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Patello-Femoral Pain Syndrome: Magnetic Resonance Imaging versus Ultrasound

Background: Magnetic Resonance Imaging (MRI) and Ultrasound (US) in combination with clinical data could contribute to the diagnosis, staging and follow-up of Patello-Femoral Syndrome (PFS), which often overlaps with other pathologies of the knee. Purpose of the Study: To evaluate the diagnostic rol...

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Autores principales: Pacini, Patrizia, Martino, Milvia, Giuliani, Luca, Santilli, Gabriele, Agostini, Francesco, Del Gaudio, Giovanni, Bernetti, Andrea, Mangone, Massimiliano, Paoloni, Marco, Toscano, Martina, De Vito, Corrado, Ottonello, Carlo, Santilli, Valter, Cantisani, Vito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10138008/
https://www.ncbi.nlm.nih.gov/pubmed/37189597
http://dx.doi.org/10.3390/diagnostics13081496
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author Pacini, Patrizia
Martino, Milvia
Giuliani, Luca
Santilli, Gabriele
Agostini, Francesco
Del Gaudio, Giovanni
Bernetti, Andrea
Mangone, Massimiliano
Paoloni, Marco
Toscano, Martina
De Vito, Corrado
Ottonello, Carlo
Santilli, Valter
Cantisani, Vito
author_facet Pacini, Patrizia
Martino, Milvia
Giuliani, Luca
Santilli, Gabriele
Agostini, Francesco
Del Gaudio, Giovanni
Bernetti, Andrea
Mangone, Massimiliano
Paoloni, Marco
Toscano, Martina
De Vito, Corrado
Ottonello, Carlo
Santilli, Valter
Cantisani, Vito
author_sort Pacini, Patrizia
collection PubMed
description Background: Magnetic Resonance Imaging (MRI) and Ultrasound (US) in combination with clinical data could contribute to the diagnosis, staging and follow-up of Patello-Femoral Syndrome (PFS), which often overlaps with other pathologies of the knee. Purpose of the Study: To evaluate the diagnostic role of MRI and US findings associated with PFS and define the range values of instrumental measurements obtained in pathological cases and healthy controls, the performance of the two methods in comparison, and the correlation with clinical data. Materials and Methods: 100 subjects were examined: 60 patients with a high suspicion of PFS at the clinical evaluation and 40 healthy controls. All measurements obtained by MRI and US examination were correlated with clinical data. A descriptive analysis of all measurements was stratified for pathological cases and healthy controls. A Student’s t-test for continuous variables was used to compare patients to controls and US to MRI. Logistic regression analysis was applied to test the correlation between MRI and US measurements with clinical data. Results: Statistical descriptive analysis determined the MRI and US range values of medial patello-femoral distance and the thickness of retinacles and cartilages in pathological cases and healthy controls. In pathological cases, the retinacle results of both increased; the medial appeared to be slightly more increased than the lateral. Furthermore, in some cases, the thickness of the cartilage decreased in both techniques; the medial cartilage was more thinned than the lateral. According to logistic regression analyses, the best diagnostic parameter was the medial patello-femoral distance due to the overlapping results of the US and MRI. Furthermore, all clinical data obtained by different tests showed a good correlation with patello-femoral distance. In particular, the correlation between medial patello-femoral distance and the VAS score is direct and equal to 97–99%, which is statistically significant (p < 0.001), and the correlation with the KOOS score is inverse and equal to 96–98%, which is statistically significant. Conclusions: MRI and Ultrasound examination in combination with clinical data demonstrated high-value results in the diagnosis of PFS.
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spelling pubmed-101380082023-04-28 Patello-Femoral Pain Syndrome: Magnetic Resonance Imaging versus Ultrasound Pacini, Patrizia Martino, Milvia Giuliani, Luca Santilli, Gabriele Agostini, Francesco Del Gaudio, Giovanni Bernetti, Andrea Mangone, Massimiliano Paoloni, Marco Toscano, Martina De Vito, Corrado Ottonello, Carlo Santilli, Valter Cantisani, Vito Diagnostics (Basel) Article Background: Magnetic Resonance Imaging (MRI) and Ultrasound (US) in combination with clinical data could contribute to the diagnosis, staging and follow-up of Patello-Femoral Syndrome (PFS), which often overlaps with other pathologies of the knee. Purpose of the Study: To evaluate the diagnostic role of MRI and US findings associated with PFS and define the range values of instrumental measurements obtained in pathological cases and healthy controls, the performance of the two methods in comparison, and the correlation with clinical data. Materials and Methods: 100 subjects were examined: 60 patients with a high suspicion of PFS at the clinical evaluation and 40 healthy controls. All measurements obtained by MRI and US examination were correlated with clinical data. A descriptive analysis of all measurements was stratified for pathological cases and healthy controls. A Student’s t-test for continuous variables was used to compare patients to controls and US to MRI. Logistic regression analysis was applied to test the correlation between MRI and US measurements with clinical data. Results: Statistical descriptive analysis determined the MRI and US range values of medial patello-femoral distance and the thickness of retinacles and cartilages in pathological cases and healthy controls. In pathological cases, the retinacle results of both increased; the medial appeared to be slightly more increased than the lateral. Furthermore, in some cases, the thickness of the cartilage decreased in both techniques; the medial cartilage was more thinned than the lateral. According to logistic regression analyses, the best diagnostic parameter was the medial patello-femoral distance due to the overlapping results of the US and MRI. Furthermore, all clinical data obtained by different tests showed a good correlation with patello-femoral distance. In particular, the correlation between medial patello-femoral distance and the VAS score is direct and equal to 97–99%, which is statistically significant (p < 0.001), and the correlation with the KOOS score is inverse and equal to 96–98%, which is statistically significant. Conclusions: MRI and Ultrasound examination in combination with clinical data demonstrated high-value results in the diagnosis of PFS. MDPI 2023-04-21 /pmc/articles/PMC10138008/ /pubmed/37189597 http://dx.doi.org/10.3390/diagnostics13081496 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pacini, Patrizia
Martino, Milvia
Giuliani, Luca
Santilli, Gabriele
Agostini, Francesco
Del Gaudio, Giovanni
Bernetti, Andrea
Mangone, Massimiliano
Paoloni, Marco
Toscano, Martina
De Vito, Corrado
Ottonello, Carlo
Santilli, Valter
Cantisani, Vito
Patello-Femoral Pain Syndrome: Magnetic Resonance Imaging versus Ultrasound
title Patello-Femoral Pain Syndrome: Magnetic Resonance Imaging versus Ultrasound
title_full Patello-Femoral Pain Syndrome: Magnetic Resonance Imaging versus Ultrasound
title_fullStr Patello-Femoral Pain Syndrome: Magnetic Resonance Imaging versus Ultrasound
title_full_unstemmed Patello-Femoral Pain Syndrome: Magnetic Resonance Imaging versus Ultrasound
title_short Patello-Femoral Pain Syndrome: Magnetic Resonance Imaging versus Ultrasound
title_sort patello-femoral pain syndrome: magnetic resonance imaging versus ultrasound
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10138008/
https://www.ncbi.nlm.nih.gov/pubmed/37189597
http://dx.doi.org/10.3390/diagnostics13081496
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