Skip to main content
Erschienen in: Skeletal Radiology 3/2005

01.03.2005 | Scientific Article

Evaluation of patellar tracking in symptomatic and asymptomatic individuals by magnetic resonance imaging

verfasst von: P. O’Donnell, C. Johnstone, M. Watson, E. McNally, S. Ostlere

Erschienen in: Skeletal Radiology | Ausgabe 3/2005

Einloggen, um Zugang zu erhalten

Abstract

Objective

To determine the patterns of patellar motion in subjects without knee symptoms using dynamic magnetic resonance imaging (MRI).

Design

Patellar tracking MR examinations were performed on 50 asymptomatic volunteers. The presence and degree of lateral subluxation and tilt of the patella was assessed independently by three radiologists, and discrepancies resolved by consensus. Using the same criteria, the tracking pattern in 50 consecutive patients, recently referred for imaging assessment of anterior knee pain, was studied.

Patients

Fifty volunteers (22 male, mean age 37 years) and 50 unmatched patients (15 male, mean age 25.5 years) were examined.

Results and conclusions

Forty-one per cent of a total of 97 knees in the volunteer group showed evidence of lateral subluxation, which was either minimal (grade 1, 32%) or minor (grade 2, 9%). No volunteer demonstrated major (grade 3) subluxation; lateral tilt without translation of the patella was also seen (2%). In the patient group, higher grades of lateral subluxation were more common. Minimal (grade 1) lateralization is a common movement pattern of the patella on knee extension, and should be regarded as normal.
Literatur
1.
Zurück zum Zitat Sanchis-Alfonso V, Rosello-Sastre E, Martinez-Sanjuan V. Pathogenesis of anterior knee pain syndrome and functional patellofemoral instability in the active young. Am J Knee Surg 1999; 12:29–40.PubMed Sanchis-Alfonso V, Rosello-Sastre E, Martinez-Sanjuan V. Pathogenesis of anterior knee pain syndrome and functional patellofemoral instability in the active young. Am J Knee Surg 1999; 12:29–40.PubMed
2.
Zurück zum Zitat Eckhoff D, Montgomery W, Kilcoyne R, Stamm E. Femoral morphometry and anterior knee pain. Clin Orthop 1994; 302:64–68.PubMed Eckhoff D, Montgomery W, Kilcoyne R, Stamm E. Femoral morphometry and anterior knee pain. Clin Orthop 1994; 302:64–68.PubMed
3.
Zurück zum Zitat Reikeras O. Patellofemoral characteristics in patients with increased femoral anteversion. Skeletal Radiol 1992; 21:311–313.PubMed Reikeras O. Patellofemoral characteristics in patients with increased femoral anteversion. Skeletal Radiol 1992; 21:311–313.PubMed
4.
Zurück zum Zitat Dejour H, Walch G, Nove-Josserand L, Guier C. Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc 1994; 2:19–26.PubMed Dejour H, Walch G, Nove-Josserand L, Guier C. Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc 1994; 2:19–26.PubMed
5.
Zurück zum Zitat Muneta T, Yamamoto H, Ishibashi T, Asahina S, Furuya K. Computerized tomographic analysis of tibial tubercle position in the painful female patellofemoral joint. Am J Sports Med 1994; 22:67–71.PubMed Muneta T, Yamamoto H, Ishibashi T, Asahina S, Furuya K. Computerized tomographic analysis of tibial tubercle position in the painful female patellofemoral joint. Am J Sports Med 1994; 22:67–71.PubMed
6.
Zurück zum Zitat Ficat P, Ficat C, Bailleux A. Syndrome d’hyperpression externe de la rotule (SHPE). Son interet pour la connaissance de l’arthrose. Rev Chir Orthop 1975; 61:39–59. Ficat P, Ficat C, Bailleux A. Syndrome d’hyperpression externe de la rotule (SHPE). Son interet pour la connaissance de l’arthrose. Rev Chir Orthop 1975; 61:39–59.
7.
Zurück zum Zitat Seedholm B, Takeda T, Tsubuku M, Wright V. Mechanical factors and patellofemoral osteoarthrosis. Ann Rheum Dis 1979; 38:307–316.PubMed Seedholm B, Takeda T, Tsubuku M, Wright V. Mechanical factors and patellofemoral osteoarthrosis. Ann Rheum Dis 1979; 38:307–316.PubMed
8.
Zurück zum Zitat Oberlander M, Baker C, Morgan B. Patellofemoral arthrosis: treatment options. Am J Orthop 1998; 27:263–270.PubMed Oberlander M, Baker C, Morgan B. Patellofemoral arthrosis: treatment options. Am J Orthop 1998; 27:263–270.PubMed
