Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Experimental and Therapeutic Medicine
Join Editorial Board Propose a Special Issue
Print ISSN: 1792-0981 Online ISSN: 1792-1015
Journal Cover
December-2017 Volume 14 Issue 6

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
December-2017 Volume 14 Issue 6

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article Open Access

The significance of magnetic resonance imaging in severe femoral trochlear dysplasia assessment

  • Authors:
    • Ji Shen
    • Le Qin
    • Wei‑Wu Yao
    • Mei Li
  • View Affiliations / Copyright

    Affiliations: Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233, P.R. China, Department of Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233, P.R. China
    Copyright: © Shen et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 5438-5444
    |
    Published online on: September 27, 2017
       https://doi.org/10.3892/etm.2017.5217
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

The clinical diagnosis of femoral trochlear dysplasia primarily relies on imaging. In the past, plain imaging was the major source of diagnosis. The present study investigated the application of magnetic resonance imaging (MRI) in the objective assessment of severe femoral trochlear dysplasia. A retrospective analysis was performed on knee MRIs from 30 normal subjects (30 knees) and 59 patients (61 knees) with severe femoral trochlear dysplasia based on the Dejour morphological classification. Cartilage and subchondral bone landmarks were used to compare a series of measurements between patient and control groups. These measurements included the femoral trochlear groove depth, sulcus angle, the lateral trochlear inclination, trochlear facet asymmetry, the femoral medial and lateral condyle symmetry, and the ratios between the femoral medial/lateral condyles and the maximal trochlear width. The measurement values based on the two types of landmarks were also compared within the patient and control groups, separately. In addition, the femoral trochlear groove depth, sulcus angle, lateral trochlear inclination and trochlear facet asymmetry of patients with different Dejour types were compared. Significant differences were observed in the femoral trochlear groove depth, sulcus angle, lateral trochlear inclination and trochlear facet asymmetry between the patient and control groups (P<0.05). Based on the two types of landmark, all indexes were significantly different (P<0.05; with the exception of lateral trochlear inclination) between the patient and control groups. Among patients with various Dejour types, the femoral trochlear groove depth, sulcus angle, lateral trochlear inclination and trochlear facet asymmetry demonstrated no significant differences. MRI exhibited advantages in revealing articular cartilage over conventional radiography and computed tomography. Therefore, cartilage landmarks in MRI images may be utilized to objectively evaluate femoral trochlear dysplasia in patients with severe femoral trochlear dysplasia.
View Figures

Figure 1

Figure 2

Figure 3

View References

1 

Earhart C, Patel DB, White EA, Gottsegen CJ, Forrester DM and Matcuk GR Jr: Transient lateral patellar dislocation: Review of imaging findings, patellofemoral anatomy, and treatment options. Emerg Radiol. 20:11–23. 2013. View Article : Google Scholar : PubMed/NCBI

2 

Dejour H, Walch G, Nove-Josserand L and Guier C: Factors of patellar instability: An anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc. 2:19–26. 1994. View Article : Google Scholar : PubMed/NCBI

3 

Lippacher S, Reichel H and Nelitz M: Radiological criteria for trochlear dysplasia in children and adolescents. J Pediatr Orthop B. 20:341–344. 2011. View Article : Google Scholar : PubMed/NCBI

4 

Redziniak DE, Diduch DR, Mihalko WM, Fulkerson JP, Novicoff WM, Sheibani-Rad S and Saleh KJ: Patellar instability. Instr Course Lect. 59:195–206. 2010.PubMed/NCBI

5 

Botchu R, Obaid H and Rennie WJ: Correlation between trochlear dysplasia and the notch index. J Orthop Surg (Hong Kong). 21:290–293. 2013. View Article : Google Scholar : PubMed/NCBI

6 

Chhabra A, Subhawong TK and Carrino JA: A systematised MRI approach to evaluating the patellofemoral joint. Skeletal Radiol. 40:375–387. 2011. View Article : Google Scholar : PubMed/NCBI

7 

Dejour D and Le Coultre B: Osteotomies in patello-femoral instabilities. Sports Med Arthrosc. 15:39–46. 2007. View Article : Google Scholar : PubMed/NCBI

8 

Tecklenburg K, Dejour D, Hoser C and Fink C: Bony and cartilaginous anatomy of the patellofemoral joint. Knee Surg Sports Traumatol Arthrosc. 14:235–240. 2006. View Article : Google Scholar : PubMed/NCBI

