nach oben

Skeletal Radiology

Erschienen in:

01.08.2013 | Scientific Article

Prevalence and clinical significance of chondromalacia isolated to the anterior margin of the lateral femoral condyle as a component of patellofemoral disease: observations at MR imaging

verfasst von: V. O. Chan, D. E. Moran, I. Mwangi, S. J. Eustace

Erschienen in: Skeletal Radiology | Ausgabe 8/2013

Einloggen, um Zugang zu erhalten

Abstract

Objective

To determine the prevalence of chondromalacia isolated to the anterior margin of the lateral femoral condyle as a component of patellofemoral disease in patients with anterior knee pain and to correlate it with patient demographics, patellar shape, and patellofemoral alignment.

Materials and methods

Retrospective study over a 1-year period reviewing the MR knee examinations of all patients who were referred for assessment of anterior knee pain. Only patients with isolated lateral patellofemoral disease were included. Age, gender, distribution of lateral patellofemoral chondromalacia, and grade of cartilaginous defects were documented for each patient. Correlation between the distribution of lateral patellofemoral chondromalacia and patient demographics, patellar shape, and indices of patellar alignment (femoral sulcus angle and modified Q angle) was then ascertained.

Results

There were 50 patients (22 males, 28 females) with anterior knee pain and isolated patellofemoral disease. The majority of the patients (78 %) had co-existent disease with grade 1 chondromalacia. No significant correlation was found between patients with chondromalacia isolated to the anterior margin of the lateral femoral condyle and age, gender, patellar shape, or modified Q angle (p > 0.05). However, patients with chondromalacia isolated to the anterior margin of the lateral femoral condyle had a shallower femoral sulcus angle (mean 141.8°) compared to the patients with lateral patellar facet disease (mean 133.8°) (p = 0.002).

Conclusions

A small percentage of patients with anterior knee pain have chondromalacia isolated to the anterior margin of the lateral femoral condyle. This was associated with a shallower femoral sulcus angle.

Conway WF, Hayes CW, Loughran T, et al. Cross-sectional imaging of the patellofemoral joint and surrounding structures. Radiographics. 1991;11(2):195–217.PubMed

Pihlajamaki HK, Kuikka PI, Leppanen VV, Kiuru MJ, Mattila VM. Reliability of clinical findings and magnetic resonance imaging for the diagnosis of chondromalacia patellae. J Bone Joint Surg Am. 2010;92(4):927–34.PubMedCrossRef

Kettunen JA, Visuri T, Harilainen A, Sandelin J, Kujala UM. Primary cartilage lesions and outcome among subjects with patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc. 2005;13(2):131–4.PubMedCrossRef

Elias DA, White LM. Imaging of patellofemoral disorders. Clin Radiol. 2004;59(7):543–57.PubMedCrossRef

Harilainen A, Lindroos M, Sandelin J, Tallroth K, Kujala UM. Patellofemoral relationships and cartilage breakdown. Knee Surg Sports Traumatol Arthrosc. 2005;13(2):142–4.PubMedCrossRef

Tanamas SK, Teichtahl AJ, Wluka AE, et al. The associations between indices of patellofemoral geometry and knee pain and patella cartilage volume: a cross-sectional study. BMC Musculoskelet Disord. 2010;11:87.PubMedCrossRef

Jackson AM. Anterior knee pain. J Bone Joint Surg Br. 2001;83(7):937–48.PubMedCrossRef

Christian SR, Anderson MB, Workman R. Imaging of anterior knee pain. Clin Sports Med. 2006;25(4):681–702.PubMedCrossRef

Hanna FS, Bell RJ, Davis SR, et al. Factors affecting patella cartilage and bone in middle-aged women. Arthritis Rheum. 2007;57(2):272–8.PubMedCrossRef

10.

Wijayaratne SP, Teichtahl AJ, Wluka AE, et al. The determinants of change in patella cartilage volume—a cohort study of healthy middle-aged women. Rheumatology. 2008;47(9):1426–9.PubMedCrossRef

11.

Chan WP, Lang P, Stevens MP, et al. Osteoarthritis of the knee: comparison of radiography, CT, and MR imaging to assess extent and severity. AJR. 1991;157(4):799–806.PubMedCrossRef

12.

Kornaat PR, Bloem JL, Ceulemans RY, et al. Osteoarthritis of the knee: association between clinical features and MR imaging findings. Radiology. 2006;239(3):811–7.PubMedCrossRef

13.

Brennan SL, Cicuttini FM, Shortreed S, et al. Women lose patella cartilage at a faster rate than men: a 4.5-year cohort study of subjects with knee OA. Maturitas. 2010;67(3):270–4.PubMedCrossRef

14.

