Evidence map›Paper›PMID 32513201›Full record

ArticleJournal of orthopaedic surgery and research2020

Comparative study of the tibial tubercle-trochlear groove distance measured in two ways and tibial tubercle-posterior cruciate ligament distance in patients with patellofemoral instability.

Lei Shu, Qubo Ni, Xu Yang, Biao Chen, Hua Wang, Liaobin Chen

Abstract readComparative Study
In one paragraph

Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

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8citing papers in PubMed, 3 pooled it
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lei ShuDepartment of Orthopedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Qubo NiDepartment of Orthopedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Xu YangDepartment of Orthopedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Biao ChenDepartment of Orthopedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Hua WangDepartment of Orthopedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Liaobin ChenDepartment of Orthopedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China. lbchen@whu.edu.cn.

Funding

National Natural Science Foundation of China 81673490National Natural Science Foundation of China 81803275National Natural Science Foundation of China 81972036
6 · The paper itself

Abstract

backgroundA comparative analysis of the strengths and weaknesses of three different methods for radiologic evaluation of patellofemoral instability (PFI).

methodsComputed tomography (CT) and magnetic resonance imaging (MRI) were performed in 47 patients with or without PFI. The tibial tubercle-trochlear groove (TT-TG) distance was measured by two observers through conventional CT and three-dimensional CT reconstruction (TDR-TT-TG) respectively and the tibial tubercle-posterior cruciate ligament (TT-PCL) distance with MRI. The intraclass correlation coefficient (ICC) was used to evaluate the interobserver reliability. In addition, the differences of three measurements between different patients were compared. The consistency of TT-TG and TDR-TT-TG was analyzed by the Bland-Altman method.

resultsThe ICCs of three measurements were high between two observers; the results were TT-TG (ICC = 0.852), TDR-TT-TG (ICC = 0.864), and TT-PCL (ICC = 0.758). The values of PFI patients were significantly higher than those of non-PFI patients, and the mean TT-TG, TDR-TT-TG, and TT-PCL distance in patients with PFI were 19.0 ± 3.8 mm, 19.0 ± 3.7 mm, and 25.1 ± 3.6 mm, respectively. There was no statistically significant difference between the TT-TG distance and the TDR-TT-TG distance, we found no significant difference. The Bland-Altman analysis showed that the TDR-TT-TG distance was in good agreement with the TT-TG distance.

conclusionAll three methods can be used to assess PFI; the TDR-TT-TG measurement method has superior operability and better interobserver consistency. It may be an alternative method to the conventional TT-TG distance measurement.

Indexed as

Patellofemoral JointPosterior Cruciate LigamentTibiaAdolescentAdultFemaleHumansImaging, Three-DimensionalJoint InstabilityMagnetic Resonance ImagingMaleMiddle AgedReproducibility of ResultsTomography, X-Ray ComputedYoung AdultPatella dislocationPatellofemoral instabilityTT-PCL distanceTT-TG distanceTT-TG distance under three-dimensional CT reconstruction

Identifiers

PMID32513201
PMCPMC7278153

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.