Dose atrophy of vastus medialis obliquus and vastus lateralis exist in patients with patellofemoral pain syndrome
Abstract Background Whether vastus medialis obliquus atrophy exists in patients with patellofemoral pain syndrome and whether the amount of atrophy differs between the vastus medialis obliquus and vastus lateralis muscles remain unknown. Materials From June 2016 to March 2019, 61 patients with patel...
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-021-02251-6 |
| _version_ | 1798026389217083392 |
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| author | Conglei Dong Ming Li Kuo Hao Chao Zhao Kang Piao Wei Lin Chongyi Fan Yingzhen Niu Wang Fei |
| author_facet | Conglei Dong Ming Li Kuo Hao Chao Zhao Kang Piao Wei Lin Chongyi Fan Yingzhen Niu Wang Fei |
| author_sort | Conglei Dong |
| collection | DOAJ |
| description | Abstract Background Whether vastus medialis obliquus atrophy exists in patients with patellofemoral pain syndrome and whether the amount of atrophy differs between the vastus medialis obliquus and vastus lateralis muscles remain unknown. Materials From June 2016 to March 2019, 61 patients with patellofemoral pain syndrome were retrospectively included in the study group, and an age-, sex-, and body mass index-matched cohort of 61 patients with normal knees was randomly selected as the control group. All enrolled subjects had undergone CT scans in the supine position. The cross-sectional areas of the vastus medialis obliquus and the vastus lateralis muscle in the sections 0, 5, 10, 15, and 20 mm above the upper pole of the patella were measured, and the vastus medialis obliquus/vastus lateralis muscle area ratio was evaluated. Results In the study group, the vastus medialis obliquus areas and the vastus lateralis muscle areas in the sections that were 0, 5, 10, 15, and 20 mm above the upper pole of the patella were significantly smaller than the respective areas in the control group (P < 0.05). The vastus medialis obliquus/vastus lateralis muscle area ratio was significantly smaller at the upper pole of the patella (the section 0 mm above the upper pole of the patella) than the corresponding ratio in the control group (P < 0.05). No significant difference was noted between the two groups in the sections 5, 10, 15, and 20 mm above the upper pole of the patella (P > 0.05). Conclusion In patients with patellofemoral pain syndrome, vastus medialis obliquus and vastus lateralis muscle atrophy existed in sections 0–20 mm above the upper pole of the patella, compared with normal controls, and atrophy of the vastus medialis obliquus was more evident than that of the vastus lateralis muscle at the upper pole of the patella. These findings support the rationale for the use of general quadriceps exercise combined with vastus medialis obliquus strengthening exercise as part of the rehabilitation programme for the patients with patellofemoral pain syndrome. |
| first_indexed | 2024-04-11T18:34:32Z |
| format | Article |
| id | doaj.art-a5d35bfd38934eaa836147a0bbc8cd55 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T18:34:32Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-a5d35bfd38934eaa836147a0bbc8cd552022-12-22T04:09:19ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2021-02-011611610.1186/s13018-021-02251-6Dose atrophy of vastus medialis obliquus and vastus lateralis exist in patients with patellofemoral pain syndromeConglei Dong0Ming Li1Kuo Hao2Chao Zhao3Kang Piao4Wei Lin5Chongyi Fan6Yingzhen Niu7Wang Fei8Department of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityAbstract Background Whether vastus medialis obliquus atrophy exists in patients with patellofemoral pain syndrome and whether the amount of atrophy differs between the vastus medialis obliquus and vastus lateralis muscles remain unknown. Materials From June 2016 to March 2019, 61 patients with patellofemoral pain syndrome were retrospectively included in the study group, and an age-, sex-, and body mass index-matched cohort of 61 patients with normal knees was randomly selected as the control group. All enrolled subjects had undergone CT scans in the supine position. The cross-sectional areas of the vastus medialis obliquus and the vastus lateralis muscle in the sections 0, 5, 10, 15, and 20 mm above the upper pole of the patella were measured, and the vastus medialis obliquus/vastus lateralis muscle area ratio was evaluated. Results In the study group, the vastus medialis obliquus areas and the vastus lateralis muscle areas in the sections that were 0, 5, 10, 15, and 20 mm above the upper pole of the patella were significantly smaller than the respective areas in the control group (P < 0.05). The vastus medialis obliquus/vastus lateralis muscle area ratio was significantly smaller at the upper pole of the patella (the section 0 mm above the upper pole of the patella) than the corresponding ratio in the control group (P < 0.05). No significant difference was noted between the two groups in the sections 5, 10, 15, and 20 mm above the upper pole of the patella (P > 0.05). Conclusion In patients with patellofemoral pain syndrome, vastus medialis obliquus and vastus lateralis muscle atrophy existed in sections 0–20 mm above the upper pole of the patella, compared with normal controls, and atrophy of the vastus medialis obliquus was more evident than that of the vastus lateralis muscle at the upper pole of the patella. These findings support the rationale for the use of general quadriceps exercise combined with vastus medialis obliquus strengthening exercise as part of the rehabilitation programme for the patients with patellofemoral pain syndrome.https://doi.org/10.1186/s13018-021-02251-6Vastus medialis obliquusVastus lateralis muscleComputed tomographyPatellofemoral pain syndromeVMO/VLM area ratio |
| spellingShingle | Conglei Dong Ming Li Kuo Hao Chao Zhao Kang Piao Wei Lin Chongyi Fan Yingzhen Niu Wang Fei Dose atrophy of vastus medialis obliquus and vastus lateralis exist in patients with patellofemoral pain syndrome Journal of Orthopaedic Surgery and Research Vastus medialis obliquus Vastus lateralis muscle Computed tomography Patellofemoral pain syndrome VMO/VLM area ratio |
| title | Dose atrophy of vastus medialis obliquus and vastus lateralis exist in patients with patellofemoral pain syndrome |
| title_full | Dose atrophy of vastus medialis obliquus and vastus lateralis exist in patients with patellofemoral pain syndrome |
| title_fullStr | Dose atrophy of vastus medialis obliquus and vastus lateralis exist in patients with patellofemoral pain syndrome |
| title_full_unstemmed | Dose atrophy of vastus medialis obliquus and vastus lateralis exist in patients with patellofemoral pain syndrome |
| title_short | Dose atrophy of vastus medialis obliquus and vastus lateralis exist in patients with patellofemoral pain syndrome |
| title_sort | dose atrophy of vastus medialis obliquus and vastus lateralis exist in patients with patellofemoral pain syndrome |
| topic | Vastus medialis obliquus Vastus lateralis muscle Computed tomography Patellofemoral pain syndrome VMO/VLM area ratio |
| url | https://doi.org/10.1186/s13018-021-02251-6 |
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