Referencing the trochlear groove based on three-dimensional computed tomography imaging improves the reliability of the measurement of the tibial tuberosity–trochlear groove distance in patients with higher grades of trochlea dysplasia
To determine whether 3D-CT imaging technique is valid and reproducible compared to conventional CT measurement technique (CCT) for the detection of a femoropatellar instability. Patients who had undergone surgery for femoropatellar instability (patellar instability group) between 2010 and 2016 (n = ...
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| Veröffentlicht in: | The knee 2019-12, Vol.26 (6), p.1429-1436 |
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| creator | Nha, KyungWook Nam, Young Jun Shin, Myung Jin Sun, Seung Deok Park, Jae Young Debnath, Rajib Lee, Byung Hoon |
| description | To determine whether 3D-CT imaging technique is valid and reproducible compared to conventional CT measurement technique (CCT) for the detection of a femoropatellar instability.
Patients who had undergone surgery for femoropatellar instability (patellar instability group) between 2010 and 2016 (n = 37 knees of 35 patients) were retrospectively enrolled. For the matched control group, patients who had acute anterior cruciate ligament injury ( |
| doi_str_mv | 10.1016/j.knee.2019.05.001 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2330063896</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0968016018308688</els_id><sourcerecordid>2328283622</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-f8af9118db7b348eff6f8884ed5f53fc0576dea66af8d16e72bcff75a8b09403</originalsourceid><addsrcrecordid>eNp9ks-K1TAUxosozjj6Ai4k4MZNr0lzm6bgRgb_wYAgsw9pcnKba9vUJJ3h7nwH39C97-Dp3DsuFFwFTn7fl_CdryieM7phlInX-83XCWBTUdZuaL2hlD0ozplseFlLSh8W57QVskSSnhVPUtpTSkW7rR8XZ5yxRgjKz4tfX8BBhMn4aUdyDyTHYPoBdCS7GMINkE4nsCRMeBsBSutHmJIPkx6ICeO8ZLzNYQy7qOf-QPyod6uXH-eI8nRnGmHwuvODzwcS3N1oBJ2WCGiW70fZdx5d89JBDAnZn99__PMd61PWkwHiJzLr7FGfyK3PPen9roeV0xafXT1PWmIPaR508vpp8cjpIcGz03lRXL9_d335sbz6_OHT5dur0nC5zaWT2rWMSds1Hd9KcE44KeUWbO1q7gytG2FBC6GdtExAU3XGuabWsqPtlvKL4tXRFiP4tkDKavTJwDDoCcKSVMU5roLLViD68i90H5aI4a5UJSvJRVUhVR0pg8GkCE7NEYOOB8WoWrug9mrtglq7oGitsAsoenGyXroR7B_J_fIReHMEAKO48RBVMpinAesjmKxs8P_z_w38Ds7I</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2328283622</pqid></control><display><type>article</type><title>Referencing the trochlear groove based on three-dimensional computed tomography imaging improves the reliability of the measurement of the tibial tuberosity–trochlear groove distance in patients with higher grades of trochlea dysplasia</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Nha, KyungWook ; Nam, Young Jun ; Shin, Myung Jin ; Sun, Seung Deok ; Park, Jae Young ; Debnath, Rajib ; Lee, Byung Hoon</creator><creatorcontrib>Nha, KyungWook ; Nam, Young Jun ; Shin, Myung Jin ; Sun, Seung Deok ; Park, Jae Young ; Debnath, Rajib ; Lee, Byung Hoon</creatorcontrib><description>To determine whether 3D-CT imaging technique is valid and reproducible compared to conventional CT measurement technique (CCT) for the detection of a femoropatellar instability.
Patients who had undergone surgery for femoropatellar instability (patellar instability group) between 2010 and 2016 (n = 37 knees of 35 patients) were retrospectively enrolled. For the matched control group, patients who had acute anterior cruciate ligament injury (<4 weeks previously; n = 30) were recruited. Preoperative CT data had been obtained in all patients. Inter-rater reliability was calculated for both measurement protocols, and inter-method reliability was calculated between the two imaging modalities. The results are reported using intraclass correlation coefficients (ICCs) and Bland–Altman 95% limits of agreement.
