Subclinical cartilage degeneration in young athletes with posterior cruciate ligament injuries detected with T1ρ magnetic resonance imaging mapping

Verfasser / Beitragende:
[Ken Okazaki, Yukihisa Takayama, Kanji Osaki, Yoshio Matsuo, Hideki Mizu-uchi, Satoshi Hamai, Hiroshi Honda, Yukihide Iwamoto]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/10(2015-10-01), 3094-3100
Format:
Artikel (online)
ID: 60545857X
LEADER caa a22 4500
001 60545857X
003 CHVBK
005 20210128100229.0
007 cr unu---uuuuu
008 210128e20151001xx s 000 0 eng
024 7 0 |a 10.1007/s00167-014-3469-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3469-4 
245 0 0 |a Subclinical cartilage degeneration in young athletes with posterior cruciate ligament injuries detected with T1ρ magnetic resonance imaging mapping  |h [Elektronische Daten]  |c [Ken Okazaki, Yukihisa Takayama, Kanji Osaki, Yoshio Matsuo, Hideki Mizu-uchi, Satoshi Hamai, Hiroshi Honda, Yukihide Iwamoto] 
520 3 |a Purpose: Prediction of the risk of osteoarthritis in asymptomatic active patients with an isolated injury of the posterior cruciate ligament (PCL) is difficult. T1ρ magnetic resonance imaging (MRI) enables the quantification of the proteoglycan content in the articular cartilage. The purpose of this study was to evaluate subclinical cartilage degeneration in asymptomatic young athletes with chronic PCL deficiency using T1ρ MRI. Methods: Six athletes with chronic PCL deficiency (median age 17, range 14-36years) and six subjects without any history of knee injury (median age 31.5, range 24-33years) were recruited. Regions of interest were placed on the articular cartilage of the tibia and the distal and posterior areas of the femoral condyle, and T1ρ values were calculated. Results: On stress radiographs, the mean side-to-side difference in posterior laxity was 9.8mm. The T1ρ values at the posterior area of the lateral femoral condyle and the superficial layer of the distal area of the medial and lateral femoral condyle of the patients were significantly increased compared with those of the normal controls (p<0.05). At the tibial plateau, the T1ρ values in both the medial and lateral compartments were significantly higher in patients compared with those in the normal controls (p<0.05). Conclusion: T1ρ MRI detected unexpected cartilage degeneration in the well-functioning PCL-deficient knees of young athletes. One should be alert to the possibility of subclinical cartilage degeneration even in asymptomatic patients who show no degenerative changes on plain radiographs or conventional MRI. Level of evidence: IV. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a Posterior cruciate ligament (PCL)  |2 nationallicence 
690 7 |a Conservative treatment  |2 nationallicence 
690 7 |a Osteoarthritis  |2 nationallicence 
690 7 |a Cartilage  |2 nationallicence 
690 7 |a Magnetic resonance imaging (MRI)  |2 nationallicence 
700 1 |a Okazaki  |D Ken  |u Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812-0054, Fukuoka, Japan  |4 aut 
700 1 |a Takayama  |D Yukihisa  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
700 1 |a Osaki  |D Kanji  |u Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812-0054, Fukuoka, Japan  |4 aut 
700 1 |a Matsuo  |D Yoshio  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
700 1 |a Mizu-uchi  |D Hideki  |u Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812-0054, Fukuoka, Japan  |4 aut 
700 1 |a Hamai  |D Satoshi  |u Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812-0054, Fukuoka, Japan  |4 aut 
700 1 |a Honda  |D Hiroshi  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
700 1 |a Iwamoto  |D Yukihide  |u Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812-0054, Fukuoka, Japan  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 3094-3100  |x 0942-2056  |q 23:10<3094  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3469-4  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3469-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Okazaki  |D Ken  |u Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812-0054, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takayama  |D Yukihisa  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Osaki  |D Kanji  |u Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812-0054, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Matsuo  |D Yoshio  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mizu-uchi  |D Hideki  |u Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812-0054, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hamai  |D Satoshi  |u Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812-0054, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Honda  |D Hiroshi  |u Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Iwamoto  |D Yukihide  |u Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812-0054, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 3094-3100  |x 0942-2056  |q 23:10<3094  |1 2015  |2 23  |o 167