A New Perspective to Assess Patellar Surface-Trochlear Sulcus Compatibility: Narrowed Patellar Angle is Associated with Greater Trochlear Sulcus Angle

Gülşen Yücel Oğuzdoğan; Fatma Zeynep Arslan

Article Details

A New Perspective to Assess Patellar Surface-Trochlear Sulcus Compatibility: Narrowed Patellar Angle is Associated with Greater Trochlear Sulcus Angle

Authors:

Gülşen Yücel Oğuzdoğan | Fatma Zeynep Arslan

Publisher:

Marmara University

Main Topics:

Health Care Administration

Journal:

Clinical and Experimental Health Sciences Vol.14 Issue 2, pp.531-537

Document Type:

Article

Publication Date:

6/2024

Document Language:

English

Document ID (Org No.):

2001321230

pISSN:

2459-1459

Keywords:

Abstract:

 Objective: In this study, the relationship between patella angle - trochlear sulcus angle TSA discrepancy was investigated. A specific cutoff value of patella angle PA, TSA, trochlear groove depth TGD, and medial trochlearlateral trochlear length MTLT ratio for effusion, fat-pad edema, chondromalacia, meniscal and ligament tear were investigated. By doing so, to the best of our knowledge, we bridged the gap in literature since these relationships between the above-mentioned measurements have almost never been examined. Methods: A total of 446. patients were evaluated on magnetic resonance imaging. PA and TSA were calculated with. the highest specificity and sensitivity in predicting effusion, fat-pad edema, and patellar chondromalacia. A specific cutoff value of PA, TSA, TGD and MTLT for effusion, fat-pad edema, chondromalacia, meniscal tear, and ligament tear were investigated. Results: A low-level and insignificant correlation was found between PA and TSA in the negative direction. TSA value. with the highest sensitivity and specificity in predicting the presence of effusion, fat-pad, and chondromalacia was found 131, 129.6, and 125.8, respectively. Tibial tubercle-trochlear groove TT-TG distance. measurement was significantly less in the group with Medial Meniscus MM rupture. Increased TT-TG distance posed a risk for quadriceps tendinosis 1.127 times and increased medial trochlea length MT posed a risk for quadriceps tendinosis 1.167 times. Conclusion: Certain cutoff values of PA and TSA may predispose risk for meniscal tear, effusion, fat-pad edema, and chondromalacia. A negative correlation was present between the patella angle and TSA.

 Objective: In this study, the relationship between patella angle - trochlear sulcus angle TSA discrepancy was investigated. A specific cutoff value of patella angle PA, TSA, trochlear groove depth TGD, and medial trochlearlateral trochlear length MTLT ratio for effusion, fat-pad edema, chondromalacia, meniscal and ligament tear were investigated. By doing so, to the best of our knowledge, we bridged the gap in literature since these relationships between the above-mentioned measurements have almost never been examined. Methods: A total of 446. patients were evaluated on magnetic resonance imaging. PA and TSA were calculated with. the highest specificity and sensitivity in predicting effusion, fat-pad edema, and patellar chondromalacia. A specific cutoff value of PA, TSA, TGD and MTLT for effusion, fat-pad edema, chondromalacia, meniscal tear, and ligament tear were investigated. Results: A low-level and insignificant correlation was found between PA and TSA in the negative direction. TSA value. with the highest sensitivity and specificity in predicting the presence of effusion, fat-pad, and chondromalacia was found 131, 129.6, and 125.8, respectively. Tibial tubercle-trochlear groove TT-TG distance. measurement was significantly less in the group with Medial Meniscus MM rupture. Increased TT-TG distance posed a risk for quadriceps tendinosis 1.127 times and increased medial trochlea length MT posed a risk for quadriceps tendinosis 1.167 times. Conclusion: Certain cutoff values of PA and TSA may predispose risk for meniscal tear, effusion, fat-pad edema, and chondromalacia. A negative correlation was present between the patella angle and TSA.