9.
Zurück zum Zitat Aglietti P, Buzzi R, De Biase P, Giron F. Surgical treatment of recurrent dislocation of the patella. Clin Orthop 1994; 308:8-17.PubMed Aglietti P, Buzzi R, De Biase P, Giron F. Surgical treatment of recurrent dislocation of the patella. Clin Orthop 1994; 308:8-17.PubMed
10.
Zurück zum Zitat McNally E, Ostlere S, Pal C, Phillips A, Reid H, Dodd C. Assessment of patellar maltracking using combined static and dynamic MRI. Eur Radiol 2000; 10:1051–1055.CrossRefPubMed McNally E, Ostlere S, Pal C, Phillips A, Reid H, Dodd C. Assessment of patellar maltracking using combined static and dynamic MRI. Eur Radiol 2000; 10:1051–1055.CrossRefPubMed
11.
Zurück zum Zitat Stanford W, Phelan J, Kathol M, et al. Patellofemoral joint motion: evaluation by ultrafast computed tomography. Skeletal Radiol 1988; 17:487–492.PubMed Stanford W, Phelan J, Kathol M, et al. Patellofemoral joint motion: evaluation by ultrafast computed tomography. Skeletal Radiol 1988; 17:487–492.PubMed
12.
Zurück zum Zitat Fulkerson J. The etiology of patellofemoral pain in the young, active patients: a prospective study. Clin Orthop 1983; 179:129–133.PubMed Fulkerson J. The etiology of patellofemoral pain in the young, active patients: a prospective study. Clin Orthop 1983; 179:129–133.PubMed
13.
Zurück zum Zitat McNally E. Imaging assessment of anterior knee pain and patellar maltracking. Skeletal Radiol 2001; 30:484–495.CrossRefPubMed McNally E. Imaging assessment of anterior knee pain and patellar maltracking. Skeletal Radiol 2001; 30:484–495.CrossRefPubMed
14.
Zurück zum Zitat Dye S, Vaupel G. The pathophysiology of patellofemoral pain. Sports Med Arthrosc Rev 1994; 2:203–210. Dye S, Vaupel G. The pathophysiology of patellofemoral pain. Sports Med Arthrosc Rev 1994; 2:203–210.
15.
Zurück zum Zitat Kannus P, Natri A, Paakkala T, Jarvinen M. An outcome study of chronic patellofemoral pain syndrome. J Bone Joint Surg Am 1999; 81:355–363.PubMed Kannus P, Natri A, Paakkala T, Jarvinen M. An outcome study of chronic patellofemoral pain syndrome. J Bone Joint Surg Am 1999; 81:355–363.PubMed
16.
Zurück zum Zitat Tria A, Palumbo R, Alicea J. Conservative care for patellofemoral pain. Orthop Clin North Am 1992; 23:545–554.PubMed Tria A, Palumbo R, Alicea J. Conservative care for patellofemoral pain. Orthop Clin North Am 1992; 23:545–554.PubMed
17.
Zurück zum Zitat Nagamine R, Miura H, Inoue Y, et al. Malposition of the tibial tubercle during flexion in knees with patellofemoral arthritis. Skeletal Radiol 1997; 26:597–601.CrossRefPubMed Nagamine R, Miura H, Inoue Y, et al. Malposition of the tibial tubercle during flexion in knees with patellofemoral arthritis. Skeletal Radiol 1997; 26:597–601.CrossRefPubMed
18.
Zurück zum Zitat Remy F, Chantelot C, Fontaine C, Demondion X, Migaud H, Gougeon F. Inter- and intraobserver reproducibility in radiographic diagnosis and classification of femoral trochlear dysplasia. Surg Radiol Anat 1998; 20:285–289.PubMed Remy F, Chantelot C, Fontaine C, Demondion X, Migaud H, Gougeon F. Inter- and intraobserver reproducibility in radiographic diagnosis and classification of femoral trochlear dysplasia. Surg Radiol Anat 1998; 20:285–289.PubMed
19.
Zurück zum Zitat Beaconsfield T, Pintore E, Maffulli N, Petri G. Radiological measurements in patellofemoral disorders. Clin Orthop 1994; 308:18–28.PubMed Beaconsfield T, Pintore E, Maffulli N, Petri G. Radiological measurements in patellofemoral disorders. Clin Orthop 1994; 308:18–28.PubMed
20.
Zurück zum Zitat Murray T, Dupont JY, Fulkerson J. Axial and lateral radiographs in evaluating patellofemoral malalignment. Am J Sports Med 1999; 27:580–584.PubMed Murray T, Dupont JY, Fulkerson J. Axial and lateral radiographs in evaluating patellofemoral malalignment. Am J Sports Med 1999; 27:580–584.PubMed
21.
