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Radiomics-based diagnosis of patellar chondromalacia using sagittal T2-weighted images.
Radiologie (Heidelb)
January 2025
Department of Radiology, The Affiliated Hospital of Wuhan Sports University, 430079, Wuhan, China.
Objective: This study aimed to explore and evaluate a novel method for diagnosing patellar chondromalacia using radiomic features from patellar sagittal T2-weighted images (T2WI).
Methods: The experimental data included sagittal T2WI images of the patella from 40 patients with patellar chondromalacia and 40 healthy volunteers. The training set comprised 30 cases of chondromalacia and 30 healthy volunteers, while the test set included 10 cases of each.
Comparative analysis of isokinetic parameters in individuals with and without chondromalacia patellae.
J ISAKOS
January 2025
Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia do Hospital das Clínicas (IOT-HC), Faculdade de Medicina, Universidade de São Paulo (FMSUP), São Paulo, SP; Brazil.
Introduction: Chondromalacia patella (CMP) is characterized by cartilage degeneration, affects young adults, more women (2:1) and is responsible for 75% of knee pain complaints in the active population. The etiology is multifactorial and may be related to extrinsic factors (trauma and burden) and intrinsic factors (patellar malalignment and quadriceps weakness). Isokinetic dynamometry (ID) can aid in the detection of the causal factors of knee pain related to CMP.
View Article and Find Full Text PDFPatellar Non-Traumatic Pathologies: A Pictorial Review of Radiologic Findings.
Diagnostics (Basel)
December 2024
Department of Radiology, Division of Musculoskeletal Imaging and Intervention, University of Washington, Seattle, WA 98105, USA.
Patellar pathologies are a common cause of knee dysfunction, with Patellofemoral Pain Syndrome (PFPS) alone responsible for 25% of knee-related visits to sports medicine clinics. Non-traumatic conditions, while often overlooked, can also lead to significant discomfort and functional limitations, highlighting the importance of accurate and timely diagnosis for effective management and prevention of complications. This pictorial review examines the radiologic characteristics of various non-traumatic patellar disorders, focusing on imaging modalities such as radiography, computed tomography (CT), and magnetic resonance imaging (MRI).
View Article and Find Full Text PDFA novel assessment of the differences in various measurements in patients with patella alta and baja: a retrospective cross-sectional study.
Quant Imaging Med Surg
December 2024
Department of Radiology, Basaksehir Cam and Sakura City Hospital, İstanbul, Turkey.
Background: Insall-Salvati index (ISI) is widely used to evaluate patella position, the specific relationship between quadriceps patellar tendon angle (QPA) and patellofemoral measurements remains unclear. Understanding this relationship could provide valuable insights into diagnosing and treating knee pain, instability, and patellofemoral pathologies more effectively. In this study, we aimed to assess whether there was a significant difference between the patients with patella alta and baja in terms of many patellofemoral measurements and pathologies.
View Article and Find Full Text PDFAdvanced Non-Operative Interventions for Anterior Knee Pain.
Curr Rev Musculoskelet Med
December 2024
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA.
Article Synopsis
- This review focuses on advanced non-operative treatments for common causes of anterior knee pain in adults, including techniques like extracorporeal shockwave therapy (ESWT), platelet-rich plasma (PRP), and other injection-based therapies.
- Recent findings indicate that ESWT and PRP show the strongest evidence for their effectiveness in treating conditions such as osteoarthritis and patellar tendinopathy, while other treatments like botulinum neurotoxin demonstrate strong support for patellofemoral pain syndrome.
- There is a need for further research to better understand the effectiveness of various treatments for knee pain, as well as to standardize treatment protocols, allowing clinicians to make informed decisions based on patient activity levels and potential risks.
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