Internal derangements of the knee associated with patellofemoral joint degeneration
The objective of the present study was to evaluate whether internal derangements of the knee joint are associated with patellofemoral joint (PFJ) degeneration. Data were collected prospectively from 1,000 consecutive knee arthroscopies. Chondral lesions were observed in 854 patients, and these patie...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2005-10, Vol.13 (7), p.581-584 |
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| creator | Christoforakis, Joseph J Strachan, Robin K |
| description | The objective of the present study was to evaluate whether internal derangements of the knee joint are associated with patellofemoral joint (PFJ) degeneration. Data were collected prospectively from 1,000 consecutive knee arthroscopies. Chondral lesions were observed in 854 patients, and these patients were included in this study. Patients' details (age, sex, duration of symptoms, injuries, and possible mechanism of injury), operative details (types and number of portals, equipment used), intra-articular findings (articular, meniscal and synovial lesions, and stability characteristics) and procedures performed were recorded. Articular lesions were noted on anatomic articular maps of the different functional zones, using a system which presaged the current ICRS system. Using this zoning system, it was easy for the authors to separate the patients with isolated patellofemoral degeneration and arthritis and to do the statistical analysis. Increased incidence of isolated patellofemoral degeneration was noted in patients with synovial shelves, in comparison with patients without shelves (24.7% vs. 15.5%, respectively; P=0.001). Patients with severe patellofemoral maltracking were found to have increased incidence of isolated patellofemoral degeneration in comparison with patients without patella maltracking (64.7% vs. 18% respectively; P |
| doi_str_mv | 10.1007/s00167-004-0589-2 |
| format | Article |
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Data were collected prospectively from 1,000 consecutive knee arthroscopies. Chondral lesions were observed in 854 patients, and these patients were included in this study. Patients' details (age, sex, duration of symptoms, injuries, and possible mechanism of injury), operative details (types and number of portals, equipment used), intra-articular findings (articular, meniscal and synovial lesions, and stability characteristics) and procedures performed were recorded. Articular lesions were noted on anatomic articular maps of the different functional zones, using a system which presaged the current ICRS system. Using this zoning system, it was easy for the authors to separate the patients with isolated patellofemoral degeneration and arthritis and to do the statistical analysis. Increased incidence of isolated patellofemoral degeneration was noted in patients with synovial shelves, in comparison with patients without shelves (24.7% vs. 15.5%, respectively; P=0.001). Patients with severe patellofemoral maltracking were found to have increased incidence of isolated patellofemoral degeneration in comparison with patients without patella maltracking (64.7% vs. 18% respectively; P<0.001). In conclusion, patellofemoral maltracking and synovial shelves of the knee are highly associated with PFJ degeneration. On the contrary, meniscal tears and ligamentous injuries are associated mainly with degeneration of other compartments of the knee joint and not the PFJ.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-004-0589-2</identifier><identifier>PMID: 15756609</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Adult ; Arthroscopy ; Bone Malalignment - pathology ; Bone Malalignment - surgery ; Female ; Femur - pathology ; Femur - surgery ; Humans ; Injuries ; Knee ; Knee Injuries - classification ; Knee Injuries - pathology ; Knee Injuries - surgery ; Knee Joint - pathology ; Knee Joint - surgery ; Ligaments, Articular - injuries ; Ligaments, Articular - surgery ; Male ; Menisci, Tibial - surgery ; Osteoarthritis, Knee - pathology ; Patella - pathology ; Patella - surgery ; Patellofemoral Pain Syndrome - pathology ; Patellofemoral Pain Syndrome - surgery ; Prospective Studies ; Tibial Meniscus Injuries</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2005-10, Vol.13 (7), p.581-584</ispartof><rights>Springer-Verlag 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-42489ed59c3fd818bbd698d9d2fb8af823eac9f756733feb1d3c2a6c1f546d343</citedby><cites>FETCH-LOGICAL-c326t-42489ed59c3fd818bbd698d9d2fb8af823eac9f756733feb1d3c2a6c1f546d343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15756609$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Christoforakis, Joseph J</creatorcontrib><creatorcontrib>Strachan, Robin K</creatorcontrib><title>Internal derangements of the knee associated with patellofemoral joint degeneration</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>The objective of the present study was to evaluate whether internal derangements of the knee joint are associated with patellofemoral joint (PFJ) degeneration. Data were collected prospectively from 1,000 consecutive knee arthroscopies. Chondral lesions were observed in 854 patients, and these patients were included in this study. Patients' details (age, sex, duration of symptoms, injuries, and possible mechanism of injury), operative details (types and number of portals, equipment used), intra-articular findings (articular, meniscal and synovial lesions, and stability characteristics) and procedures performed were recorded. Articular lesions were noted on anatomic articular maps of the different functional zones, using a system which presaged the current ICRS system. Using this zoning system, it was easy for the authors to separate the patients with isolated patellofemoral degeneration and arthritis and to do the statistical analysis. Increased incidence of isolated patellofemoral degeneration was noted in patients with synovial shelves, in comparison with patients without shelves (24.7% vs. 15.5%, respectively; P=0.001). Patients with severe patellofemoral maltracking were found to have increased incidence of isolated patellofemoral degeneration in comparison with patients without patella maltracking (64.7% vs. 18% respectively; P<0.001). In conclusion, patellofemoral maltracking and synovial shelves of the knee are highly associated with PFJ degeneration. On the contrary, meniscal tears and ligamentous injuries are associated mainly with degeneration of other compartments of the knee joint and not the PFJ.</description><subject>Adult</subject><subject>Arthroscopy</subject><subject>Bone Malalignment - pathology</subject><subject>Bone Malalignment - surgery</subject><subject>Female</subject><subject>Femur - pathology</subject><subject>Femur - surgery</subject><subject>Humans</subject><subject>Injuries</subject><subject>Knee</subject><subject>Knee Injuries - classification</subject><subject>Knee Injuries - pathology</subject><subject>Knee Injuries - surgery</subject><subject>Knee Joint - pathology</subject><subject>Knee Joint - surgery</subject><subject>Ligaments, Articular - injuries</subject><subject>Ligaments, Articular - surgery</subject><subject>Male</subject><subject>Menisci, Tibial - surgery</subject><subject>Osteoarthritis, Knee - pathology</subject><subject>Patella - pathology</subject><subject>Patella - surgery</subject><subject>Patellofemoral Pain Syndrome - pathology</subject><subject>Patellofemoral Pain Syndrome - surgery</subject><subject>Prospective Studies</subject><subject>Tibial Meniscus Injuries</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkEtLAzEUhYMotlZ_gBsZXLgbzWsyyVLER6HgQl2HzOSmndpJ6iRF_PdmaEFwdc_inMO5H0KXBN8SjOu7iDERdYkxL3ElVUmP0JRwxsqa8foYTbHitKS4EhN0FuMa4yy5OkUTUtWVEFhN0dvcJxi82RQWBuOX0INPsQiuSCsoPj1AYWIMbWcS2OK7S6tim-VmExz0Yci5deh8yukl-NyQuuDP0YkzmwgXhztDH0-P7w8v5eL1ef5wvyhbRkUqOeVSga1Uy5yVRDaNFUpaZalrpHGSMjCtcnlpzZiDhljWUiNa4iouLONshm72vdshfO0gJt13sc3bjIewi1pIISpek2y8_mdch934dNQSjySoVNlE9qZ2CDEO4PR26Hoz_GiC9Yhb73HrjFuPuDXNmatD8a7pwf4lDnzZL3txe_k</recordid><startdate>200510</startdate><enddate>200510</enddate><creator>Christoforakis, Joseph J</creator><creator>Strachan, Robin K</creator><general>Springer Nature B.V</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>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200510</creationdate><title>Internal derangements of the knee associated with patellofemoral joint degeneration</title><author>Christoforakis, Joseph J ; Strachan, Robin K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-42489ed59c3fd818bbd698d9d2fb8af823eac9f756733feb1d3c2a6c1f546d343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Arthroscopy</topic><topic>Bone