1. Dynamic KINE-MRI in patellofemoral instability in adolescents
- Author
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Heikki Kröger, Tero Vahlberg, Hannu Kokki, Gideon Regalado, Hannu Lintula, Urho Väätäinen, Matti Eskelinen, and Erkki Svedström
- Subjects
Joint Instability ,Male ,musculoskeletal diseases ,medicine.medical_specialty ,Adolescent ,Knee Dislocation ,Patellofemoral instability ,medicine.medical_treatment ,Patellofemoral Joint ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Displacement (orthopedic surgery) ,Orthodontics ,Rehabilitation ,medicine.diagnostic_test ,business.industry ,Significant difference ,Healthy subjects ,Biomechanics ,Magnetic resonance imaging ,musculoskeletal system ,Magnetic Resonance Imaging ,Biomechanical Phenomena ,Case-Control Studies ,Orthopedic surgery ,Physical therapy ,Female ,Surgery ,business ,human activities - Abstract
The impact of kinematic MRI (KINE-MRI) in the patellofemoral instability and anterior knee pain of the adolescents is rarely reported. Our special interest was to evaluate the patellofemoral joint biomechanics with KINE-MRI in adolescents with affected and unaffected knees in a case–control study. KINE-MRI was performed in 29 adolescents (affected knee group, n = 29 and unaffected knee group, n = 26) aged 11–16 years with unilateral patellofemoral instability. For the control group, we enrolled ten healthy age- and sex-matched volunteers (healthy knee group, n = 19). The study parameters, bisect offset, lateral patellar displacement, patellar tilt angle, sulcus angle and Insall–Salvati ratio at 0, 10, 20 and 30° of flexion–extension, were measured for the affected knee patients (n = 29), unaffected knee patients (n = 26) and the healthy knee subjects (n = 19). The affected knee and the healthy knee subjects had a significant difference in the bisect offset ratio, lateral patellar displacement test and patellar tilt angle test. In these parameters, the difference between the affected knee patients and the healthy knee subjects progressively increased towards the full extension of the knee. In the affected knee and unaffected knee patients, bisect offset ratio at 0° ranged between 0.50 and 1.20 in both groups, whereas the bisect offset ratio in the healthy knee subjects ranged between 0.33 and 0.75 (p
- Published
- 2013
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