The Role of Quadriceps Contraction in Patellar Repositioning - a Computed Tomography Study
Summary
Background Previous studies have a great discrepancy concerning the effects of quadriceps contraction on patellar lateral displacement and tilt in patients with patellofemoral pain syndrome. This discrepancy may be caused by lack of information regarding to classifications of patellofemoral alignment under quadriceps relaxed. We hypothesized quadriceps contraction has different effects on each type of patellofemoral malalignment.
Methods The investigators expect to recruit 150 subjects with patellofemoral pain syndrome to participate in this study. All patients underwent computed tomography imaging of symptomatic knees, with and without quadriceps muscle contraction in 0°, 15° and 30° of knee flexion. Patellar lateral condyle index and patellar tilt angles of Sasaki and modified Fulkerson were measured to investigate the effect of quadriceps contraction on patellar repositioning.
Description
Background Previous studies have a great discrepancy concerning the effects of quadriceps contraction on patellar lateral displacement and tilt in patients with patellofemoral pain syndrome. This discrepancy may be caused by lack of information regarding to classifications of patellofemoral alignment under quadriceps relaxed. We hypothesized quadriceps contraction has different effects on each type of patellofemoral malalignment.
We expect to recruit 150 subjects with patellofemoral pain syndrome to participate in this study. All patients underwent computed tomography imaging of symptomatic knees, with and without quadriceps muscle contraction in 0°, 15° and 30° of knee flexion. Patellar lateral condyle index and patellar tilt angles of Sasaki and modified Fulkerson were measured to investigate the effect of quadriceps contraction on patellar repositioning.
Study Design
Observational Model: Case-Only, Time Perspective: Retrospective
Conditions
Patellofemoral Pain Syndrome
Intervention
Computed Tomography
Location
Mei-Hwa Jan
Taipei
Taiwan
100
Status
Recruiting
Source
National Taiwan University Hospital
Results (where available)
Links
- Source: http://clinicaltrials.gov/show/NCT00760136
- Information obtained from ClinicalTrials.gov on July 15, 2010
Medical and Biotech [MESH] Definitions
Patellofemoral Pain Syndrome
A syndrome characterized by retropatellar or peripatellar PAIN resulting from physical and biochemical changes in the patellofemoral joint. The pain is most prominent when ascending or descending stairs, squatting, or sitting with flexed knees. There is a lack of consensus on the etiology and treatment. The syndrome is often confused with (or accompanied by) CHONDROMALACIA PATELLAE, the latter describing a pathological condition of the CARTILAGE and not a syndrome.
Tomography, Spiral Computed
Computed tomography where there is continuous X-ray exposure to the patient while being transported in a spiral or helical pattern through the beam of irradiation. This provides improved three-dimensional contrast and spatial resolution compared to conventional computed tomography, where data is obtained and computed from individual sequential exposures.
Cone-beam Computed Tomography
Computed tomography modalities which use a cone or pyramid-shaped beam of radiation.
Chondromalacia Patellae
A degeneration of the ARTICULAR CARTILAGE of the PATELLA, caused by a decrease in sulfated MUCOPOLYSACCHARIDES in the ground substance. When accompanied by pain, it is sometimes considered part of or confused with PATELLOFEMORAL PAIN SYNDROME.
Tomography, X-ray Computed
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
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