Analysis of the relationship between meniscal tears and medial patellofemoral rupture according to the treatment method and gender

Ayşe Gül Kabakcı; Volkan Tolga Tekbaş; Memduha Gülhal Bozkır

Makale detayları

Analysis of the relationship between meniscal tears and medial patellofemoral rupture according to the treatment method and gender

Yazarlar:

Ayşe Gül Kabakcı | Volkan Tolga Tekbaş | Memduha Gülhal Bozkır

Yayıncı:

Kocaeli University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Acta Medica Nicomedia Vol.6 Issue 2, pp.206-212

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292868

pISSN:

2717-8994

Anahtar kelimeler:

Özet:

 Objective: The aim of this study was to make a detailed anatomical analysis of the parameters of patellar height, the congruence angle, the lateral patellofemoral angle in patients with medial patellofemoral rupture, according to the treatment method surgical or conventional, gender and whether or not there is a lateral and medial meniscus tears. Methods: This study was planned as retrospective study between January 2010 and January 2021. Magnetic resonance images MRI of 61 knees 61 individuals were obtained for analysis. Of those, 38 knees were left, and 23 were right. One orthopaedic surgeons and two anatomist independently measured patellar morphology, patellar height and patellar alignment and evaluation lateral and medial meniscus tears. Knee MRI protocol including axial T2-weighted turbo spin echo TR:3600, TE:87 ms; slice thickness 5 mm; gap 1.5 mm was used. Results: There was a significant difference patellar height surgery; 1.210.27 and conventional; 0.990.16, the congruence angle surgery; -4.944.72 and conventional; 4.935.72, the lateral patellofemoral angle surgery; -35.6116.62 and conventional; 10.9315.00, except for age parameter surgery; 27.066.20 and conventional; 27.475.33 between the conventional and surgical treatment groups p0.05. Moreover, we found that 29 patients of the patients with medial patellofemoral rupture had a lateral meniscus tear, 11 patients had a medial meniscus tear, and 8 patients had both lateral and medial meniscus tears. Conclusion: We found that relationship between meniscal tears and medial patellofemoral rupture will affect the treatment course. Also, this study will contribute to evaluate the radiological and clinical correlations, patello-femoral positioning in patients who medial patellofemoral rupture.

 Objective: The aim of this study was to make a detailed anatomical analysis of the parameters of patellar height, the congruence angle, the lateral patellofemoral angle in patients with medial patellofemoral rupture, according to the treatment method surgical or conventional, gender and whether or not there is a lateral and medial meniscus tears. Methods: This study was planned as retrospective study between January 2010 and January 2021. Magnetic resonance images MRI of 61 knees 61 individuals were obtained for analysis. Of those, 38 knees were left, and 23 were right. One orthopaedic surgeons and two anatomist independently measured patellar morphology, patellar height and patellar alignment and evaluation lateral and medial meniscus tears. Knee MRI protocol including axial T2-weighted turbo spin echo TR:3600, TE:87 ms; slice thickness 5 mm; gap 1.5 mm was used. Results: There was a significant difference patellar height surgery; 1.210.27 and conventional; 0.990.16, the congruence angle surgery; -4.944.72 and conventional; 4.935.72, the lateral patellofemoral angle surgery; -35.6116.62 and conventional; 10.9315.00, except for age parameter surgery; 27.066.20 and conventional; 27.475.33 between the conventional and surgical treatment groups p0.05. Moreover, we found that 29 patients of the patients with medial patellofemoral rupture had a lateral meniscus tear, 11 patients had a medial meniscus tear, and 8 patients had both lateral and medial meniscus tears. Conclusion: We found that relationship between meniscal tears and medial patellofemoral rupture will affect the treatment course. Also, this study will contribute to evaluate the radiological and clinical correlations, patello-femoral positioning in patients who medial patellofemoral rupture.

