Öz
Kaynakça
- McCauley TR, Kier R, Lynch KJ, Jokl P. Chondromalacia patellae: diagnosis with MR imaging. AJR Am J Roentgenol 1992 ;158:101-105.
- Gagliardi JA, Chung EM, Chandnani VP, Kesling KL, Christensen KP, Null RN, et al. Detection and staging of chondromalacia patellae: relative efficacies of conventional MR imaging, MR arthrography, and CT arthrography. AJR Am J Roentgenol 1994 ;163:629-636.
- Kok HK, Donnellan J, Ryan D, Torreggiani WC. Correlation between subcutaneous knee fat thickness and chondromalacia patellae on magnetic resonance imaging of the knee. Can Assoc Radiol J 2013;64:182-186.
- Pihlajamäki HK, Kuikka PI, Leppänen VV, Kiuru MJ, Mattila VM. Reliability of clinical findings and magnetic resonance imaging for the diagnosis of chondromalacia patellae. J Bone Joint Surg Am 2010 ;92:927-934.
- Mattila VM, Weckström M, Leppänen V, Kiuru M, Pihlajamäki H. Sensitivity of MRI for articular cartilage lesions of the patellae. Scand J Surg 2012;101:56-61.
- Gunardi AJ, Brennan SL, Wang Y, Cicuttini FM, Pasco JA, Kotowicz MA, et al. Associations between measures of adiposity over 10 years and patella cartilage in populationbased asymptomatic women. Int J Obes 2013 ;37:15861589.
- Hanna FS, Bell RJ, Davis SR, Wluka AE, Teichtahl AJ, O’Sullivan R ,et al . Factors affecting patella cartilage and bone in middle-aged women .Arthritis Rheum 2007; 57:272-278.
- Teichtahl AJ, Wluka AE, Wang Y, Hanna F, English DR, Giles GG, et al .Obesity and adiposity are associated with the rate of patella cartilage volume loss over 2 years in adults without knee osteoarthritis. Ann Rheum Dis 2009 ;68:909-913.
- Kim HJ, Lee SH, Kang CH, Ryu JA, Shin MJ, Cho KJ, et al. Evaluation of the chondromalacia patella using a microscopy coil:comparison of the two-dimensional fast spin echo techniques and three dimensional fast field echo techniques. Korean J Radiol 2011;12:78-88.
- Berenbaum F, Eymard F, Houard X.Osteoarthritis, inflammation and obesity. Curr Opin Rheumatol 2013 ;25:114-118.
- Wallner-Liebmann SJ, Kruschitz R, Hübler K, Hamlin MJ, Schnedl WJ, Moser M, et al . A measure of obesity: BMI versus subcutaneous fat patterns in young athletes and nonathletes. Coll Antropol 2013 ;37:351-357.
- Pavlica T, Mikalacki M, Mati� R, Korovljev D, Cokorilo N, Vujkov S, et al .Relationship between BMI and skinfold thicknesses to risk factors in premenopausal and postmenopausal women. Coll Antropol 2013 ;37 :119124.
- Sato S,Demura S. Regional subcutaneous fat characteristic
- stratified by sex, age, and obesity, and their relationship with total and visceral fat in a japanese population. J Physiol Anthropol 2009;28:231-238.
- Teichtahl AJ, Wang Y, Wluka AE, Szramka M, English DR, Giles GG, et al. The longitudinal relationship between body composition and patella cartilage in healthy adults. Obesity 2008;16:421-427
Kondromalazik Patella İle Diz Subkutan Yağ Kalınlığı Arasındaki Korelasyon: Manyetik Rezonans Görüntüleme Çalışması
Öz
Amaç: Bu çalışmadaki amacımız obezitenin göstergesi olan prepatellar subkutan yağ kalınlığı (PSYK) ile kondromalazik patellanın (KP) varlığı ve şiddeti arasındaki ilişkiyi belirlemektir. Gereç-Yöntem: Retrospektif olan bu çalışmaya 9 aylık dönemde çeşitli nedenlerle diz manyetik rezonans görüntüleme (MRG ) yapılan ve kritelere uyan 175 hasta dahil edildi. Çekimler 1.5 T MRG cihazında ekstremite koili kullanılarak yapıldı. KP değerlendirmesi için aksiyal kesitler kullanıldı ve grade 0 ( normal) ile grade 3 (komplet kartilaj kaybı) arasında derecelendirildi. PSYK ölçümünde ise sagittal kesitler kullanıldı. Bulgular: KP 25 olguda grade 1 (%33,33), 25 olguda grade 2 (%33,33) ve 25 olguda grade 3 (%33,33) olmak üzere 75 hastada (%42.8) saptandı. KP grubunda PSYK normal gruba göre yüksekti (P<.001). KP’nın grade ile PSYK arasında pozitif korelasyon gösterildi ( R=0,47 [95% confidence interval,1,20-2,12] p<.001 ). Subkutanöz prepatellar yağ dokusu kadınlarda belirgin kalındı ( P<.001). Sonuç: Obezitenin göstergesi olan PSYK ile KP ‘nın varlığı ve şiddeti arasında pozitif ilişki mevcuttur.