9 

Nelitz M, Lippacher S, Reichel H and Dornacher D: Evaluation of trochlear dysplasia using MRI: Correlation between the classification system of Dejour and objective parameters of trochlear dysplasia. Knee Surg Sports Traumatol Arthrosc. 22:120–127. 2014. View Article : Google Scholar : PubMed/NCBI

10 

Smith TO, Cogan A, Patel S, Shakokani M, Toms AP and Donell ST: The intra- and inter-rater reliability of X-ray radiological measurements for patellar instability. Knee. 20:133–138. 2013. View Article : Google Scholar : PubMed/NCBI

11 

Escala JS, Mellado JM, Olona M, Giné J, Sauri A and Neyret P: Objective patellar instability: MR-based quantitative assessment of potentially associated anatomical features. Knee Surg Sports Traumatol Arthrosc. 14:264–272. 2006. View Article : Google Scholar : PubMed/NCBI

12 

Stefanik JJ, Roemer FW, Zumwalt AC, Zhu Y, Gross KD, Lynch JA, Frey-Law LA, Lewis CE, Guermazi A, Powers CM and Felson DT: Association between measures of trochlear morphology and structural features of patellofemoral joint osteoarthritis on MRI: The MOST study. J Orthop Res. 30:1–8. 2012. View Article : Google Scholar : PubMed/NCBI

13 

Keser S, Savranlar A, Bayar A, Ege A and Turhan E: Is there a relationship between anterior knee pain and femoral trochlear dysplasia? Assessment of lateral trochlear inclination by magnetic resonance imaging. Knee Surg Sports Traumatol Arthrosc. 16:911–915. 2008. View Article : Google Scholar : PubMed/NCBI

14 

Nelitz M and Lippacher S: Arthroscopic evaluation of trochlear dysplasia as an aid in decision making for the treatment of patellofemoral instability. Knee Surg Sports Traumatol Arthrosc. 22:2788–2794. 2014. View Article : Google Scholar : PubMed/NCBI

15 

Biedert RM and Bachmann M: Anterior-posterior trochlear measurements of normal and dysplastic trochlea by axial magnetic resonance imaging. Knee Surg Sports Traumatol Arthrosc. 17:1225–1230. 2009. View Article : Google Scholar : PubMed/NCBI

16 

Toms AP, Cahir J, Swift L and Donell ST: Imaging the femoral sulcus with ultrasound, CT, and MRI: Reliability and generalizability in patients with patellar instability. Skeletal Radiol. 38:329–338. 2009. View Article : Google Scholar : PubMed/NCBI

17 

van Huyssteen AL, Hendrix MR, Barnett AJ, Wakeley CJ and Eldridge JD: Cartilage-bone mismatch in the dysplastic trochlea. An MRI study. J Bone Joint Surg Br. 88:688–691. 2006. View Article : Google Scholar : PubMed/NCBI

18 

Charles MD, Haloman S, Chen L, Ward SR, Fithian D and Afra R: Magnetic resonance imaging-based topographical differences between control and recurrent patellofemoral instability patients. Am J Sports Med. 41:374–384. 2013. View Article : Google Scholar : PubMed/NCBI

19 

Köhlitz T, Scheffler S, Jung T, Hoburg A, Vollnberg B, Wiener E and Diederichs G: Prevalence and patterns of anatomical risk factors in patients after patellar dislocation: A case control study using MRI. Eur Radiol. 23:1067–1074. 2013. View Article : Google Scholar : PubMed/NCBI

20 

Kamath AF, Slattery TR, Levack AE, Wu CH, Kneeland JB and Lonner JH: Trochlear inclination angles in normal and dysplastic knees. J Arthroplasty. 28:214–219. 2013. View Article : Google Scholar : PubMed/NCBI

21 

Balcarek P, Jung K, Ammon J, Walde TA, Frosch S, Schüttrumpf JP, Stürmer KM and Frosch KH: Anatomy of lateral patellar instability: Trochlear dysplasia and tibial tubercle-trochlear groove distance is more pronounced in women who dislocate the patella. Am J Sports Med. 38:2320–2327. 2010. View Article : Google Scholar : PubMed/NCBI