 Objective: In this study, the relationship between patella angle - trochlear sulcus angle TSA discrepancy was investigated. A specific cutoff value of patella angle PA, TSA, trochlear groove depth TGD, and medial trochlearlateral trochlear length MTLT ratio for effusion, fat-pad edema, chondromalacia, meniscal and ligament tear were investigated. By doing so, to the best of our knowledge, we bridged the gap in literature since these relationships between the above-mentioned measurements have almost never been examined. Methods: A total of 446. patients were evaluated on magnetic resonance imaging. PA and TSA were calculated with. the highest specificity and sensitivity in predicting effusion, fat-pad edema, and patellar chondromalacia. A specific cutoff value of PA, TSA, TGD and MTLT for effusion, fat-pad edema, chondromalacia, meniscal tear, and ligament tear were investigated. Results: A low-level and insignificant correlation was found between PA and TSA in the negative direction. TSA value. with the highest sensitivity and specificity in predicting the presence of effusion, fat-pad, and chondromalacia was found 131, 129.6, and 125.8, respectively. Tibial tubercle-trochlear groove TT-TG distance. measurement was significantly less in the group with Medial Meniscus MM rupture. Increased TT-TG distance posed a risk for quadriceps tendinosis 1.127 times and increased medial trochlea length MT posed a risk for quadriceps tendinosis 1.167 times. Conclusion: Certain cutoff values of PA and TSA may predispose risk for meniscal tear, effusion, fat-pad edema, and chondromalacia. A negative correlation was present between the patella angle and TSA.

 Objective: In this study, the relationship between patella angle - trochlear sulcus angle TSA discrepancy was investigated. A specific cutoff value of patella angle PA, TSA, trochlear groove depth TGD, and medial trochlearlateral trochlear length MTLT ratio for effusion, fat-pad edema, chondromalacia, meniscal and ligament tear were investigated. By doing so, to the best of our knowledge, we bridged the gap in literature since these relationships between the above-mentioned measurements have almost never been examined. Methods: A total of 446. patients were evaluated on magnetic resonance imaging. PA and TSA were calculated with. the highest specificity and sensitivity in predicting effusion, fat-pad edema, and patellar chondromalacia. A specific cutoff value of PA, TSA, TGD and MTLT for effusion, fat-pad edema, chondromalacia, meniscal tear, and ligament tear were investigated. Results: A low-level and insignificant correlation was found between PA and TSA in the negative direction. TSA value. with the highest sensitivity and specificity in predicting the presence of effusion, fat-pad, and chondromalacia was found 131, 129.6, and 125.8, respectively. Tibial tubercle-trochlear groove TT-TG distance. measurement was significantly less in the group with Medial Meniscus MM rupture. Increased TT-TG distance posed a risk for quadriceps tendinosis 1.127 times and increased medial trochlea length MT posed a risk for quadriceps tendinosis 1.167 times. Conclusion: Certain cutoff values of PA and TSA may predispose risk for meniscal tear, effusion, fat-pad edema, and chondromalacia. A negative correlation was present between the patella angle and TSA.

Article Details

A New Perspective to Assess Patellar Surface-Trochlear Sulcus Compatibility: Narrowed Patellar Angle is Associated with Greater Trochlear Sulcus Angle

Authors:

Gülşen Yücel Oğuzdoğan | Fatma Zeynep Arslan

Publisher:

Marmara University

Main Topics:

Health Care Administration

Journal:

Clinical and Experimental Health Sciences Vol.14 Issue 2, pp.531-537

Document Type:

Article

Publication Date:

6/2024

Document Language:

English

Document ID (Org No.):

2001321230

pISSN:

2459-1459

knee

MRI

meniscus

chondromalacia

fat-pad edema

Issues

Article Details

A New Perspective to Assess Patellar Surface-Trochlear Sulcus Compatibility: Narrowed Patellar Angle is Associated with Greater Trochlear Sulcus Angle

Authors: Gülşen Yücel Oğuzdoğan | Fatma Zeynep Arslan

Publisher: Marmara University

Main Topics: Health Care Administration

Journal: Clinical and Experimental Health Sciences Vol.14 Issue 2, pp.531-537

Document Type: Article

Publication Date: 6/2024

Document Language: English

Document ID (Org No.): 2001321230

pISSN: 2459-1459

knee

MRI

meniscus

chondromalacia

fat-pad edema

Issues

Authors:

Gülşen Yücel Oğuzdoğan | Fatma Zeynep Arslan

Publisher:

Marmara University

Main Topics:

Health Care Administration

Journal:

Clinical and Experimental Health Sciences Vol.14 Issue 2, pp.531-537

Document Type:

Article

Publication Date:

6/2024

Document Language:

English

Document ID (Org No.):

2001321230

pISSN:

2459-1459