Kalichman L, Zhu Y, Zhang Y, et al. The association between patella alignment and knee pain and function: an MRI study in persons with symptomatic knee osteoarthritis. Osteoarthr Cartil. 2007;15(11):1235–40.PubMedCrossRef

15.

Sowers M, Karvonen-Gutierrez CA, Jacobson JA, Jiang Y, Yosef M. Associations of anatomical measures from MRI with radiographically defined knee osteoarthritis score, pain and physical functioning. J Bone Joint Surg Am. 2011;93(3):241–51.PubMedCrossRef

16.

Llopis E, Padron M. Anterior knee pain. Eur J Radiol. 2007;62(1):27–43.PubMedCrossRef

17.

Teichtahl AJ, Wluka AE, Cicuttini FM. Frontal plane knee alignment is associated with a longitudinal reduction in patella cartilage volume in people with knee osteoarthritis. Osteoarthr Cartil. 2008;16(7):851–4.PubMedCrossRef

18.

Teichtahl AJ, Parkins K, Hanna F, et al. The relationship between the angle of the trochlear groove and patella cartilage and bone morphology—a cross-sectional study of healthy adults. Osteoarthr Cartil. 2007;15(10):1158–62.PubMedCrossRef

19.

Kalichman L, Zhang Y, Niu J, et al. The association between patellar alignment and patellofemoral joint osteoarthritis features—an MRI study. Rheumatology. 2007;46(8):1303–8.PubMedCrossRef

20.

Wiberg G. Roentgenographic and anatomic studies on the femoropatellar joint. Acta Orthop Scand. 1941;12:319–410.CrossRef

21.

Tecklenburg K, Dejour D, Hoser C, Fink C. Bony and cartilaginous anatomy of the patellofemoral joint. Knee Surg Sports Traumatol Arthrosc. 2006;14(3):235–40.PubMedCrossRef

22.

Endo Y, Schweitzer ME, Bordalo-Rodrigues M, Rokito AS, Babb JS. MRI quantitative morphologic analysis of patellofemoral region: lack of correlation with chondromalacia patellae at surgery. AJR. 2007;189(5):1165–8.PubMedCrossRef

23.

Boegard TL, Rudling O, Petersson IF, Jonsson K. Distribution of MR-detected cartilage defects of the patellofemoral joint in chronic knee pain. Osteoarthr Cartil. 2003;11(7):494–8.PubMedCrossRef

24.

Cicuttini F, Wluka A, Wang Y, Stuckey S. The determinants of change in patellar cartilage volume in osteoarthritic knees. J Rhuematol. 2002;29(12):2615–9.

25.

Karvonen RL, Negendank WG, Teitge RA, Reed AH, Miller PR, Fernandez-Madrid F. Factors affecting articular cartilage thickness in osteoarthritis and aging. J Rheumatol. 1994;21(7):1310–8.PubMed

26.

Hanna F, Wluka AE, Ebeling PR, O’Sullivan R, Davis SR, Cicuttini FM. Determinants of change in patella cartilage volume in healthy subjects. J Rheumatol. 2006;33(8):1658–61.PubMed

27.

Ding C, Cicuttini F, Scott F, Cooley H, Jones G. Association between age and knee structural change: a cross-sectional MRI-based study. Ann Rheum Dis. 2005;64(4):549–55.PubMedCrossRef

28.

McAlindon T, Snow S, Cooper C, Dieppe PA. Radiographic patterns of osteoarthritis of the knee joint in the community: the importance of the patellofemoral joint. Ann Rheum Dis. 1992;51(7):844–9.PubMedCrossRef

29.

Hunter DJ, Niu J, Zhang Y, et al. Knee height, knee pain, and knee osteoarthritis: the Beijing osteoarthritis study. Arthritis Rheum. 2005;52(5):1418–23.PubMedCrossRef

30.

Insall J, Falvo KA, Wise DW. Chondromalacia patellae: a prospective study. J Bone Joint Surg Am. 1976;58(1):1–8.PubMed

31.

Davies-Tuck M, Teichtahl AJ, Wluka AE, et al. Femoral sulcus angle and increased patella facet cartilage volume in an osteoarthritic population. Osteoarthr Cartil. 2008;16(1):131–5.PubMedCrossRef

32.

Yang B, Tan H, Yang L, Dai G, Guo B. Correlating anatomy and congruence of the patellofemoral joint with cartilage lesions. Orthopedics. 2009;32(1):20.PubMedCrossRef

33.

