No Difference on Quantitative Magnetic Resonance Imaging in Patellofemoral Cartilage Composition Between Patients With Patellofemoral Pain and Healthy Controls

被引：38

作者：

van der Heijden, Rianne A. ^{[1
,2
]}

Oei, Edwin H. G. ^{[1
,2
]}

Bron, Esther E. ^{[1
,2
,3
,4
]}

van Tiel, Jasper ^{[1
,2
,5
]}

van Veldhoven, Peter L. J. ^{[1
,2
,6
]}

Klein, Stefan ^{[1
,2
,3
,4
]}

Verhaar, Jan A. N. ^{[1
,2
,5
]}

Krestin, Gabriel P. ^{[1
,2
]}

Bierma-Zeinstra, Sita M. A. ^{[1
,2
,5
]}

van Middelkoop, Marienke ^{[1
,2
]}

机构：

[1] Univ Med Ctr, Erasmus MC, Dept Gen Practice, POB 1738, NL-3000 DR Rotterdam, Netherlands

[2] Univ Med Ctr, Erasmus MC, Dept Radiol, Rotterdam, Netherlands

[3] Univ Med Ctr, Erasmus MC, Biomed Imaging Grp Rotterdam, Dept Radiol, Rotterdam, Netherlands

[4] Univ Med Ctr, Erasmus MC, Dept Med Informat, Rotterdam, Netherlands

[5] Univ Med Ctr, Erasmus MC, Dept Orthoped Surg, Rotterdam, Netherlands

[6] Med Ctr Haaglanden, Dept Sports Med, Leidschendam, Netherlands

来源：

AMERICAN JOURNAL OF SPORTS MEDICINE | 2016年 / 44卷 / 05期

关键词：

knee; patella; magnetic resonance imaging; cartilage; patellofemoral pain syndrome; GADOLINIUM-ENHANCED MRI; ARTICULAR-CARTILAGE; RELAXATION-TIME; KNEE CARTILAGE; FOLLOW-UP; OSTEOARTHRITIS; T-2; REPRODUCIBILITY; DEGENERATION; INJURIES;

D O I：

10.1177/0363546516632507

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: Retropatellar cartilage damage has been suggested as an etiological factor for patellofemoral pain (PFP), a common knee condition among young and physically active individuals. To date, there is no conclusive evidence for an association between cartilage defects and PFP. Nowadays, advanced quantitative magnetic resonance imaging (MRI) techniques enable estimation of cartilage composition. Purpose: To investigate differences in patellofemoral cartilage composition between patients with PFP and healthy control subjects using quantitative MRI. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Patients with PFP and healthy control subjects underwent 3.0-T MRI including delayed gadolinium-enhanced MRI of cartilage and T1 and T2 mapping. Differences in relaxation times of patellofemoral cartilage were compared between groups by linear regression analyses, adjusted for age, body mass index, sex, sports participation, and time of image acquisition. Results: This case-control study included 64 patients and 70 controls. The mean (+/- SD) age was 23.2 +/- 6.4 years and the mean body mass index was 22.9 +/- 3.4 kg/m(2); 56.7% were female. For delayed gadolinium-enhanced MRI of cartilage, the mean T1(GD) relaxation times of patellar (657.8 vs 669.4 ms) and femoral cartilage (661.6 vs 659.8 ms) did not significantly differ between patients and controls. In addition, no significant difference was found in mean T1 relaxation times of patellar (46.9 vs 46.0 ms) and femoral cartilage (50.8 vs 50.2 ms) and mean T2 relaxation times of patellar (33.2 vs 32.9 ms) and femoral cartilage (36.7 vs 36.6 ms) between patients and controls. Analysis of prespecified medial and lateral subregions within the patellofemoral cartilage also revealed no significant differences. Conclusion: There was no difference in composition of the patellofemoral cartilage, estimated with multiple quantitative MRI techniques, between patients with PFP and healthy control subjects. However, clinically relevant differences could not be ruled out for T1 in the adolescent population. Retropatellar cartilage damage has long been hypothesized as an important factor in the pathogenesis of PFP, but study findings suggest that diminished patellofemoral cartilage composition is not associated with PFP.

引用

页码：1172 / 1178

页数：7

共 39 条

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