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Patellar malalignment: a new method on knee MRI

PURPOSE: The medial patellofemoral ligament (MPFLL)/lateral patellar retinaculum (LPR) ratio were assessed in knees as a means to detect patellar malalignment. We also aimed to evaluate the prevalence of the various types of trochlear dysplasia in patients with patellar malalignment. MATERIALS AND M...

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Autores principales: Kurtul Yildiz, Hülya, Ekin, Elif Evrim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014770/
https://www.ncbi.nlm.nih.gov/pubmed/27652073
http://dx.doi.org/10.1186/s40064-016-3195-0
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author Kurtul Yildiz, Hülya
Ekin, Elif Evrim
author_facet Kurtul Yildiz, Hülya
Ekin, Elif Evrim
author_sort Kurtul Yildiz, Hülya
collection PubMed
description PURPOSE: The medial patellofemoral ligament (MPFLL)/lateral patellar retinaculum (LPR) ratio were assessed in knees as a means to detect patellar malalignment. We also aimed to evaluate the prevalence of the various types of trochlear dysplasia in patients with patellar malalignment. MATERIALS AND METHODS: After approval of our institutional ethics committee, we conducted a retrospective study that included 450 consecutive patients to evaluate them for the presence of patellar malalignment. Parameters investigated were the trochlear type, sulcus angle, presence of a supratrochlear spur, MPFLL, LPR, patella alta, and patella baja by means of 1.5T magnetic resonance imaging (MRI). Overall, 133 patients were excluded because of the presence of major trauma, multiple ligament injuries, bipartite patella, and/or previous knee surgery. The Dejour classification was used to assess trochlear dysplasia. Two experienced radiologists (HKY, EEE) evaluated the images. Their concordance was assessed using the kappa (κ) test. RESULTS: The frequencies of patellar malalignment and trochlear dysplasia were 34.7 and 63.7 %, respectively. The frequency of trochlear dysplasia associated with patellar malalignment was 97.2 %. An MPFLL/LPR ratio of 1.033–1.041 had high sensitivity and specificity for malalignment. The researchers’ concordance was good (κ = 0.89, SE = 0.034, P < 0.001). CONCLUSION: Trochlear dysplasia is frequently associated with patellar malalignment. An increased MPFLL/LPR ratio is useful for detecting patellar malalignment on knee MRI, which is a novel quantitative method based on ligament length.
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spelling pubmed-50147702016-09-20 Patellar malalignment: a new method on knee MRI Kurtul Yildiz, Hülya Ekin, Elif Evrim Springerplus Research PURPOSE: The medial patellofemoral ligament (MPFLL)/lateral patellar retinaculum (LPR) ratio were assessed in knees as a means to detect patellar malalignment. We also aimed to evaluate the prevalence of the various types of trochlear dysplasia in patients with patellar malalignment. MATERIALS AND METHODS: After approval of our institutional ethics committee, we conducted a retrospective study that included 450 consecutive patients to evaluate them for the presence of patellar malalignment. Parameters investigated were the trochlear type, sulcus angle, presence of a supratrochlear spur, MPFLL, LPR, patella alta, and patella baja by means of 1.5T magnetic resonance imaging (MRI). Overall, 133 patients were excluded because of the presence of major trauma, multiple ligament injuries, bipartite patella, and/or previous knee surgery. The Dejour classification was used to assess trochlear dysplasia. Two experienced radiologists (HKY, EEE) evaluated the images. Their concordance was assessed using the kappa (κ) test. RESULTS: The frequencies of patellar malalignment and trochlear dysplasia were 34.7 and 63.7 %, respectively. The frequency of trochlear dysplasia associated with patellar malalignment was 97.2 %. An MPFLL/LPR ratio of 1.033–1.041 had high sensitivity and specificity for malalignment. The researchers’ concordance was good (κ = 0.89, SE = 0.034, P < 0.001). CONCLUSION: Trochlear dysplasia is frequently associated with patellar malalignment. An increased MPFLL/LPR ratio is useful for detecting patellar malalignment on knee MRI, which is a novel quantitative method based on ligament length. Springer International Publishing 2016-09-07 /pmc/articles/PMC5014770/ /pubmed/27652073 http://dx.doi.org/10.1186/s40064-016-3195-0 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Research
Kurtul Yildiz, Hülya
Ekin, Elif Evrim
Patellar malalignment: a new method on knee MRI
title Patellar malalignment: a new method on knee MRI
title_full Patellar malalignment: a new method on knee MRI
title_fullStr Patellar malalignment: a new method on knee MRI
title_full_unstemmed Patellar malalignment: a new method on knee MRI
title_short Patellar malalignment: a new method on knee MRI
title_sort patellar malalignment: a new method on knee mri
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014770/
https://www.ncbi.nlm.nih.gov/pubmed/27652073
http://dx.doi.org/10.1186/s40064-016-3195-0
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