All patients in the patellar instability group had femoral trochlear dysplasia (Dejour types A: four, B: 19, C: seven, and D: six), but no dysplasia was noted in the control group. In the patellar instability group, the CCT technique showed a poor inter-rater agreement (ICC = 0.74), and the 3D-CT technique still showed excellent inter-rater agreement (ICCs = 0.91). In the sub-analysis of the patellar instability group according to the trochlear dysplasia grade, ICCs were markedly decreased with severe trochlear dysplasia when using CCT technique; however, the 3D-CT technique could provide excellent reliability even with severe trochlear dysplasia.
The 3D-CT imaging technique for the measurement of the TT–TG distance can be suggested as a better measurement technique for patellar instability patients with bone abnormality.</description><identifier>ISSN: 0968-0160</identifier><identifier>EISSN: 1873-5800</identifier><identifier>DOI: 10.1016/j.knee.2019.05.001</identifier><identifier>PMID: 31176603</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adolescent ; Age ; Anterior cruciate ligament ; Case-Control Studies ; Computed tomography ; Dysplasia ; Female ; Humans ; Hypotheses ; Imaging, Three-Dimensional ; Instability ; Joint Instability - diagnostic imaging ; Joint Instability - physiopathology ; Knee ; Knee Joint - diagnostic imaging ; Knee Joint - physiopathology ; Ligaments ; Male ; Measurement techniques ; Methods ; Patellar instability ; Reproducibility of Results ; Retrospective Studies ; Standard deviation ; Statistical analysis ; Surgery ; Three-dimensional ; Tibial tubercle-trochlear groove distance ; Tomography, X-Ray Computed ; Young Adult</subject><ispartof>The knee, 2019-12, Vol.26 (6), p.1429-1436</ispartof><rights>2019 Elsevier B.V.</rights><rights>Copyright © 2019 Elsevier B.V. All rights reserved.</rights><rights>2019. Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-f8af9118db7b348eff6f8884ed5f53fc0576dea66af8d16e72bcff75a8b09403</citedby><cites>FETCH-LOGICAL-c384t-f8af9118db7b348eff6f8884ed5f53fc0576dea66af8d16e72bcff75a8b09403</cites><orcidid>0000-0002-1548-5691</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.knee.2019.05.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31176603$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nha, KyungWook</creatorcontrib><creatorcontrib>Nam, Young Jun</creatorcontrib><creatorcontrib>Shin, Myung Jin</creatorcontrib><creatorcontrib>Sun, Seung Deok</creatorcontrib><creatorcontrib>Park, Jae Young</creatorcontrib><creatorcontrib>Debnath, Rajib</creatorcontrib><creatorcontrib>Lee, Byung Hoon</creatorcontrib><title>Referencing the trochlear groove based on three-dimensional computed tomography imaging improves the reliability of the measurement of the tibial tuberosity–trochlear groove distance in patients with higher grades of trochlea dysplasia</title><title>The knee</title><addtitle>Knee</addtitle><description>To determine whether 3D-CT imaging technique is valid and reproducible compared to conventional CT measurement technique (CCT) for the detection of a femoropatellar instability.
Patients who had undergone surgery for femoropatellar instability (patellar instability group) between 2010 and 2016 (n = 37 knees of 35 patients) were retrospectively enrolled. For the matched control group, patients who had acute anterior cruciate ligament injury (<4 weeks previously; n = 30) were recruited. Preoperative CT data had been obtained in all patients. Inter-rater reliability was calculated for both measurement protocols, and inter-method reliability was calculated between the two imaging modalities. The results are reported using intraclass correlation coefficients (ICCs) and Bland–Altman 95% limits of agreement.
