Analysis of the influence of the podalic support in face radiographies of the knees in load
DOI:
https://doi.org/10.25758/set.1691Keywords:
Comparative analysis, Knee radiography, Weight-bearing, Joint space measurement, Gonarthrosis, Femorotibial angleAbstract
Introduction – The knee joint is one of the most complex of the human body and is most affected by osteoarthritis since it sustains most of the body weight. The modifications of the alignment of its components can lead to biomechanical imbalance and promote joint space reduction. Although other imaging modalities are used, in this context, conventional radiology is still an indispensable instrument in knee imaging evaluation. However, it is not consensual which protocol is most appropriate for its evaluation. Aim – The main objective of this study was centered on osteoarthrosis, bi or mono, on the radiographic image resultant of the incidence of the face of the knee in weight-bearing. Methods – An institutional, observational, transversal, and retrospective study was conducted, focusing on individuals, and adults, subjected to a radiographic exam of the face of the knee in weight-bearing, with bipodal and monopodal support in the same examination episode. Measurement techniques of the joint space and femorotibial angle were applied to all collected images and the measurements were compared between images with monopodal and bipodal support. Results – The sample consisted of 30 subjects (63.3% female) with a mean age of 60.9 years (±10.4 years). From this sample two groups were constituted, one consisting of right knees (n=21) and the other of left knees (n=27). The joint space of the medial compartment was presented as the most decreased in both groups. Comparing the average of the measurements of joint space on the images acquired with mono and bipodal support, statistically, significant differences were observed both in the right knee (p<0.001) and the left (p<0.001). Differences in the range of femorotibial angle were also observed between images with mono and bipodal support. Conclusion – The results obtained indicate that the incidence of the face of the knee with monopodal weight-bearing, promotes a reduction in the articular space of the affected compartment consequently increasing the contralateral joint space compartment.
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References
Pereira D, Peleteiro B, Araújo J, Branco J, Santos RA, Ramos E. The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review. Osteoarthritis Cartilage. 2011;19(11):1270-85.
National Collaborating Centre for Chronic Conditions. Osteoarthritis: national clinical guideline for care and management in adults. London: Royal College of Physicians; 2008. ISBN 9781860163296
Instituto Nacional de Estatística. Projecções de população residente, Portugal e NUTS II, 2000-2050. Lisboa: INE; 2004.
Bonnet CS, Walsh DA. Osteoarthritis, angiogenesis and inflammation. Rheumatology (Oxford). 2005;44(1):7-16.
Pereira D, Ramos E, Branco J. Osteoarthritis. Acta Med Port. 2015;28(1):99-106.
Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2010;26(3):355-69.
Salat P, Salonen D, Veljkovic AN. Imaging in osteoarthritis. In: Kapoor M, Mahomed NN, editors. Osteoarthritis: pathogenesis, diagnosis, available treatments, drug safety, regenerative and precision medicine. Springer; 2015. p. 131-54. ISBN 9783319195605
Nagaosa Y, Lanyon P, Doherty M. Characterisation of size and direction of osteophyte in knee osteoarthritis: a radiographic study. Ann Rheum Dis. 2002;61(4):319-24.
Silva M. Anatomia do joelho. In: Espregueira-Mendes J, Pessoa P, editors. O joelho. Lisboa: Lidel; 2006. p. 1-22. ISBN 9789727574186
Pinsornsak P, Naratrikun K, Kanitnate S, Sangkomkamhang T. The one-leg standing radiograph: an improved technique to evaluate the severity of knee osteoarthritis. Bone Joint Res. 2016;5(9):436-41.
Boegård T, Rudling O, Petersson IF, Jonsson K. Joint-space width in the weight-bearing radiogram of the tibiofemoral joint: should the patient stand on one leg or two? Acta Radiol. 1998;39(1):32-5.
Oksendahl HL, Gomez N, Thomas CS, Badger GD, Hulstyn MJ, Fadale PD, et al. Digital radiographic assessment of tibiofemoral joint space width: a variance component analysis. J Knee Surg. 2009;22(3):205-12.
Leach RE, Gregg T, Siber FJ. Weight-bearing radiography in osteoarthritis of the knee. Radiology. 1970;97(2):265-8.
Colebatch AN, Hart DJ, Zhai G, Williams FM, Spector TD, Arden NK. Effective measurement of knee alignment using AP knee radiographs. Knee. 2009;16(1):42-5.
Chitnavis J, Sinsheimer JS, Suchard MA, Clipsham K, Carr AJ. End-stage coxarthrosis and gonarthrosis: aetiology, clinical patterns and radiological features of idiopathic osteoarthritis. Rheumatology (Oxford). 2000;39(6):612-9.
Wallace DA, Carr AJ, Murray DW, Woods DA. Aetiological factors in severe osteoarthritis of the knee. Knee. 1995;2(2):113-5.
Lucas R, Monjardino MT. O estado da reumatologia em Portugal. Lisboa: Observatório Nacional das Doenças Reumáticas; 2010.
Hunter DJ, Felson DT. Osteoarthritis. BMJ. 2006;332(7542):639-42.
Sadosky AB, Bushmakin AG, Cappelleri JC, Lionberger DR. Relationship between patient-reported disease severity in osteoarthritis and self-reported pain, function and work productivity. Arthritis Res Ther. 2010;12(4):R162.
Hunter DJ, Niu J, Felson DT, Harvey WF, Gross KD, McCree P, et al. Knee alignment does not predict incident osteoarthritis: the Framingham osteoarthritis study. Arthritis Rheum. 2007;56(4):1212-8.
Neame R, Zhang W, Deighton C, Doherty M, Doherty S, Lanyon P, et al. Distribution of radiographic osteoarthritis between the right and left hands, hips, and knees. Arthritis Rheum. 2004;50(5):1487-94.
Gensburger D, Arlot M, Sornay-Rendu E, Roux JP, Delmas P. Radiologic assessment of age-related knee joint space changes in women: a 4-year longitudinal study. Arthritis Rheum. 2009;61(3):336-43.
Ahlbäck S. Osteoarthrosis of the knee: a radiographic investigation. Acta Radiol Diagn (Stockh). 1968:Suppl 277:7-72.
Piperno M, Le Graverand MP, Conrozier T, Bochu M, Mathieu P, Vignon E. Quantitative evaluation of joint space width in femorotibial osteoarthritis: comparison of three radiographic views. Osteoarthritis Cartilage. 1998;6(4):252-9.
Pires e Albuquerque R, Barbosa C, Melquíades D, Koch H, Barretto JM, Albino A, et al. Comparative analysis between radiographic views for knee osteoarthrosis (bipedal AP versus monopedal AP). Rev Bras Ortop. 2013;48(4):330-5.
Caldeira JP. Joelho. In: Ventura SR, editor. Técnicas e procedimentos em radiologia convencional. Lisboa: Lidel; 2013. p. 165-82.
Vignon E, Piperno M, Le Graverand MP, Mazzuca SA, Brandt KD, Mathieu P, et al. Measurement of radiographic joint space width in the tibiofemoral compartment of the osteoarthritic knee: comparison of standing anteroposterior and Lyon schuss views. Arthritis Rheum.
;48(2):378-84.
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