Anahtar Kelimeler
Obezite kondromalazik patella subkutanöz yağ manyetik rezonans görüntüleme
Kaynakça
- McCauley TR, Kier R, Lynch KJ, Jokl P. Chondromalacia patellae: diagnosis with MR imaging. AJR Am J Roentgenol 1992 ;158:101-105.
- Gagliardi JA, Chung EM, Chandnani VP, Kesling KL, Christensen KP, Null RN, et al. Detection and staging of chondromalacia patellae: relative efficacies of conventional MR imaging, MR arthrography, and CT arthrography. AJR Am J Roentgenol 1994 ;163:629-636.
- Kok HK, Donnellan J, Ryan D, Torreggiani WC. Correlation between subcutaneous knee fat thickness and chondromalacia patellae on magnetic resonance imaging of the knee. Can Assoc Radiol J 2013;64:182-186.
- Pihlajamäki HK, Kuikka PI, Leppänen VV, Kiuru MJ, Mattila VM. Reliability of clinical findings and magnetic resonance imaging for the diagnosis of chondromalacia patellae. J Bone Joint Surg Am 2010 ;92:927-934.
- Mattila VM, Weckström M, Leppänen V, Kiuru M, Pihlajamäki H. Sensitivity of MRI for articular cartilage lesions of the patellae. Scand J Surg 2012;101:56-61.
- Gunardi AJ, Brennan SL, Wang Y, Cicuttini FM, Pasco JA, Kotowicz MA, et al. Associations between measures of adiposity over 10 years and patella cartilage in populationbased asymptomatic women. Int J Obes 2013 ;37:15861589.
- Hanna FS, Bell RJ, Davis SR, Wluka AE, Teichtahl AJ, O’Sullivan R ,et al . Factors affecting patella cartilage and bone in middle-aged women .Arthritis Rheum 2007; 57:272-278.
- Teichtahl AJ, Wluka AE, Wang Y, Hanna F, English DR, Giles GG, et al .Obesity and adiposity are associated with the rate of patella cartilage volume loss over 2 years in adults without knee osteoarthritis. Ann Rheum Dis 2009 ;68:909-913.
- Kim HJ, Lee SH, Kang CH, Ryu JA, Shin MJ, Cho KJ, et al. Evaluation of the chondromalacia patella using a microscopy coil:comparison of the two-dimensional fast spin echo techniques and three dimensional fast field echo techniques. Korean J Radiol 2011;12:78-88.
- Berenbaum F, Eymard F, Houard X.Osteoarthritis, inflammation and obesity. Curr Opin Rheumatol 2013 ;25:114-118.
- Wallner-Liebmann SJ, Kruschitz R, Hübler K, Hamlin MJ, Schnedl WJ, Moser M, et al . A measure of obesity: BMI versus subcutaneous fat patterns in young athletes and nonathletes. Coll Antropol 2013 ;37:351-357.
- Pavlica T, Mikalacki M, Mati� R, Korovljev D, Cokorilo N, Vujkov S, et al .Relationship between BMI and skinfold thicknesses to risk factors in premenopausal and postmenopausal women. Coll Antropol 2013 ;37 :119124.
- Sato S,Demura S. Regional subcutaneous fat characteristic
- stratified by sex, age, and obesity, and their relationship with total and visceral fat in a japanese population. J Physiol Anthropol 2009;28:231-238.
- Teichtahl AJ, Wang Y, Wluka AE, Szramka M, English DR, Giles GG, et al. The longitudinal relationship between body composition and patella cartilage in healthy adults. Obesity 2008;16:421-427
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 11 Aralık 2015 |
| Gönderilme Tarihi | 6 Aralık 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 5 Sayı: 3 |
SMJ'de yayınlanan makaleler, Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı kapsamında lisanslanır