Zurück zum Zitat Daenen B, Ferrara M, Marcelis S, Dondelinger R. Evaluation of patellar cartilage surface lesions: comparison of CT-arthrography and fat-suppressed FLASH 3D MR imaging. Eur Radiol 1998; 8:981–985.CrossRefPubMed Daenen B, Ferrara M, Marcelis S, Dondelinger R. Evaluation of patellar cartilage surface lesions: comparison of CT-arthrography and fat-suppressed FLASH 3D MR imaging. Eur Radiol 1998; 8:981–985.CrossRefPubMed
22.
Zurück zum Zitat Gagliardi J, Chung E, Chandnani V, et al. Detection and staging of chondromalacia patellae: relative efficacies of conventional MR imaging, MR arthrography and CT arthrography. AJR Am J Roentgenol 1994; 163:629–636.PubMed Gagliardi J, Chung E, Chandnani V, et al. Detection and staging of chondromalacia patellae: relative efficacies of conventional MR imaging, MR arthrography and CT arthrography. AJR Am J Roentgenol 1994; 163:629–636.PubMed
23.
Zurück zum Zitat Brown S, Bradley W. Kinematic magnetic resonance imaging of the knee. MRI Clin North Am 1994; 2:441–449. Brown S, Bradley W. Kinematic magnetic resonance imaging of the knee. MRI Clin North Am 1994; 2:441–449.
24.
Zurück zum Zitat Shea K, Fulkerson J. Preoperative computed tomography scanning and arthroscopy in predicting outcome after lateral retinacular release. Arthroscopy 1992; 8:327–334.CrossRefPubMed Shea K, Fulkerson J. Preoperative computed tomography scanning and arthroscopy in predicting outcome after lateral retinacular release. Arthroscopy 1992; 8:327–334.CrossRefPubMed
25.
Zurück zum Zitat Hughston J, Walsh W, Puddu G. Chondromalacia and other extensor mechanism disorders. In: Patellar subluxation and dislocation. Philadelphia: WB Saunders, 1984:155–186. Hughston J, Walsh W, Puddu G. Chondromalacia and other extensor mechanism disorders. In: Patellar subluxation and dislocation. Philadelphia: WB Saunders, 1984:155–186.
26.
Zurück zum Zitat Ficat R, Hungerford D. Patellofemoral arthrosis. In: Disorders of the patellofemoral joint. Baltimore: Williams and Wilkins, 1977:183–193. Ficat R, Hungerford D. Patellofemoral arthrosis. In: Disorders of the patellofemoral joint. Baltimore: Williams and Wilkins, 1977:183–193.
27.
Zurück zum Zitat Fulkerson J, Tennant R, Jaivin J, Grunnet M. Histologic evidence of retinacular nerve injury associated with patellofemoral malalignment. Clin Orthop 1985; 197:196–205.PubMed Fulkerson J, Tennant R, Jaivin J, Grunnet M. Histologic evidence of retinacular nerve injury associated with patellofemoral malalignment. Clin Orthop 1985; 197:196–205.PubMed
28.
Zurück zum Zitat Muhle C, Brossmann J, Heller M. Kinematic CT and MR imaging of the patellofemoral joint. Eur Radiol 1999; 9:508–518.CrossRefPubMed Muhle C, Brossmann J, Heller M. Kinematic CT and MR imaging of the patellofemoral joint. Eur Radiol 1999; 9:508–518.CrossRefPubMed
29.
Zurück zum Zitat Biedert R, Gruhl C. Axial computed tomography of the patellofemoral joint with and without quadriceps contraction. Arch Orthop Trauma Surg 1997; 116:77–82.CrossRefPubMed Biedert R, Gruhl C. Axial computed tomography of the patellofemoral joint with and without quadriceps contraction. Arch Orthop Trauma Surg 1997; 116:77–82.CrossRefPubMed
30.
Zurück zum Zitat Walker C, Cassar-Pullicino V, Vaisha R, McCall I. The patellofemoral joint: a critical appraisal of its geometric assessment utilizing conventional axial radiography and computed arthro-tomography. Br J Radiol 1993; 66:755–761.PubMed Walker C, Cassar-Pullicino V, Vaisha R, McCall I. The patellofemoral joint: a critical appraisal of its geometric assessment utilizing conventional axial radiography and computed arthro-tomography. Br J Radiol 1993; 66:755–761.PubMed
31.
Zurück zum Zitat Bergmann A, Fredericson M. MR imaging of stress reactions, muscle injuries and other overuse injuries in runners. MRI Clin North Am 1999; 7:151–174. Bergmann A, Fredericson M. MR imaging of stress reactions, muscle injuries and other overuse injuries in runners. MRI Clin North Am 1999; 7:151–174.
32.
