Abstract
We investigated the association between cartilage lesion and future symptoms in two groups of subjects with patellofemoral pain syndrome (PFPS). Group A consisted of 31 men (mean age 20.9 years, range 19–32) and group B of 28 consecutive patients (12 men and 16 women; mean age 27.8 years, range 15–50) operated on for PFPS. The mean follow-up time was 3.4 (range 1–7) years in group A and 4.9 (range 1–6) years in group B. At follow-up the subjects in group A with severe cartilage lesion (n=10) reported more knee symptoms as measured by their Kujala score (mean 75.1, SE 3.6 vs. 88.5, SE 2.4) than those with minor cartilage lesion (n=21) (age and follow-up time-adjusted P<0.01). In group B the subjects with severe cartilage lesion tended to report more knee symptoms according to their Kujala score (mean 71.0, SE 7.0 vs. 86.1, SE 5.9; age, sex and follow-up time-adjusted P=0.15) and VAS score (mean 51.8, SE 11.8 vs. 12.7, SE 10.4; adjusted P=0.04) than the subjects without cartilage lesion. Our study shows that among the patients with PFPS, the subjects with severe cartilage lesion of the patella or femoral trochlea reported more subjective symptoms and functional limitations at follow-up than those without or with small cartilage lesion of the patella or femoral trochlea.
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References
Bellemans J, Cauwenberghs F, Witvrouw E, Brys P, Victor J (1997) Anteromedial tibial tubercle transfer in patients with chronic anterior knee pain and a subluxation-type patellar malalignment. Am J Sports Med 25:375–381
Curl WW, Krome J, Gordon S, Rushing J, Paterson Smith B, Poehling GG (1997) Cartilage injuries: a review of 31,516 knee arthroscopies. Arthroscopy 13:456–460
Ficat RP, Hungerford DS (1977) Disorders of the patello-femoral joint. Williams and Wilkins, Baltimore
Joensen AM, Hahn T, Gelineck J, Overvad K, Ingemann-Hansen T (2001) Articular cartilage lesions and anterior knee pain. Scand J Med Sci Sports 11:115–119
Kannus P, Natri A, Paakkala T, Järvinen M (1999) An outcome study of chronic patellofemoral pain syndrome: seven-year follow-up of patients in a randomized, controlled trial. J Bone Joint Surg Am 81-A:355–363
Karlsson J, Thomeé R, Swärd L (1996) Eleven year follow-up of patello-femoral pain syndrome. Clin J Sports Med 6:22–26
Krüger T, Wohlrab D, Birke A, Hein W (2000) Results of arthroscopic joint debridement in different stages of chondromalacia of the knee joint. Arch Orthop Trauma Surg 120:338–342
Kujala UM, Kvist M, Österman K (1986) Knee injuries in athletes: review of exertion injuries and retrospective study of outpatient sports clinical material. Sports Med 3:447–460
Kujala UM, Jaakkola L, Koskinen S, Taimela S, Hurme M, Nelimarkka O (1993) Scoring of patellofemoral disorders. Arthroscopy 9:159–163
Kujala UM, Kettunen J, Paananen H, Aalto T, Battié MC, Impivaara O, Videman T, Sarna S (1995) Knee osteoarthritis in former runners, soccer players, weight lifters, and shooters. Arthritis Rheum 38:539–546
Ogilvie-Harris DJ, Jackson RW (1984) The arthroscopic treatment of chondromalacia patellae. J Bone Joint Surg Br 66-B:660–665
Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Joint Surg Br 43-B:752–757
Stougård J (1975) Chondromalacia of the patella. Acta Orthop Scand 46:685–694
Thomeé R, Augustsson J, Karlsson J (1999) Patellofemoral pain syndrome: a review of current issues. Sports Med 28:245–262
Witvrouw E, Lysens R, Bellemans J, Peers K, Vanderstraeten G (2000) Open versus closed kinetic chain exercises for patellofemoral pain. Am J Sports Med 28:687–694
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Kettunen, J.A., Visuri, T., Harilainen, A. et al. Primary cartilage lesions and outcome among subjects with patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc 13, 131–134 (2005). https://doi.org/10.1007/s00167-004-0555-z
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DOI: https://doi.org/10.1007/s00167-004-0555-z