Zusammenfassung
Die richtige Behandlung von Patienten mit Beschwerden des Patellofemoralgelenks stellt nach wie vor eine Herausforderung da. Ein wichtiger Bestandteil der Diagnostik ist dabei die Bildgebung. Der Artikel stellt die wichtigsten bildgebenden Verfahren und deren Möglichkeiten vor.
Abstract
The treatment of patients with patellofemoral problems is still a matter of discussion. The radiologic evaluation is one of the key factors in choosing the right therapy. This article describes the most important imaging techniques.
Literatur
Airanow S, Zippel H (1990) Femoro-tibial torsion in patellar instability. A contribution to the pathogenesis of recurrent and habitual patellar dislocations. Beitr Orthop Traumatol 37:311–316
Baldini A, Anderson JA, Cerulli-Mariani P et al (2007) Patellofemoral evaluation after total knee arthroplasty. Validation of a new weight-bearing axial radiographic view. J Bone Joint Surg [Am] 89:1810–1817
Bennell K, Hodges P, Mellor R et al (2004) The nature of anterior knee pain following injection of hypertonic saline into the infrapatellar fat pad. J Orthop Res 22:116–121
Biedert RM (2008) Osteotomies. Orthopäde 37:872, 874–872, 880
Biedert RM, Albrecht S (2006) The patellotrochlear index: a new index for assessing patellar height. Knee Surg Sports Traumatol Arthrosc 14:707–712
Brattstroem H (1964) Shape of the intercondylar groove normally and in recurrent dislocation of patella. A clinical and x-ray-anatomical investigation. Acta Orthop Scand 68 (suppl):148
Caton J (1989) Method of measuring the height of the patella. Acta Orthop Belg 55:385–386
Colvin AC, West RV (2008) Patellar instability. J Bone Joint Surg [Am] 90:2751–2762
Conlan T, Garth WP Jr, Lemons JE (1993) Evaluation of the medial soft-tissue restraints of the extensor mechanism of the knee. J Bone Joint Surg [Am] 75:682–693
Cothran RL, McGuire PM, Helms CA et al (2003) MR imaging of infrapatellar plica injury. AJR Am J Roentgenol 180:1443–1447
Dejour H, Walch G, Nove-Josserand L, Guier C (1994) Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc 2:19–26
Dye SF (1996) The knee as a biologic transmission with an envelope of function: a theory. Clin Orthop Relat Res 325:10–18
Eckhoff DG, Winter WG (1994) Femoral and tibial torsion. Clin Orthop Relat Res 302:2–3
Endo Y, Schweitzer ME, Bordalo-Rodrigues M et al (2007) MRI quantitative morphologic analysis of patellofemoral region: lack of correlation with chondromalacia patellae at surgery. AJR Am J Roentgenol 189:1165–1168
Fabry G, MacEwen GD, Shands AR Jr (1973) Torsion of the femur. A follow-up study in normal and abnormal conditions. J Bone Joint Surg [Am] 55:1726–1738
Galland O, Walch G, Dejour H, Carret JP (1990) An anatomical and radiological study of the femoropatellar articulation. Surg Radiol Anat 12:119–125
Goutallier D, Bernageau J, Lecudonnec B (1978) The measurement of the tibial tuberosity. Patella groove distanced technique and results (author’s transl). Rev Chir Orthop Reparatrice Appar Mot 64:423–428
Grelsamer RP, Bazos AN, Proctor CS (1993) Radiographic analysis of patellar tilt. J Bone Joint Surg [Br] 75:822–824
Hodges PW, Mellor R, Crossley K, Bennell K (2009) Pain induced by injection of hypertonic saline into the infrapatellar fat pad and effect on coordination of the quadriceps muscles. Arthritis Rheum 61:70–77
Huberti HH, Hayes WC, Stone JL, Shybut GT (1984) Force ratios in the quadriceps tendon and ligamentum patellae. J Orthop Res 2:49–54
Insall J, Salvati E (1971) Patella position in the normal knee joint. Radiology 101:101–104
Jacobson JA, Lenchik L, Ruhoy MK et al (1997) MR imaging of the infrapatellar fat pad of Hoffa. Radiographics 17:675–691
Kim SJ, Choe WS (1996) Pathological infrapatellar plica: a report of two cases and literature review. Arthroscopy 12:236–239
