Analysis of the relationship between meniscal tears and medial patellofemoral rupture according to the treatment method and gender

Authors : Ayşe Gül KABAKCI, Volkan Tolga TEKBAŞ, Memduha Gülhal BOZKIR

Pages : 206-212

View : 42 | Download : 34

Publication Date : 2023-06-30

Article Type : Research Paper

Abstract :Objective: The aim of this study was to make a detailed anatomical analysis of the parameters of patellar height, the congruence angle, the lateral patellofemoral angle in patients with medial patellofemoral rupture, according to the treatment method insert ignore into journalissuearticles values(surgical or conventional);, gender and whether or not there is a lateral and medial meniscus tears. Methods: This study was planned as retrospective study between January 2010 and January 2021. Magnetic resonance images insert ignore into journalissuearticles values(MRI); of 61 knees insert ignore into journalissuearticles values(61 individuals); were obtained for analysis. Of those, 38 knees were left, and 23 were right. One orthopaedic surgeons and two anatomist independently measured patellar morphology, patellar height and patellar alignment and evaluation lateral and medial meniscus tears. Knee MRI protocol including axial T2-weighted turbo spin echo insert ignore into journalissuearticles values(TR:3600, TE:87 ms; slice thickness 5 mm; gap 1.5 mm); was used. Results: There was a significant difference patellar height insert ignore into journalissuearticles values(surgery; 1.21±0.27 and conventional; 0.99±0.16);, the congruence angle insert ignore into journalissuearticles values(surgery; -4.94±4.72 and conventional; 4.93±5.72);, the lateral patellofemoral angle insert ignore into journalissuearticles values(surgery; -35.61±16.62 and conventional; 10.93±15.00);, except for age parameter insert ignore into journalissuearticles values(surgery; 27.06±6.20 and conventional; 27.47±5.33); between the conventional and surgical treatment groups insert ignore into journalissuearticles values(p<0.05);. Moreover, we found that 29 patients of the patients with medial patellofemoral rupture had a lateral meniscus tear, 11 patients had a medial meniscus tear, and 8 patients had both lateral and medial meniscus tears. Conclusion: We found that relationship between meniscal tears and medial patellofemoral rupture will affect the treatment course. Also, this study will contribute to evaluate the radiological and clinical correlations, patello-femoral positioning in patients who medial patellofemoral rupture.
Keywords : anatomi, uyum açısı, lateral patellofemoral açı, diz, menisküs yırtıkları, patellar yükseklik