Tibial tuberosity. Trochlear groove distance in symptom-free young subjects and the proposal for a new guideline value to evaluate patellofemoral pain syndrome in case of trochlea dysplasia

• Autorzy: Alk A. , Bantle V. , Martin T. , Wang R. , Kasprzyk M. , Kozak J.
• Języki publikacji: EN

Abstrakty

EN

For the evaluation of the patellofemoral pain syndrome (PFPS) the mediolateral distance between the tibial tuberosity and the trochlear groove (TT-TG) is considered as the gold standard. In this work, we propose to replace the measurement of the TT-TG with conventional tomographic or radiological section images by a smartphone-based mobile sonography system. This new system allows to provide not only ultrasound imaging but also a measuring method for determining the TT-TG using a smartphone as a mobile tracking unit. Moreover, the system supports the diagnosis by acquiring an additional parameter: the mediolateral distance between the intercondylar notch and the tibial tuberosity (TT-IN). The distinctive structure of the intercondylar notch simplifies the examination compared to using the trochlear groove alone. A feasibility study conducted for this paper indicates that this second guideline value is an adequate replacement for the conventional measurement of the TT-TG. Especially in case of trochlea dysplasia the detection and definition of the groove may be difficult and the TT-IN value offers a reasonable alternative. Our study shows that the proposed sonography system is able to accurately determine the TT-TG in a population of symptom-free young subjects. These measurements range from 13.1 ± 4.2 mm for male to 14.8 ± 3.4 mm for female subjects. Our findings correspond to the postulated values of the gold standard. We are able to show that the values for the TT-IN are in a comparable range with 14.4 ± 4.1mm for men and 13.6 ± 4.0 mm for women. We are convinced that this study strongly indicates that the TT-IN is a useful value that is easy to measure with a mobile ultrasound-based measurement system and can provide the same level of diagnostic value compared to the gold standard TT-TG. In conclusion, a new guideline value is presented to complement the measurement of the TT-TG when a pathological anatomy prevents the detection of the groove.

Słowa kluczowe

EN

patellofemoral pain syndrome; PFPS; TT-TG; smartphone-based mobile sonography system

PL

zespół bólu rzepkowo-udowego; kolano biegacza; mobilny system ultrasonograficzny oparty na smartfonie

• Wydawca: Międzynarodowe Stowarzyszenie na rzecz Robotyki Medycznej
• Czasopismo: Medical Robotics Reports
• Rocznik: 2018
• Tom: vol. 7
• Strony: 26--30
• Opis fizyczny: Bibliogr. 7 poz., rys., tab., wykr.

Twórcy

autor

Alk A.

• Aesculap AG Tuttlingen, Germany
• AGH University of Science and Technology Krakow, Poland

autor

Bantle V.

• Aesculap AG Tuttlingen, Germany
• Universität Stuttgart, Germany

autor

Martin T.

• Aesculap AG Tuttlingen, Germany
• AGH University of Science and Technology Krakow, Poland

autor

Wang R.

• Aesculap AG Tuttlingen, Germany
• Karlsruher Institut für Technologie, Germany

autor

Kasprzyk M.

• Ortopedicum Krakow, Poland

autor

Kozak J.

• Aesculap AG Tuttlingen, Germany
• AGH University of Science and Technology Krakow, Poland

Bibliografia

• [1] S. Ostermeier and C. Becher, “Einfluss des Tubero-sitastransfers auf das patellofemorale Gelenk,” (de), Arthroskopie, vol. 23, no. 3, pp. 208–214, 2010
• [2] D. Goutallier, J. Bernageau, and B. Lecudonnec, “Mesure de l'écart tubérosité tibiale antérieure - gor-ge de la trochlée (T.A.-G.T.). Technique. Résultats. Intérêt,” Revue de chirurgie orthopedique et repa-ratrice de l'appareil moteur, vol. 64, no. 5, pp. 423–428, 1978
• [3] H. Dejour, G. Walch, L. Nove-Josserand, and C. Guier, “Factors of patellar instability: an anatomic radiographic study,” (eng), Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA, vol. 2, no. 1, pp. 19–26, 1994
• [4] S. Waldt and E. J. Rummeny, “Bildgebung der patellofemoralen Instabilität,” Der Radiologe, vol. 52, no. 11, pp. 1003–1011, 2012
• [5] D. Wagner, “Patellofemorales Schmerzsyndrom,” Deutscher Ärzteverlag 6, 2017
• [6] M. Danioł, T. Martin, and J. Kozak, “Development, calibration, validation and comparison of mobile medical localizers based on smartphones Apple iPhone 5S and Samsung Galaxy S4,” Przegląd Elektrotechniczny, vol. 91, no. 5, pp. 53–56, 2015
• [7] T. Martin, J. Bassey-Neef, A. Alk, F. Derma, and J. Kozak, “A smart device based measuring system for pelvic tilt computation in hip arthroplasty,” Przegląd Elektrotechniczny, vol. R. 92, nr 3, 2016

Uwagi

PL

Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2021).