Review of Diagnosis Value of Knee Joint Axial Compare to the Knee Joint Arthroscopy in Diagnosis of Patellofemoral Malalignment
• Background: Every orthopedist everyday encounter with at least one patient with anterior knee pain and for further evaluation will request radiography, especially axial knee radiography. This descriptive study was planned to determine the sensitivity, specificity, positive predictive value and neg...
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| Format: | Article |
| Language: | fas |
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Isfahan University of Medical Sciences
2011-03-01
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| Series: | مجله دانشکده پزشکی اصفهان |
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| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/676 |
| _version_ | 1797716204380487680 |
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| author | Khalilolah Nazem Fathola Hor Arash Rashidi |
| author_facet | Khalilolah Nazem Fathola Hor Arash Rashidi |
| author_sort | Khalilolah Nazem |
| collection | DOAJ |
| description | • Background: Every orthopedist everyday encounter with at least one patient with anterior knee pain and for further evaluation will request radiography, especially axial knee radiography. This descriptive study was planned to determine the sensitivity, specificity, positive predictive value and negative predictive value of axial knee view respect to arthroscopic finding, as gold standard technique for evaluation of patellofemoral malalingnment.
• Methods: In convenient manner from 61 patients who was candidate for arthroscopy, irrespective to initial diagnosis, axial view was done and reported by radiologist and according to his report, patient was classified to lateral tilt positive, lateral subluxation positive or negative. Then, patellofemoral joint was studied arthroscopically from anterolateral portal to determine if central ridge of patella seat in trochlear groove before 45<sup>0 of knee flexion or not? If seating was not occur 45<sup>0 of knee flexion, the patella was consider arthroscopically positive for patellofemoral malalignment. Then radiographic findings, based on arthroscopic finding, were classified to true positive, true negative, false positive, false positive and false negative.
• Finding: Sensitivity, specificity, positive predictive value and negative predictive value were 71%, 38%, 60% and 50%, respectively. Sensitivity and specificity of positive tilt axial view compare to arthroscopy were 56% and 41%, respectively.
• Conclusion: Based on the results of this study, the most valuable diagnostic method for patellofemoral malalingnment was physical examination; however, axial view has good correlation to arthroscopy. |
| first_indexed | 2024-03-12T08:18:06Z |
| format | Article |
| id | doaj.art-b1551a7957d0458784a1696348f59d1d |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T08:18:06Z |
| publishDate | 2011-03-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-b1551a7957d0458784a1696348f59d1d2023-09-02T18:40:38ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2011-03-0128114848853473Review of Diagnosis Value of Knee Joint Axial Compare to the Knee Joint Arthroscopy in Diagnosis of Patellofemoral MalalignmentKhalilolah Nazem0Fathola Hor1Arash Rashidi2Associate Professor, Department of Orthopedic, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranOrthopedic Surgeon, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.Orthopedic Surgeon, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.• Background: Every orthopedist everyday encounter with at least one patient with anterior knee pain and for further evaluation will request radiography, especially axial knee radiography. This descriptive study was planned to determine the sensitivity, specificity, positive predictive value and negative predictive value of axial knee view respect to arthroscopic finding, as gold standard technique for evaluation of patellofemoral malalingnment. • Methods: In convenient manner from 61 patients who was candidate for arthroscopy, irrespective to initial diagnosis, axial view was done and reported by radiologist and according to his report, patient was classified to lateral tilt positive, lateral subluxation positive or negative. Then, patellofemoral joint was studied arthroscopically from anterolateral portal to determine if central ridge of patella seat in trochlear groove before 45<sup>0 of knee flexion or not? If seating was not occur 45<sup>0 of knee flexion, the patella was consider arthroscopically positive for patellofemoral malalignment. Then radiographic findings, based on arthroscopic finding, were classified to true positive, true negative, false positive, false positive and false negative. • Finding: Sensitivity, specificity, positive predictive value and negative predictive value were 71%, 38%, 60% and 50%, respectively. Sensitivity and specificity of positive tilt axial view compare to arthroscopy were 56% and 41%, respectively. • Conclusion: Based on the results of this study, the most valuable diagnostic method for patellofemoral malalingnment was physical examination; however, axial view has good correlation to arthroscopy.http://jims.mui.ac.ir/index.php/jims/article/view/676Patellofemoral malalignmentAnterior knee painAxial viewArthroscopyChondromalacia of patella |
| spellingShingle | Khalilolah Nazem Fathola Hor Arash Rashidi Review of Diagnosis Value of Knee Joint Axial Compare to the Knee Joint Arthroscopy in Diagnosis of Patellofemoral Malalignment مجله دانشکده پزشکی اصفهان Patellofemoral malalignment Anterior knee pain Axial view Arthroscopy Chondromalacia of patella |
| title | Review of Diagnosis Value of Knee Joint Axial Compare to the Knee Joint Arthroscopy in Diagnosis of Patellofemoral Malalignment |
| title_full | Review of Diagnosis Value of Knee Joint Axial Compare to the Knee Joint Arthroscopy in Diagnosis of Patellofemoral Malalignment |
| title_fullStr | Review of Diagnosis Value of Knee Joint Axial Compare to the Knee Joint Arthroscopy in Diagnosis of Patellofemoral Malalignment |
| title_full_unstemmed | Review of Diagnosis Value of Knee Joint Axial Compare to the Knee Joint Arthroscopy in Diagnosis of Patellofemoral Malalignment |
| title_short | Review of Diagnosis Value of Knee Joint Axial Compare to the Knee Joint Arthroscopy in Diagnosis of Patellofemoral Malalignment |
| title_sort | review of diagnosis value of knee joint axial compare to the knee joint arthroscopy in diagnosis of patellofemoral malalignment |
| topic | Patellofemoral malalignment Anterior knee pain Axial view Arthroscopy Chondromalacia of patella |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/676 |
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