Increased femoral antetorsion correlates with higher degrees of lateral retropatellar cartilage degeneration, further accentuated in genu valgum.
Adult
Aged
Aged, 80 and over
Cartilage
/ pathology
Cartilage Diseases
/ epidemiology
Cohort Studies
Female
Femur
/ pathology
Genu Valgum
/ epidemiology
Humans
Knee Joint
/ pathology
Logistic Models
Male
Middle Aged
Odds Ratio
Osteoarthritis, Knee
/ epidemiology
Patellofemoral Joint
/ pathology
Tibia
/ pathology
Femur
Osteoarthritis
Patella
Torsion abnormality
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
08
06
2020
accepted:
06
08
2020
pubmed:
14
8
2020
medline:
29
6
2021
entrez:
14
8
2020
Statut:
ppublish
Résumé
The role of increased femoral antetorsion (femAT) as a contributor to patellofemoral (PF) osteoarthritis (OA) is unknown. The purpose of this study was to investigate whether increased femAT was associated with advanced cartilage degeneration in the lateral PF joint. Patients who underwent complete radiographic workup for surgical intervention due to OA in any knee joint compartment were included. Cartilage morphology according to the International Cartilage Repair Society (ICRS) cartilage lesion classification system in the PF joint, femoral and tibial torsion, frontal leg axis, and tibial tuberosity-trochlear groove (TT-TG) distance were assessed. Increased femAT was defined as > 20° according to previous reports. A total of 144 patients were included. Ninety-seven patients had a femAT of < 20° and 45 of > 20°. A significant odds ratio (OR) was found for lateral retropatellar (OR 3.5; p = 0.02) ICRS grade 3 and 4 cartilage degeneration and increased femAT ≥ 20°. In the medial PF compartment, increased femAT had an inverse effect (OR 0.16; p = 0.01). No significant ORs were found for TT-TG distance, tibial torsion, or leg axis. The lateral retropatellar ICRS grade showed a linear correlation to increased femAT values. In valgus knees, isolated lateral PF OA had an even more pronounced correlation to increased femAT (p = 0.004). Increased femAT showed higher grades of lateral retropatellar cartilage degeneration, which was even more pronounced in valgus knees. Cohort study: Level III.
Identifiants
pubmed: 32785758
doi: 10.1007/s00167-020-06223-x
pii: 10.1007/s00167-020-06223-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1760-1768Références
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