were significantly higher in the patellar chondromalacia group (p<0.05). The lateral trochlear inclination angle was significantly less in the patellar chondromalacia group (p=0.011). There was no significant difference between the groups in terms of medial trochlear inclination angle (p=0.520). There was no significant difference between the groups in terms of patella-trochlear ratio (p=0.617). Insall-Salvati ratio was significantly higher in the patellar chondromalacia group (p=0.003). Modified Insall-Salvati ratio was significantly lower in the patellar chondromalacia group (p=0.001). The rate of Blackburne-Peel was significantly higher in the patellar chondromalacia group (p=0.004). Measurements of sulcus angle, trochlear angle, lateral trochlear inclination angle, Insall-Salvati ratio, modified Insall-Salvati ratio, Blackburne-Peel ratio have diagnostic value for grade 3-4 chondromalacia.

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Correlation between Chondromalacia Patella and Patellofemoral Factors in Middle-Age Population: A Clinical, Functional, and Radiological Analysis

Cited by 3 publications

References 30 publications

Anatomo-radyographic study in individuals with and without medial patellofemoral ligament rupture

Anatomo-radyographic study in individuals with and without medial patellofemoral ligament rupture

Relationship between patellofemoral joint morphology and chondromalacia patella

Evaluation of the relationship between trochlear and patellar morphology and patellar chondromalacia with magnetic resonance imaging

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