All patients in the patellar instability group had femoral trochlear dysplasia (Dejour types A: four, B: 19, C: seven, and D: six), but no dysplasia was noted in the control group. In the patellar instability group, the CCT technique showed a poor inter-rater agreement (ICC = 0.74), and the 3D-CT technique still showed excellent inter-rater agreement (ICCs = 0.91). In the sub-analysis of the patellar instability group according to the trochlear dysplasia grade, ICCs were markedly decreased with severe trochlear dysplasia when using CCT technique; however, the 3D-CT technique could provide excellent reliability even with severe trochlear dysplasia.
The 3D-CT imaging technique for the measurement of the TT–TG distance can be suggested as a better measurement technique for patellar instability patients with bone abnormality.</description><subject>Adolescent</subject><subject>Age</subject><subject>Anterior cruciate ligament</subject><subject>Case-Control Studies</subject><subject>Computed tomography</subject><subject>Dysplasia</subject><subject>Female</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Imaging, Three-Dimensional</subject><subject>Instability</subject><subject>Joint Instability - diagnostic imaging</subject><subject>Joint Instability - physiopathology</subject><subject>Knee</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - physiopathology</subject><subject>Ligaments</subject><subject>Male</subject><subject>Measurement techniques</subject><subject>Methods</subject><subject>Patellar instability</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Standard deviation</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Three-dimensional</subject><subject>Tibial tubercle-trochlear groove distance</subject><subject>Tomography, X-Ray Computed</subject><subject>Young Adult</subject><issn>0968-0160</issn><issn>1873-5800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks-K1TAUxosozjj6Ai4k4MZNr0lzm6bgRgb_wYAgsw9pcnKba9vUJJ3h7nwH39C97-Dp3DsuFFwFTn7fl_CdryieM7phlInX-83XCWBTUdZuaL2hlD0ozplseFlLSh8W57QVskSSnhVPUtpTSkW7rR8XZ5yxRgjKz4tfX8BBhMn4aUdyDyTHYPoBdCS7GMINkE4nsCRMeBsBSutHmJIPkx6ICeO8ZLzNYQy7qOf-QPyod6uXH-eI8nRnGmHwuvODzwcS3N1oBJ2WCGiW70fZdx5d89JBDAnZn99__PMd61PWkwHiJzLr7FGfyK3PPen9roeV0xafXT1PWmIPaR508vpp8cjpIcGz03lRXL9_d335sbz6_OHT5dur0nC5zaWT2rWMSds1Hd9KcE44KeUWbO1q7gytG2FBC6GdtExAU3XGuabWsqPtlvKL4tXRFiP4tkDKavTJwDDoCcKSVMU5roLLViD68i90H5aI4a5UJSvJRVUhVR0pg8GkCE7NEYOOB8WoWrug9mrtglq7oGitsAsoenGyXroR7B_J_fIReHMEAKO48RBVMpinAesjmKxs8P_z_w38Ds7I</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Nha, KyungWook</creator><creator>Nam, Young Jun</creator><creator>Shin, Myung Jin</creator><creator>Sun, Seung Deok</creator><creator>Park, Jae Young</creator><creator>Debnath, Rajib</creator><creator>Lee, Byung Hoon</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1548-5691</orcidid></search><sort><creationdate>201912</creationdate><title>Referencing the trochlear groove based on three-dimensional computed tomography imaging improves the reliability of the measurement of the tibial tuberosity–trochlear groove distance in patients with higher grades of trochlea dysplasia</title><author>Nha, KyungWook ; Nam, Young Jun ; Shin, Myung Jin ; Sun, Seung Deok ; Park, Jae Young ; Debnath, Rajib ; Lee, Byung Hoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-f8af9118db7b348eff6f8884ed5f53fc0576dea66af8d16e72bcff75a8b09403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Age</topic><topic>Anterior cruciate ligament</topic><topic>Case-Control Studies</topic><topic>Computed tomography</topic><topic>Dysplasia</topic><topic>Female</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Imaging, Three-Dimensional</topic><topic>Instability</topic><topic>Joint Instability - diagnostic imaging</topic><topic>Joint Instability - physiopathology</topic><topic>Knee</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - physiopathology</topic><topic>Ligaments</topic><topic>Male</topic><topic>Measurement techniques</topic><topic>Methods</topic><topic>Patellar instability</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Standard