 Objective: The aim of this study was to make a detailed anatomical analysis of the parameters of patellar height, the congruence angle, the lateral patellofemoral angle in patients with medial patellofemoral rupture, according to the treatment method surgical or conventional, gender and whether or not there is a lateral and medial meniscus tears. Methods: This study was planned as retrospective study between January 2010 and January 2021. Magnetic resonance images MRI of 61 knees 61 individuals were obtained for analysis. Of those, 38 knees were left, and 23 were right. One orthopaedic surgeons and two anatomist independently measured patellar morphology, patellar height and patellar alignment and evaluation lateral and medial meniscus tears. Knee MRI protocol including axial T2-weighted turbo spin echo TR:3600, TE:87 ms; slice thickness 5 mm; gap 1.5 mm was used. Results: There was a significant difference patellar height surgery; 1.210.27 and conventional; 0.990.16, the congruence angle surgery; -4.944.72 and conventional; 4.935.72, the lateral patellofemoral angle surgery; -35.6116.62 and conventional; 10.9315.00, except for age parameter surgery; 27.066.20 and conventional; 27.475.33 between the conventional and surgical treatment groups p0.05. Moreover, we found that 29 patients of the patients with medial patellofemoral rupture had a lateral meniscus tear, 11 patients had a medial meniscus tear, and 8 patients had both lateral and medial meniscus tears. Conclusion: We found that relationship between meniscal tears and medial patellofemoral rupture will affect the treatment course. Also, this study will contribute to evaluate the radiological and clinical correlations, patello-femoral positioning in patients who medial patellofemoral rupture.

 Amaç: Bu çalışmanın amacı, medial patellofemoral ligament rüptürü olan hastalarda patellar yükseklik, uyum açısı, lateral patellofemoral açı parametrelerinin tedavi yöntemine cerrahi veya konvansiyonel, cinsiyete ve lateral ve medial menisküs yırtıkları olup olmamasına göre detaylı anatomik analizini yapmaktır. Gereç ve Yöntem: Bu çalışma Ocak 2010 ile Ocak 2021 tarihleri arasında retrospektif olarak planlandı. Analiz için 61dize ait61 kişi manyetik rezonans görüntüleri MRG alındı. Bunlardan 38 diz sol ve 23 diz ise sağ tarafa aitti. Bir orthopedist ve iki anatomist, patellar morfolojiyi, patellar yüksekliği ve patellar hizalamayı bağımsız olarak ölçtü ve lateral, medial menisküs yırtıklarını değerlendirdi. Aksiyel T2 ağırlıklı turbo spin eko TR:3600, TE:87 ms; kesit kalınlığı 5 mm; boşluk 1.5 mm içeren diz MRG protokolü kullanıldı. Bulgular: Konvansiyonel ve cerrahi tedavi grupları arasında yaş parametresi hariç cerrahi tedavi yapılanlarda; 27,066,20 ve konvansiyonel tedavi yapılanlarda; 27,475,33, patellar yükseklik cerrahi tedavi yapılanlarda; 1.210.27 ve konvansiyonel tedavi yapılanlarda; 0.990.16, uyum açısı cerrahi tedavi yapılanlarda; -4.944.72 ve konvansiyonel tedavi yapılanlarda; 4.935.72, lateral patellofemoral açı cerrahi tedavi yapılanlarda; -35.61 ve konvansiyonel tedavi yapılanlarda; 10,9315,00 arasında anlamlı fark bulundu p0,05. Ayrıca medial patellofemoral yırtığı olan hastaların 29unda lateral menisküs yırtığı, 11inde medial menisküs yırtığı ve 8inde hem lateral hem de medial menisküs yırtığı tespit ettik. Sonuç: Menisküs yırtıkları ile medial patellofemoral rüptür arasındaki ilişkinin tedavi sürecini etkileyeceğini bulduk. Ayrıca bu çalışma, medial patellofemoral rüptürü olan hastalarda radyolojik ve klinik korelasyonların, patello-femoral pozisyonların değerlendirilmesine katkıda bulunacaktır.

Makale detayları

Analysis of the relationship between meniscal tears and medial patellofemoral rupture according to the treatment method and gender

Yazarlar:

Ayşe Gül Kabakcı | Volkan Tolga Tekbaş | Memduha Gülhal Bozkır

Yayıncı:

Kocaeli University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Acta Medica Nicomedia Vol.6 Issue 2, pp.206-212

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292868

pISSN:

2717-8994

anatomy

congruence angle

lateral patellofemoral angle

knee

meniscus tears

patellar heightanatomi

uyum açısı

lateral patellofemoral açı

diz

menisküs yırtıkları

patellar yükseklik

Sayı

Makale detayları

Yazarlar: Ayşe Gül Kabakcı | Volkan Tolga Tekbaş | Memduha Gülhal Bozkır

Yayıncı: Kocaeli University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Acta Medica Nicomedia Vol.6 Issue 2, pp.206-212

Belge Tipi: Makale

Yayın Tarihi: 6/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001292868

pISSN: 2717-8994

Sayı

Yazarlar:

Ayşe Gül Kabakcı | Volkan Tolga Tekbaş | Memduha Gülhal Bozkır

Yayıncı:

Kocaeli University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Acta Medica Nicomedia Vol.6 Issue 2, pp.206-212

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292868

pISSN:

2717-8994