Cartilage status in knees with recurrent patellar instability using magnetic resonance imaging T2 relaxation time value

Verfasser / Beitragende:
[Xiaodong Chen, De Li, Wei Wang, Hanlong Xin, Yue Wang, Jianhua Wang]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/8(2015-08-01), 2292-2296
Format:
Artikel (online)
ID: 605459231
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024 7 0 |a 10.1007/s00167-014-3036-z  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3036-z 
245 0 0 |a Cartilage status in knees with recurrent patellar instability using magnetic resonance imaging T2 relaxation time value  |h [Elektronische Daten]  |c [Xiaodong Chen, De Li, Wei Wang, Hanlong Xin, Yue Wang, Jianhua Wang] 
520 3 |a Purpose: The purpose of the study was to analyse the patellar status in patients with recurrent patellar instability and in healthy controls using magnetic resonance imaging (MRI). Methods: One hundred and thirteen patients with patellar instability (patellar instability group) and 50 healthy controls (control group) were studied. All patients underwent computed tomography (CT) to measure the patellofemoral joint anatomy. Meanwhile, MRI was used to investigate cartilage status and to determine the T2 relaxation time value of the patellar cartilage plate. The mean values of these parameters for the patellar instability group and the control group were compared. Results: The CT images of the patellar instability group revealed greatly abnormal anatomy of the patellofemoral joint compared with the control group. By MRI assessment, 32 patients were determined to have a cartilage defect, which was confirmed under arthroscopy. Among the other 81 patients, the T2 relaxation time value of the patellar instability group was significantly higher than that of the control group on the middle (p=0.032) or medial sites (p=0.041) of the patellar cartilage. Conclusions: The patellar instability group exhibits a higher risk of cartilage lesions with abnormal patellofemoral joint anatomy. MRI may enable early detection of these cartilage defects within the patellofemoral joint, enabling clinicians to adopt strategies to delay or prevent cartilage degeneration. Level of evidence: III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Patellar instability  |2 nationallicence 
690 7 |a Patellofemoral joint  |2 nationallicence 
690 7 |a Cartilage  |2 nationallicence 
690 7 |a Magnetic resonance imaging  |2 nationallicence 
690 7 |a CT  |2 nationallicence 
690 7 |a Arthroscopy  |2 nationallicence 
700 1 |a Chen  |D Xiaodong  |u Department of Orthopaedic Surgery, Shanghai Jiao Tong University Xinhua Hospital, 1665# Kongjiang Rd, 200092, Shanghai, People's Republic of China  |4 aut 
700 1 |a Li  |D De  |u Department of Orthopaedic Surgery, Shanghai Jiao Tong University Xinhua Hospital, 1665# Kongjiang Rd, 200092, Shanghai, People's Republic of China  |4 aut 
700 1 |a Wang  |D Wei  |u Department of Orthopaedic Surgery, Shanghai Jiao Tong University Xinhua Hospital, 1665# Kongjiang Rd, 200092, Shanghai, People's Republic of China  |4 aut 
700 1 |a Xin  |D Hanlong  |u Department of Orthopaedic Surgery, Shanghai Jiao Tong University Xinhua Hospital, 1665# Kongjiang Rd, 200092, Shanghai, People's Republic of China  |4 aut 
700 1 |a Wang  |D Yue  |u Department of Orthopaedic Surgery, Shanghai Jiao Tong University Xinhua Hospital, 1665# Kongjiang Rd, 200092, Shanghai, People's Republic of China  |4 aut 
700 1 |a Wang  |D Jianhua  |u Department of Orthopaedic Surgery, Shanghai Jiao Tong University Xinhua Hospital, 1665# Kongjiang Rd, 200092, Shanghai, People's Republic of China  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2292-2296  |x 0942-2056  |q 23:8<2292  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3036-z  |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/s00167-014-3036-z  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chen  |D Xiaodong  |u Department of Orthopaedic Surgery, Shanghai Jiao Tong University Xinhua Hospital, 1665# Kongjiang Rd, 200092, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Li  |D De  |u Department of Orthopaedic Surgery, Shanghai Jiao Tong University Xinhua Hospital, 1665# Kongjiang Rd, 200092, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Wei  |u Department of Orthopaedic Surgery, Shanghai Jiao Tong University Xinhua Hospital, 1665# Kongjiang Rd, 200092, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Xin  |D Hanlong  |u Department of Orthopaedic Surgery, Shanghai Jiao Tong University Xinhua Hospital, 1665# Kongjiang Rd, 200092, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Yue  |u Department of Orthopaedic Surgery, Shanghai Jiao Tong University Xinhua Hospital, 1665# Kongjiang Rd, 200092, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Jianhua  |u Department of Orthopaedic Surgery, Shanghai Jiao Tong University Xinhua Hospital, 1665# Kongjiang Rd, 200092, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2292-2296  |x 0942-2056  |q 23:8<2292  |1 2015  |2 23  |o 167