Kramer J, Recht MP, Imhof H et al (1994) Postcontrast MR arthrography in assessment of cartilage lesions. J Comput Assist Tomogr 18:218–224
Laurin CA, Levesque HP, Dussault R et al (1978) The abnormal lateral patellofemoral angle: a diagnostic roentgenographic sign of recurrent patellar subluxation. J Bone Joint Surg [Am] 60:55–60
Lerat JL (1985) Is there an indication for osteotomy for correction of torsion errors of the lower extremity in patella instabilities in adulthood? Orthopäde 14:226–228
Merchant AC, Mercer RL, Jacobsen RH, Cool CR (1974) Roentgenographic analysis of patellofemoral congruence. J Bone Joint Surg [Am] 56:1391–1396
Merican AM, Sanghavi S, Iranpour F, Amis AA (2009) The structural properties of the lateral retinaculum and capsular complex of the knee. J Biomech 42:2323–2329
Pietsch M, Hofmann S (2006) Value of radiographic examination of the knee joint for the orthopedic surgeon. Radiologe 46:55–64
Post WR, Teitge R, Amis A (2002) Patellofemoral malalignment: looking beyond the viewbox. Clin Sports Med 21:521–546
Recht MP, Kramer J, Marcelis S et al (1993) Abnormalities of articular cartilage in the knee: analysis of available MR techniques. Radiology 187:473–478
Recht MP, Piraino DW, Paletta GA et al (1996) Accuracy of fat-suppressed three-dimensional spoiled gradient-echo FLASH MR imaging in the detection of patellofemoral articular cartilage abnormalities. Radiology 198:209–212
Schneider B, Laubenberger J, Jemlich S et al (1997) Measurement of femoral antetorsion and tibial torsion by magnetic resonance imaging. Br J Radiol 70:575–579
Schöttle PB, Zanetti M, Seifert B et al (2006) The tibial tuberosity-trochlear groove distance; a comparative study between CT and MRI scanning. Knee 13:26–31
Staheli LT, Lippert F, Denotter P (1977) Femoral anteversion and physical performance in adolescent and adult life. Clin Orthop Relat Res 129:213–216
Strecker W, Keppler P, Gebhard F, Kinzl L (1997) Length and torsion of the lower limb. J Bone Joint Surg [Br] 79:1019–1023
Tang G, Niitsu M, Ikeda K et al (2000) Fibrous scar in the infrapatellar fat pad after arthroscopy: MR imaging. Radiat Med 18:1–5
Terry GC, Hughston JC, Norwood LA (1986) The anatomy of the iliopatellar band and iliotibial tract. Am J Sports Med 14:39–45
Tomczak RJ, Guenther KP, Rieber A et al (1997) MR imaging measurement of the femoral antetorsional angle as a new technique: comparison with CT in children and adults. AJR Am J Roentgenol 168:791–794
Tsujimoto K, Kurosaka M, Yoshiya S, Mizuno K (2000) Radiographic and computed tomographic analysis of the position of the tibial tubercle in recurrent dislocation and subluxation of the patella. Am J Knee Surg 13:83–88
Urch SE, Tritle BA, Shelbourne KD, Gray T (2009) Axial linear patellar displacement: a new measurement of patellofemoral congruence. Am J Sports Med 37:970–973
Van de Berg BC, Lecouvet FE, Maldague B, Malghem J (2004) MR appearance of cartilage defects of the knee: preliminary results of a spiral CT arthrography-guided analysis. Eur Radiol 14:208–214
Weiner DS, Cook AJ, Hoyt WA Jr, Oravec CE (1978) Computed tomography in the measurement of femoral anteversion. Orthopedics 1:299–306
Yoshioka Y, Cooke TD (1987) Femoral anteversion: assessment based on function axes. J Orthop Res 5:86–91
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Der korrespondierende Autor weist auf folgende Beziehungen hin: Dr. Gerd Seitlinger ist als Berater für die Firmen Zimmer und Stryker tätig.
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Seitlinger, G., Scheurecker, G., Högler, R. et al. Bildgebende Diagnostik des Patellofemoralgelenks. Arthroskopie 23, 176–183 (2010). https://doi.org/10.1007/s00142-010-0567-2
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DOI: https://doi.org/10.1007/s00142-010-0567-2