OBJECTIVE: The purposes of this study were to assess the degree of patellotrochlear chondral overlap (patellotrochlear index), correlate it with the Insall-Salvati and modified Insall-Salvati indexes, and determine the association between these measurements and patellofemoral chondral defects. MATERIALS AND METHODS: Sagittal 1.5-T and 3-T MR images of 100 consecutively registered patients with symptoms were analyzed, and the Insall-Salvati index, modified Insall-Salvati index, patellotrochlear index, and patellophyseal index (ratio of the height of patella above the physeal line to the length of the patellar articular cartilage) were calculated. The upper and lower limits of 2 SDs were used to define patella alta and baja, and the correlation coefficient curves were plotted to compare techniques. The indexes in normal knees were compared with those in knees with severe chondral defects. RESULTS: The mean patellotrochlear index was 0.49 +/- 0.15 (SD) (range, 0-0.88). On the basis of calculation of 2 SDs, patella alta was determined to have a patellotrochlear index less than 0.18 and patella baja, an index greater than 0.80. Weak correlation was found between the measured patellotrochlear index and Insall-Salvati index (r = -0.224) and between the patellotrochlear index and modified Insall-Salvati index (r = -0.073). A strong correlation was found between the patellotrochlear index and patellophyseal index (r = -0.813). A statistically significant (p < 0.05) difference in the modified Insall-Salvati index and patellophyseal index was found between knees with normal and those with severe cartilage defects. CONCLUSION: Our results indicate that the commonly used Insall-Salvati and modified Insall-Salvati indexes do not correlate with patellotrochlear articular cartilage congruence. We did find an association between the modified Insall-Salvati and patellophyseal indexes and the presence of severe chondral defects.
OBJECTIVE: The purposes of this study were to assess the degree of patellotrochlear chondral overlap (patellotrochlear index), correlate it with the Insall-Salvati and modified Insall-Salvati indexes, and determine the association between these measurements and patellofemoral chondral defects. MATERIALS AND METHODS: Sagittal 1.5-T and 3-T MR images of 100 consecutively registered patients with symptoms were analyzed, and the Insall-Salvati index, modified Insall-Salvati index, patellotrochlear index, and patellophyseal index (ratio of the height of patella above the physeal line to the length of the patellar articular cartilage) were calculated. The upper and lower limits of 2 SDs were used to define patella alta and baja, and the correlation coefficient curves were plotted to compare techniques. The indexes in normal knees were compared with those in knees with severe chondral defects. RESULTS: The mean patellotrochlear index was 0.49 +/- 0.15 (SD) (range, 0-0.88). On the basis of calculation of 2 SDs, patella alta was determined to have a patellotrochlear index less than 0.18 and patella baja, an index greater than 0.80. Weak correlation was found between the measured patellotrochlear index and Insall-Salvati index (r = -0.224) and between the patellotrochlear index and modified Insall-Salvati index (r = -0.073). A strong correlation was found between the patellotrochlear index and patellophyseal index (r = -0.813). A statistically significant (p < 0.05) difference in the modified Insall-Salvati index and patellophyseal index was found between knees with normal and those with severe cartilage defects. CONCLUSION: Our results indicate that the commonly used Insall-Salvati and modified Insall-Salvati indexes do not correlate with patellotrochlear articular cartilage congruence. We did find an association between the modified Insall-Salvati and patellophyseal indexes and the presence of severe chondral defects.
Authors: J J Stefanik; Y Zhu; A C Zumwalt; K D Gross; M Clancy; J A Lynch; L A Frey Law; C E Lewis; F W Roemer; C M Powers; A Guermazi; D T Felson Journal: Arthritis Care Res (Hoboken) Date: 2010-09 Impact factor: 4.794
Authors: Christoph Becher; Benjamin Fleischer; Marten Rase; Thees Schumacher; Max Ettinger; Sven Ostermeier; Tomas Smith Journal: Knee Surg Sports Traumatol Arthrosc Date: 2015-10-19 Impact factor: 4.342
Authors: Francesco Giovagnorio; Matteo Olive; Alice Casinelli; Elena Maggini; Cristina Presicci; Celijeta Tominaj; Paolo Ricci Journal: Radiol Med Date: 2017-06-29 Impact factor: 3.469