The SP-ET index is a new index for assessing the vertical position of patella

Abstract Background Some parameters in previous studies did not better reflect the vertical position of the patella relative to the femoral trochlear. This study aimed to assess the value of the most superior point of patella-entrance of femoral trochlea distance ratio (SP-ET index) as a newer index...

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Main Authors: Jia Li, Mao Yuan, Lanyu Qiu, Bo Sheng, Fan Yu, Haitao Yang, Furong Lv, Fajin Lv, Wei Huang
Format: Article
Language:English
Published: SpringerOpen 2022-09-01
Series:Insights into Imaging
Subjects:
Online Access:https://doi.org/10.1186/s13244-022-01289-2
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author Jia Li
Mao Yuan
Lanyu Qiu
Bo Sheng
Fan Yu
Haitao Yang
Furong Lv
Fajin Lv
Wei Huang
author_facet Jia Li
Mao Yuan
Lanyu Qiu
Bo Sheng
Fan Yu
Haitao Yang
Furong Lv
Fajin Lv
Wei Huang
author_sort Jia Li
collection DOAJ
description Abstract Background Some parameters in previous studies did not better reflect the vertical position of the patella relative to the femoral trochlear. This study aimed to assess the value of the most superior point of patella-entrance of femoral trochlea distance ratio (SP-ET index) as a newer index in defining the vertical position of patella relative to the trochlea, correlate it with the Insall–Salvati ratio, and investigate the effect of the new index on patellar cartilage lesions. Methods A total of 99 knees of 77 patients with patellar cartilage lesions were retrospectively analyzed using magnetic resonance imaging (MRI) data. The Insall–Salvati ratio and SP-ET index were measured on MR images. Ninety-nine knees just with meniscus rupture were enrolled as the control group. The two parameters of the patellar cartilage lesions were compared with those of the control group. Results The Insall–Salvati ratio and SP-ET index in the patellar cartilage lesions group were significantly higher than those in the control group (p < 0.001). The SP-ET index showed a moderate positive correlation with the Insall–Salvati ratio (r = 0.307, p < 0.001). Receiver operating characteristic (ROC) analysis showed that the diagnostic efficiency of the SP-ET index was better than that of the Insall–Salvati ratio in patients with patellar cartilage lesions. Conclusion The SP-ET index may be a useful complement parameter to define the vertical position of the patella relative to the femoral trochlear. Increased SP-ET index may be an important risk factor for patellar cartilage lesions.
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spelling doaj.art-4e1f71d3f9ef43d6b74f4c23b5e8b1902022-12-22T04:25:55ZengSpringerOpenInsights into Imaging1869-41012022-09-011311910.1186/s13244-022-01289-2The SP-ET index is a new index for assessing the vertical position of patellaJia Li0Mao Yuan1Lanyu Qiu2Bo Sheng3Fan Yu4Haitao Yang5Furong Lv6Fajin Lv7Wei Huang8Department of Radiology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Orthopaedic, The First Affiliated Hospital of Chongqing Medical UniversityAbstract Background Some parameters in previous studies did not better reflect the vertical position of the patella relative to the femoral trochlear. This study aimed to assess the value of the most superior point of patella-entrance of femoral trochlea distance ratio (SP-ET index) as a newer index in defining the vertical position of patella relative to the trochlea, correlate it with the Insall–Salvati ratio, and investigate the effect of the new index on patellar cartilage lesions. Methods A total of 99 knees of 77 patients with patellar cartilage lesions were retrospectively analyzed using magnetic resonance imaging (MRI) data. The Insall–Salvati ratio and SP-ET index were measured on MR images. Ninety-nine knees just with meniscus rupture were enrolled as the control group. The two parameters of the patellar cartilage lesions were compared with those of the control group. Results The Insall–Salvati ratio and SP-ET index in the patellar cartilage lesions group were significantly higher than those in the control group (p < 0.001). The SP-ET index showed a moderate positive correlation with the Insall–Salvati ratio (r = 0.307, p < 0.001). Receiver operating characteristic (ROC) analysis showed that the diagnostic efficiency of the SP-ET index was better than that of the Insall–Salvati ratio in patients with patellar cartilage lesions. Conclusion The SP-ET index may be a useful complement parameter to define the vertical position of the patella relative to the femoral trochlear. Increased SP-ET index may be an important risk factor for patellar cartilage lesions.https://doi.org/10.1186/s13244-022-01289-2Patellar cartilage lesionsSP-ET indexInsall–Salvati ratioPatellofemoral jointVertical position
spellingShingle Jia Li
Mao Yuan
Lanyu Qiu
Bo Sheng
Fan Yu
Haitao Yang
Furong Lv
Fajin Lv
Wei Huang
The SP-ET index is a new index for assessing the vertical position of patella
Insights into Imaging
Patellar cartilage lesions
SP-ET index
Insall–Salvati ratio
Patellofemoral joint
Vertical position
title The SP-ET index is a new index for assessing the vertical position of patella
title_full The SP-ET index is a new index for assessing the vertical position of patella
title_fullStr The SP-ET index is a new index for assessing the vertical position of patella
title_full_unstemmed The SP-ET index is a new index for assessing the vertical position of patella
title_short The SP-ET index is a new index for assessing the vertical position of patella
title_sort sp et index is a new index for assessing the vertical position of patella
topic Patellar cartilage lesions
SP-ET index
Insall–Salvati ratio
Patellofemoral joint
Vertical position
url https://doi.org/10.1186/s13244-022-01289-2
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