22 

Teng HL, Chen YJ and Powers CM: Predictors of patellar alignment during weight bearing: An examination of patellar height and trochlear geometry. Knee. 21:142–146. 2014. View Article : Google Scholar : PubMed/NCBI

23 

Van Haver A, De Roo K, De Beule M, Van Cauter S, Audenaert E, Claessens T and Verdonk P: Semi-automated landmark-based 3D analysis reveals new morphometric characteristics in the trochlear dysplastic femur. Knee Surg Sports Traumatol Arthrosc. 22:2698–2708. 2014. View Article : Google Scholar : PubMed/NCBI

24 

Hing CB, Shepstone L, Marshall T and Donell ST: A laterally positioned concave trochlear groove prevents patellar dislocation. Clin Orthop Relat Res. 447:187–194. 2006. View Article : Google Scholar : PubMed/NCBI

25 

Shih YF, Bull AM and Amis AA: The cartilaginous and osseous geometry of the femoral trochlear groove. Knee Surg Sports Traumatol Arthrosc. 12:300–306. 2004. View Article : Google Scholar : PubMed/NCBI

26 

Fucentese SF, Zingg PO, Schmitt J, Pfirrmann CW, Meyer DC and Koch PP: Classification of trochlear dysplasia as predictor of clinical outcome after trochleoplasty. Knee Surg Sports Traumatol Arthrosc. 19:1655–1661. 2011. View Article : Google Scholar : PubMed/NCBI

27 

Howells NR, Barnett AJ, Ahearn N, Ansari A and Eldridge JD: Medial patellofemoral ligament reconstruction: A prospective outcome assessment of a large single centre series. J Bone Joint Surg Br. 94:1202–1208. 2012. View Article : Google Scholar : PubMed/NCBI

28 

Dejour D, Byn P and Ntagiopoulos PG: The Lyon's sulcus-deepening trochleoplasty in previous unsuccessful patellofemoral surgery. Int Orthop. 37:433–439. 2013. View Article : Google Scholar : PubMed/NCBI

29 

Dornacher D, Reichel H and Lippacher S: Measurement of tibial tuberosity-trochlear groove distance: Evaluation of inter- and intraobserver correlation dependent on the severity of trochlear dysplasia. Knee Surg Sports Traumatol Arthrosc. 22:2382–2387. 2014. View Article : Google Scholar : PubMed/NCBI

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Shen J, Qin L, Yao WW and Li M: The significance of magnetic resonance imaging in severe femoral trochlear dysplasia assessment. Exp Ther Med 14: 5438-5444, 2017.
APA
Shen, J., Qin, L., Yao, W., & Li, M. (2017). The significance of magnetic resonance imaging in severe femoral trochlear dysplasia assessment. Experimental and Therapeutic Medicine, 14, 5438-5444. https://doi.org/10.3892/etm.2017.5217
MLA
Shen, J., Qin, L., Yao, W., Li, M."The significance of magnetic resonance imaging in severe femoral trochlear dysplasia assessment". Experimental and Therapeutic Medicine 14.6 (2017): 5438-5444.
Chicago
Shen, J., Qin, L., Yao, W., Li, M."The significance of magnetic resonance imaging in severe femoral trochlear dysplasia assessment". Experimental and Therapeutic Medicine 14, no. 6 (2017): 5438-5444. https://doi.org/10.3892/etm.2017.5217
Copy and paste a formatted citation
x
Spandidos Publications style
Shen J, Qin L, Yao WW and Li M: The significance of magnetic resonance imaging in severe femoral trochlear dysplasia assessment. Exp Ther Med 14: 5438-5444, 2017.
APA
Shen, J., Qin, L., Yao, W., & Li, M. (2017). The significance of magnetic resonance imaging in severe femoral trochlear dysplasia assessment. Experimental and Therapeutic Medicine, 14, 5438-5444. https://doi.org/10.3892/etm.2017.5217
MLA
Shen, J., Qin, L., Yao, W., Li, M."The significance of magnetic resonance imaging in severe femoral trochlear dysplasia assessment". Experimental and Therapeutic Medicine 14.6 (2017): 5438-5444.
Chicago
Shen, J., Qin, L., Yao, W., Li, M."The significance of magnetic resonance imaging in severe femoral trochlear dysplasia assessment". Experimental and Therapeutic Medicine 14, no. 6 (2017): 5438-5444. https://doi.org/10.3892/etm.2017.5217
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team