deviation</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Three-dimensional</topic><topic>Tibial tubercle-trochlear groove distance</topic><topic>Tomography, X-Ray Computed</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nha, KyungWook</creatorcontrib><creatorcontrib>Nam, Young Jun</creatorcontrib><creatorcontrib>Shin, Myung Jin</creatorcontrib><creatorcontrib>Sun, Seung Deok</creatorcontrib><creatorcontrib>Park, Jae Young</creatorcontrib><creatorcontrib>Debnath, Rajib</creatorcontrib><creatorcontrib>Lee, Byung Hoon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The knee</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nha, KyungWook</au><au>Nam, Young Jun</au><au>Shin, Myung Jin</au><au>Sun, Seung Deok</au><au>Park, Jae Young</au><au>Debnath, Rajib</au><au>Lee, Byung Hoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Referencing the trochlear groove based on three-dimensional computed tomography imaging improves the reliability of the measurement of the tibial tuberosity–trochlear groove distance in patients with higher grades of trochlea dysplasia</atitle><jtitle>The knee</jtitle><addtitle>Knee</addtitle><date>2019-12</date><risdate>2019</risdate><volume>26</volume><issue>6</issue><spage>1429</spage><epage>1436</epage><pages>1429-1436</pages><issn>0968-0160</issn><eissn>1873-5800</eissn><abstract>To determine whether 3D-CT imaging technique is valid and reproducible compared to conventional CT measurement technique (CCT) for the detection of a femoropatellar instability.
Patients who had undergone surgery for femoropatellar instability (patellar instability group) between 2010 and 2016 (n = 37 knees of 35 patients) were retrospectively enrolled. For the matched control group, patients who had acute anterior cruciate ligament injury (<4 weeks previously; n = 30) were recruited. Preoperative CT data had been obtained in all patients. Inter-rater reliability was calculated for both measurement protocols, and inter-method reliability was calculated between the two imaging modalities. The results are reported using intraclass correlation coefficients (ICCs) and Bland–Altman 95% limits of agreement.
All patients in the patellar instability group had femoral trochlear dysplasia (Dejour types A: four, B: 19, C: seven, and D: six), but no dysplasia was noted in the control group. In the patellar instability group, the CCT technique showed a poor inter-rater agreement (ICC = 0.74), and the 3D-CT technique still showed excellent inter-rater agreement (ICCs = 0.91). In the sub-analysis of the patellar instability group according to the trochlear dysplasia grade, ICCs were markedly decreased with severe trochlear dysplasia when using CCT technique; however, the 3D-CT technique could provide excellent reliability even with severe trochlear dysplasia.
The 3D-CT imaging technique for the measurement of the TT–TG distance can be suggested as a better measurement technique for patellar instability patients with bone abnormality.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>31176603</pmid><doi>10.1016/j.knee.2019.05.001</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1548-5691</orcidid></addata></record> |
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| ispartof | The knee, 2019-12, Vol.26 (6), p.1429-1436 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Age Anterior cruciate ligament Case-Control Studies Computed tomography Dysplasia Female Humans Hypotheses Imaging, Three-Dimensional Instability Joint Instability - diagnostic imaging Joint Instability - physiopathology Knee Knee Joint - diagnostic imaging Knee Joint - physiopathology Ligaments Male Measurement techniques Methods Patellar instability Reproducibility of Results Retrospective Studies Standard deviation Statistical analysis Surgery Three-dimensional Tibial tubercle-trochlear groove distance Tomography, X-Ray Computed Young Adult |
| title | Referencing the trochlear groove based on three-dimensional computed tomography imaging improves the reliability of the measurement of the tibial tuberosity–trochlear groove distance in patients with higher grades of trochlea dysplasia |
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