Dowd GS, Bentley G. Radiographic assessment in patellar instability and chondromalacia patellae. J Bone Joint Surg Br. 1986;68(2):297–300.PubMed

34.

Elahi S, Cahue S, Felson DT, Engelman L, Sharma L. The association between varus-valgus alignment and patellofemoral osteoarthritis. Arthritis Rheum. 2000;43(8):1874–80.PubMedCrossRef

35.

Fairbank JC, Pynsent PB, van Poortvliet JA, Phillips H. Mechanical factors in the incidence of knee pain in adolescents and young adults. J Bone Joint Surg Br. 1984;66(5):685–93.PubMed

36.

Peterfy CG. Scratching the surface: articular cartilage disorders in the knee. Magn Reson Imaging Clin N Am. 2000;8(2):409–30.PubMed

37.

Vincken PW, ter Braak BP, van Erkell AR, et al. Effectiveness of MR imaging in selection of patients for arthroscopy of the knee. Radiology. 2002;223(3):739–46.PubMedCrossRef

38.

Bredella MA, Tirman PF, Peterfy CG. Accuracy of T2-weighted fast spin-echo MR imaging with fat saturation in detecting cartilage defects in the knee: comparison with arthroscopy in 130 patients. AJR. 1999;172(4):1073–80.PubMedCrossRef

39.

Stefanik JJ, Zhu Y, Zumwalt AC, et al. Association between patella alta and the prevalence and worsening of structural features of patellofemoral joint osteoarthritis: the multicenter osteoarthritis study. Arthritis Care Res. 2010;62(9):1258–65.CrossRef

40.

von Engelhardt LV, Lahner M, Klussmann A, et al. Arthroscopy vs. MRI for a detailed assessment of cartilage disease in osteoarthritis: diagnostic value of MRI in clinical practice. BMC Musculoskelet Disord. 2010;11:75.CrossRef

41.

Ward SR, Terk MR, Powers CM. Patella alta: association with patellofemoral alignment and changes in contact area during weight-bearing. J Bone Joint Surg Am. 2007;89(8):1749–55.PubMedCrossRef

42.

Ali SA, Helmer R, Terk MR. Patella alta: lack of correlation between patellotrochlear cartilage congruence and commonly used patellar height ratios. AJR. 2009;193(5):1361–6.PubMedCrossRef

43.

Ali SA, Helmer R, Terk MR. Analysis of the patellofemoral region on MRI: association of abnormal trochlear morphology with severe cartilage defects. AJR. 2010;194(3):721–7.PubMedCrossRef

44.

Powers CM. Patellar kinematics, part II: the influence of the depth of the trochlear groove in subjects with and without patellofemoral pain. Phys Ther. 2000;80(10):965–78.PubMed

45.

Boden BP, Pearsall AW, Garrett Jr WE, Feagin Jr JA. Patellofemoral instability: evaluation and management. J Am Acad Orthop Surg. 1997;5(1):47–57.PubMed

46.

Fulkerson JP. Disorders of the patellofemoral joint. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2004. p. 129–42. 239–253.

Titel: Prevalence and clinical significance of chondromalacia isolated to the anterior margin of the lateral femoral condyle as a component of patellofemoral disease: observations at MR imaging
verfasst von: V. O. Chan
D. E. Moran
I. Mwangi
S. J. Eustace
Publikationsdatum: 01.08.2013
Verlag: Springer-Verlag
Erschienen in: Skeletal Radiology / Ausgabe 8/2013
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-013-1640-5

Neu im Fachgebiet Radiologie

18.04.2024 | Pädiatrische Notfallmedizin | Nachrichten

Update Radiologie

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

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Prevalence and clinical significance of chondromalacia isolated to the anterior margin of the lateral femoral condyle as a component of patellofemoral disease: observations at MR imaging

Abstract

Objective

Materials and methods

Results

Conclusions

Neu im Fachgebiet Radiologie

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Quantitative Angiografie könnte IVUS-Alternative darstellen

Update Radiologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Objective

Materials and methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2013

Hibernoma: comparing imaging appearance with more commonly encountered benign or low-grade lipomatous neoplasms

ShearWave elastography: repeatability for measurement of tendon stiffness

Real-time sonoelastography of Achilles tendon in patients with ankylosing spondylitis

MPR realignment increases accuracy when measuring femoral neck anteversion angle

Ewing sarcoma versus osteomyelitis: differential diagnosis with magnetic resonance imaging

Lumps and bumps around the foot and ankle: an assessment of frequency with ultrasound and MRI

Neu im Fachgebiet Radiologie

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Quantitative Angiografie könnte IVUS-Alternative darstellen

Update Radiologie