Morphometric analysis of chondromalacia patella and patella types

Year 2023, , 663 - 671, 31.12.2023

Emre Öğüt , Ayşe Gül Kabakcı , Hakan Saygılı , Memduha Gülhal Bozkır

https://doi.org/10.47582/jompac.1377942

Abstract

Aims: The present study was conducted to determine patella types, chondromalacia patella finding in the Turkish society, and to evaluate the differences between gender and age groups to with Magnetic Resonance Imaging (MRI).
Methods: The study had a retrospective design, and included 256 people (122 females, 134 male) who were between the ages of 18 and 81 admitting to the Orthopedic Clinic of Kozan State Hospital with various complaints in knee joints and different preliminary diagnoses between January 2015 and December 2017. The evaluations made on MR images in the study. We evaluated in our study were patella types, chondromalacia classification and comparison according to age and gender.
Results: Patella types did not differ between the genders at significant levels; however, significant differences were detected between the genders in the chondromalacia patella (p=0.03). Patella types were classified, and it was found that Type II Patella was the most common patella type, and Type IV was identified as the least common.
Conclusion: We believe that the data obtained in our study will be useful in understanding morphometry of patella in anatomy, radiology and orthopedics fields. Based on our findings, we concluded that the anatomical shape of the patella is an important anatomic parameter, which may reflect the development of defects in the patellofemoral region It is also clinically important in terms of identifying knee pathologies more clearly in the aging process, and revealing the differences between societies, and in many pathologies that involve patella.

Keywords

Chondromalacia patella, knee, morphometry, patella types

Ethical Statement

The study was carried out with the permission of the Cukurova University Non-Interventional Clinical Research Ethics Committee (Date: 2017, Decision No: 65(38)).

Supporting Institution

There is no funding

Thanks

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Kondromalazi patella ve patella tiplerinin morfometrik analizi

Abstract

Amaç: Bu çalışma, Türk toplumunda patella tiplerini, kondromalazi patella bulgusunu belirlemek, cinsiyet ve yaş grupları arasındaki farklılıkları Manyetik Rezonans Görüntüleme (MRG) ile değerlendirmek amacıyla yapıldı.
Yöntem: Retrospektif olarak tasarlanan çalışmaya, Ocak 2015 ve Aralık 2017 tarihleri arasında Kozan Devlet Hastanesi Ortopedi Kliniğine diz eklemlerinde çeşitli şikayetler ve farklı ön tanılarla başvuran 18-81 yaş arası 256 kişi (122 kadın, 134 erkek) dahil edildi. Çalışmada değerlendirmeler MR görüntüleri üzerinde yapılmıştır. Çalışmamızda patella tiplerini, kondromalazi sınıflandırmasını, yaş ve cinsiyete göre karşılaştırmasını değerlendirdik.
Bulgular: Patella tipleri cinsiyetler arasında anlamlı düzeyde farklılık göstermedi; ancak kondromalazi patellada cinsiyetler arasında anlamlı farklılık saptandı (p=0,03). Patella tipleri sınıflandırılarak Tip II Patella'nın en sık görülen patella tipi olduğu, Tip IV'ün ise en az görülen patella tipi olduğu belirlendi.
Sonuç: Çalışmamızda elde edilen verilerin anatomi, radyoloji ve ortopedi alanlarında patellanın morfometrisinin anlaşılmasında faydalı olacağına inanıyoruz. Bulgularımıza dayanarak patellanın anatomik şeklinin patellofemoral bölgedeki defektlerin gelişimini yansıtabilecek önemli bir anatomik parametre olduğu sonucuna vardık. Ayrıca yaşlanma sürecinde diz patolojilerinin daha net tanımlanması açısından klinik olarak da önemli olduğu ve toplumlar arasındaki farklılıkları ve patellayı içeren birçok patolojiyi ortaya koyuyor.

Keywords

Kondromalazi Patella, Diz, Morfometri, Patella türleri

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