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Minimum joint space width (mJSW) of patellofemoral joint on standing “skyline” radiographs: test-retest reproducibility and comparison with quantitative magnetic resonance imaging (qMRI)

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Abstract

Objective

To assess the intraobserver, interobserver, and test-retest reproducibility of minimum joint space width (mJSW) measurement of medial and lateral patellofemoral joints on standing “skyline” radiographs and to compare the mJSW of the patellofemoral joint to the mean cartilage thickness calculated by quantitative magnetic resonance imaging (qMRI).

Materials and methods

A couple of standing “skyline” radiographs of the patellofemoral joints and MRI of 55 knees of 28 volunteers (18 females, ten males, mean age, 48.5 ± 16.2 years) were obtained on the same day. The mJSW of the patellofemoral joint was manually measured and Kellgren and Lawrence grade (KLG) was independently assessed by two observers. The mJSW was compared to the mean cartilage thickness of patellofemoral joint calculated by qMRI.

Results

mJSW of the medial and lateral patellofemoral joint showed an excellent intraobserver agreement (interclass correlation (ICC) = 0.94 and 0.96), interobserver agreement (ICC = 0.90 and 0.95) and test-retest agreement (ICC = 0.92 and 0.96). The mJSW measured on radiographs was correlated to mean cartilage thickness calculated by qMRI (r = 0.71, p < 0.0001 for the medial PFJ and r = 0.81, p < 0.0001 for the lateral PFJ). However, there was a lack of concordance between radiographs and qMRI for extreme values of joint width and KLG. Radiographs yielded higher joint space measures than qMRI in knees with a normal joint space, while qMRI yielded higher joint space measures than radiographs in knees with joint space narrowing and higher KLG.

Conclusions

Standing “skyline” radiographs are a reproducible tool for measuring the mJSW of the patellofemoral joint. The mJSW of the patellofemoral joint on radiographs are correlated with, but not concordant with, qMRI measurements.

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Conflict of interest

The authors declare that there are no conflicts of interest.

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Authors and Affiliations

  1. Diagnostic Imaging Departement, Domanine du Sart Tilman, CHU de Liège, Bât. 35, 4000, Liège, Belgium

    Paolo Simoni, Sanaa Jamali & Victoria Alvarez Miezentseva

  2. Biostatistics Departement, Domanine du Sart Tilman, CHU de Liège, Bât. 35, 4000, Liège, Belgium

    Adelin Albert

  3. Qmetrics Technologies, 140 Allens Creek Road, Rochester, NY, 14618, USA

    Saara Totterman, Edward Schreyer & Jose G. Tamez-Peña

  4. Diagnostic Imaging Departement, Campus Bio-Medico University, Via Álvaro del Portillo, 21, 00128, Rome, Italy

    Bruno Beomonte Zobel

  5. Orthopaedic surgery Department, Domanine du Sart Tilman, CHU de Liège, Bât. 35, 4000, Liège, Belgium

    Philippe Gillet

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  1. Paolo Simoni
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Correspondence to Paolo Simoni.

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Simoni, P., Jamali, S., Albert, A. et al. Minimum joint space width (mJSW) of patellofemoral joint on standing “skyline” radiographs: test-retest reproducibility and comparison with quantitative magnetic resonance imaging (qMRI). Skeletal Radiol 42, 1573–1582 (2013). https://doi.org/10.1007/s00256-013-1701-9

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  • DOI: https://doi.org/10.1007/s00256-013-1701-9

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