Malalignment - pathology</topic><topic>Bone Malalignment - surgery</topic><topic>Female</topic><topic>Femur - pathology</topic><topic>Femur - surgery</topic><topic>Humans</topic><topic>Injuries</topic><topic>Knee</topic><topic>Knee Injuries - classification</topic><topic>Knee Injuries - pathology</topic><topic>Knee Injuries - surgery</topic><topic>Knee Joint - pathology</topic><topic>Knee Joint - surgery</topic><topic>Ligaments, Articular - injuries</topic><topic>Ligaments, Articular - surgery</topic><topic>Male</topic><topic>Menisci, Tibial - surgery</topic><topic>Osteoarthritis, Knee - pathology</topic><topic>Patella - pathology</topic><topic>Patella - surgery</topic><topic>Patellofemoral Pain Syndrome - pathology</topic><topic>Patellofemoral Pain Syndrome - surgery</topic><topic>Prospective Studies</topic><topic>Tibial Meniscus Injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Christoforakis, Joseph J</creatorcontrib><creatorcontrib>Strachan, Robin K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Christoforakis, Joseph J</au><au>Strachan, Robin K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Internal derangements of the knee associated with patellofemoral joint degeneration</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2005-10</date><risdate>2005</risdate><volume>13</volume><issue>7</issue><spage>581</spage><epage>584</epage><pages>581-584</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>The objective of the present study was to evaluate whether internal derangements of the knee joint are associated with patellofemoral joint (PFJ) degeneration. Data were collected prospectively from 1,000 consecutive knee arthroscopies. Chondral lesions were observed in 854 patients, and these patients were included in this study. Patients' details (age, sex, duration of symptoms, injuries, and possible mechanism of injury), operative details (types and number of portals, equipment used), intra-articular findings (articular, meniscal and synovial lesions, and stability characteristics) and procedures performed were recorded. Articular lesions were noted on anatomic articular maps of the different functional zones, using a system which presaged the current ICRS system. Using this zoning system, it was easy for the authors to separate the patients with isolated patellofemoral degeneration and arthritis and to do the statistical analysis. Increased incidence of isolated patellofemoral degeneration was noted in patients with synovial shelves, in comparison with patients without shelves (24.7% vs. 15.5%, respectively; P=0.001). Patients with severe patellofemoral maltracking were found to have increased incidence of isolated patellofemoral degeneration in comparison with patients without patella maltracking (64.7% vs. 18% respectively; P<0.001). In conclusion, patellofemoral maltracking and synovial shelves of the knee are highly associated with PFJ degeneration. On the contrary, meniscal tears and ligamentous injuries are associated mainly with degeneration of other compartments of the knee joint and not the PFJ.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>15756609</pmid><doi>10.1007/s00167-004-0589-2</doi><tpages>4</tpages></addata></record> |
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| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2005-10, Vol.13 (7), p.581-584 |
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| language | eng |
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| source | MEDLINE; Access via Wiley Online Library; SpringerLink Journals - AutoHoldings |
| subjects | Adult Arthroscopy Bone Malalignment - pathology Bone Malalignment - surgery Female Femur - pathology Femur - surgery Humans Injuries Knee Knee Injuries - classification Knee Injuries - pathology Knee Injuries - surgery Knee Joint - pathology Knee Joint - surgery Ligaments, Articular - injuries Ligaments, Articular - surgery Male Menisci, Tibial - surgery Osteoarthritis, Knee - pathology Patella - pathology Patella - surgery Patellofemoral Pain Syndrome - pathology Patellofemoral Pain Syndrome - surgery Prospective Studies Tibial Meniscus Injuries |
| title | Internal derangements of the knee associated with patellofemoral joint degeneration |
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