Joint Rotation

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Martin Snow - One of the best experts on this subject based on the ideXlab platform.

  • KNEE Joint Rotation ANGLE: A PREDICTOR OF PATHOLOGICAL TIBIAL TUBEROSITY-TROCHLEA GROOVE DISTANCE IN PATIENTS WITH PATELLA-FEMORAL PAIN AND INSTABILITY.
    2018
    Co-Authors: K. Theivendran, Raj R Thakrar, R.l. Holder, Curtis Robb, Martin Snow
    Abstract:

    IntroductionPatellofemoral pain and instability can be quantified by using the tibial tuberosity to trochlea groove (TT-TG) distance with more than or equal to 20mm considered pathological requiring surgical correction. Aim of this study is to determine if knee Joint Rotation angle is predictive of a pathological TT-TG.MethodsOne hundred limbs were imaged from the pelvis to the foot using Computer Tomography (CT) scans in 50 patients with patellofemoral pain and instability. The TT-TG distance, femoral version, tibial torsion and knee Joint Rotation angle ((KJRA) were measured. Limbs were separated into pathological and non-pathological TT-TG. Significant differences in the measured angles between the pathological and non-pathological groups were estimated using the t test. The inter- and intraobserver variability of the measurement was performed. Logistic regression analysis was used to find the best combination of Rotational angle predictors for a pathological TT-TG.ResultsThe intraclass correlation coe...

  • KNEE Joint Rotation ANGLE: A PREDICTOR OF PATHOLOGICAL TIBIAL TUBEROSITY-TROCHLEA GROOVE DISTANCE IN PATIENTS WITH PATELLA-FEMORAL PAIN AND INSTABILITY.
    Journal of Bone and Joint Surgery-british Volume, 2013
    Co-Authors: K. Theivendran, Raj R Thakrar, R.l. Holder, Curtis Robb, Martin Snow
    Abstract:

    Introduction Patellofemoral pain and instability can be quantified by using the tibial tuberosity to trochlea groove (TT-TG) distance with more than or equal to 20mm considered pathological requiring surgical correction. Aim of this study is to determine if knee Joint Rotation angle is predictive of a pathological TT-TG. Methods One hundred limbs were imaged from the pelvis to the foot using Computer Tomography (CT) scans in 50 patients with patellofemoral pain and instability. The TT-TG distance, femoral version, tibial torsion and knee Joint Rotation angle ((KJRA) were measured. Limbs were separated into pathological and non-pathological TT-TG. Significant differences in the measured angles between the pathological and non-pathological groups were estimated using the t test. The inter- and intraobserver variability of the measurement was performed. Logistic regression analysis was used to find the best combination of Rotational angle predictors for a pathological TT-TG. Results The intraclass correlation coefficients for inter- and intraobserver variability of the measured parameters was higher than 0.94 for all measurements. A statistically significant difference (P=0.024) was found between the KJRA between the pathological (mean=10.6, SD=7.79 degrees) and the non-pathological group (mean=6.99, SD=5.06 degrees). Logistic regression analysis showed that both femoral version (P=0.03, OR = 0.95) and KJRA (P=0.004, OR=1.15) were, in combination, significant predictors of an abnormal TT-TG. Tibial torsion was not a significant predictor. Conclusion The KJRA can be used as an alternative measurement when the TT-TG distance cannot be measured as in cases of severe trochlea dysplasia and may act as a surrogate for pathological TT-TG.

S K Sinha - One of the best experts on this subject based on the ideXlab platform.

Usha Sinha - One of the best experts on this subject based on the ideXlab platform.

Robert Csapo - One of the best experts on this subject based on the ideXlab platform.

Ryuta Kinugasa - One of the best experts on this subject based on the ideXlab platform.