Morphometric Findings in Medial Patellofemoral Ligament Rupture Compared to Individually-Matched Controls

Ayşe Gül Kabakci, Emre Öğüt, Volkan Tolga Tekbaş, Memduha Gülhal Bozkir
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Abstract

BACKGROUND The purpose of the present study was to evaluate patellar height and trochlear groove angle in individuals with and without medial patellofemoral ligament rupture for surgical reconstruction and possible clinical use. METHODS The study had a retrospective design, and included 149 people (53 females, 96 men) who were between the ages of 18 and 36 admitted to the Orthopedic Clinic of Bartın State Hospital with various complaints in knee joints and different preliminary diagnoses between January 2005 and December 2020. The study population was examined as two groups, those with and without medial patellofemoral rupture. The study included 61 patients with medial patellofemoral ligament rupture and 88 patients without medial patellofemoral ligament rupture. Patellar morphology, patellar height, trochlear morphology, and patellar alignment were measured from digital MRI images. RESULTS As a result of the study, while significant differences were detected in trochlear groove angle, there wasn’t significant differences in patella elevation (patellar height) between the groups (with and without medial patellofemoral ligament rupture). CONCLUSIONS Our study has versatile evaluation parameters, it will make a significant contribution to the literature.
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髌股内侧韧带断裂的形态计量学结果与个体匹配对照的比较
背景本研究的目的是评估髌股内侧韧带断裂和非髌股内侧肌腱断裂患者的髌骨高度和滑车沟角度,以进行手术重建和可能的临床应用。方法该研究采用回顾性设计,纳入了149名年龄在18岁至36岁之间的患者(53名女性,96名男性),他们在2005年1月至2020年12月期间入住Bartın州立医院骨科诊所,有各种膝关节主诉和不同的初步诊断。研究人群分为两组,即有和无髌股内侧断裂的人群。该研究包括61名髌股内侧韧带断裂患者和88名未发生髌股内侧肌腱断裂的患者。从数字MRI图像中测量髌骨形态、髌骨高度、滑车形态和髌骨排列。结果研究结果表明,尽管滑车沟角度存在显著差异,但两组(有和没有髌股内侧韧带断裂)之间的髌骨抬高(髌骨高度)没有显著差异。结论我们的研究具有多方面的评价参数,将对文献做出重大贡献。
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