Zurück zum Zitat Shellock F, Mink J, Deutsch A, Foo K, Sullenberger P. Patellofemoral joint: identification of abnormalities with active movement, “unloaded” versus “loaded” kinematic MR imaging techniques. Radiology 1993; 188:575–578.PubMed Shellock F, Mink J, Deutsch A, Foo K, Sullenberger P. Patellofemoral joint: identification of abnormalities with active movement, “unloaded” versus “loaded” kinematic MR imaging techniques. Radiology 1993; 188:575–578.PubMed
33.
Zurück zum Zitat Brossmann J, Muhle C, Schroder C, et al. Patellar tracking patterns during active and passive knee extension: evaluation with motion-triggered cine MR imaging. Radiology 1993; 187:205–212.PubMed Brossmann J, Muhle C, Schroder C, et al. Patellar tracking patterns during active and passive knee extension: evaluation with motion-triggered cine MR imaging. Radiology 1993; 187:205–212.PubMed
34.
Zurück zum Zitat Schutzer S, Ramsby G, Fulkerson J. The evaluation on patellofemoral pain using computerized tomography. Clin Orthop 1986; 204:286–293.PubMed Schutzer S, Ramsby G, Fulkerson J. The evaluation on patellofemoral pain using computerized tomography. Clin Orthop 1986; 204:286–293.PubMed
35.
Zurück zum Zitat Brossmann J, Muhle C, Bull C, et al. Evaluation of patellar tracking in patients with suspected malalignment: cine MR imaging vs. arthroscopy. AJR Am J Roentgenol 1994; 162:361–367.PubMed Brossmann J, Muhle C, Bull C, et al. Evaluation of patellar tracking in patients with suspected malalignment: cine MR imaging vs. arthroscopy. AJR Am J Roentgenol 1994; 162:361–367.PubMed
36.
Zurück zum Zitat Delgado-Martins H. A study of the position of the patella using computerised tomography. J Bone Joint Surg Br 1979; 61:443–444. Delgado-Martins H. A study of the position of the patella using computerised tomography. J Bone Joint Surg Br 1979; 61:443–444.
37.
Zurück zum Zitat Martinez M, Korobkin M, Fondren F, Hedlund L, Goldner J. Computed tomography of the normal patellofemoral joint. Invest Radiol 1983; 18:249–253.PubMed Martinez M, Korobkin M, Fondren F, Hedlund L, Goldner J. Computed tomography of the normal patellofemoral joint. Invest Radiol 1983; 18:249–253.PubMed
38.
Zurück zum Zitat Kujala U, Osterman K, Kormarno M, Komu M, Schlenzka D. Patellar motion analyzed by magnetic resonance imaging. Acta Orthop Scand 1989; 60:13–16.PubMed Kujala U, Osterman K, Kormarno M, Komu M, Schlenzka D. Patellar motion analyzed by magnetic resonance imaging. Acta Orthop Scand 1989; 60:13–16.PubMed
39.
Zurück zum Zitat Shellock F, Mink J, Deutsch A, Fox J. Patellar tracking abnormalities: clinical experience with kinematic MR imaging in 130 patients. Radiology 1989; 172:799–804.PubMed Shellock F, Mink J, Deutsch A, Fox J. Patellar tracking abnormalities: clinical experience with kinematic MR imaging in 130 patients. Radiology 1989; 172:799–804.PubMed
40.
Zurück zum Zitat Shellock F, Foo T, Deutsch A, Mink J. Patellofemoral joint: evaluation during active flexion with ultrafast spoiled GRASS MR imaging. Radiology 1991; 180:581–585.PubMed Shellock F, Foo T, Deutsch A, Mink J. Patellofemoral joint: evaluation during active flexion with ultrafast spoiled GRASS MR imaging. Radiology 1991; 180:581–585.PubMed
41.
Zurück zum Zitat Shellock F, Mink J, Fox J. Patellofemoral joint: kinematic MR imaging to assess tracking abnormalities. Radiology 1988; 168:551–553.PubMed Shellock F, Mink J, Fox J. Patellofemoral joint: kinematic MR imaging to assess tracking abnormalities. Radiology 1988; 168:551–553.PubMed
Metadaten
Titel
Evaluation of patellar tracking in symptomatic and asymptomatic individuals by magnetic resonance imaging
verfasst von
P. O’Donnell
C. Johnstone
M. Watson
E. McNally
S. Ostlere
Publikationsdatum
01.03.2005
Verlag
Springer-Verlag
Erschienen in
Skeletal Radiology / Ausgabe 3/2005
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-004-0867-6

Weitere Artikel der Ausgabe 3/2005

Skeletal Radiology 3/2005 Zur Ausgabe

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Medizinstudium Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.