Ignite Creation Date:
2024-10-26 @ 3:36 PM
Last Modification Date:
2024-10-26 @ 3:36 PM
Study NCT ID:
NCT06534333
Status:
COMPLETED
Last Update Posted:
None
First Post:
2024-07-30
Brief Title:
Contribution of Ultrasonography in Patellofemoral Pain Syndrome
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Can Ultrasonography Contribute to the Diagnosis of Patellofemoral Pain Syndrome
Status:
COMPLETED
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Patellofemoral pain syndrome PFPS is a common cause of knee pain in adults younger than 60 years In this study we aimed to evaluate the medial and lateral cartilage thickness the medial and lateral retinaculum thickness and the medial and lateral patellofemoral distance using ultrasonography and to compare with healthy controls We also aimed to investigate the relationship between the measurements obtained in the PFPS group and pain intensity functional scoring and quality of life
Detailed Description:
Patellofemoral pain syndrome PFPS is a common cause of knee pain in adults younger than 60 years The prevalence of PFPS was found to be 7-282 and the incidence was 92 In this study we aimed to evaluate the medial and lateral cartilage thickness due to the possible relationship of PFPS with osteoarthritis the medial and lateral retinaculum thickness as it is one of the static stabilizers of the patellofemoral joint and the medial and lateral patellofemoral distance as it indicates patellar malposition using ultrasonography and to compare with healthy controls We also aimed to investigate the relationship between the measurements obtained in the PFPS group and pain intensity functional scoring and quality of lifeThis study is a non-randomized and non-blinded cross-sectional clinical study with a control group 54 eligible volunteers who applied to the physical medicine and rehabilitation outpatient clinic of Hitit University Faculty of Medicine27 of the participants were patients diagnosed with unilateral PFPS and 27 were healthy individuals without knee pain Local ethics committee approved the study 202436 and informed consent was obtained from all participantsParticipants were between the ages of 18-45 A positive result in at least one of the following four tests was considered diagnostic for PFPS with pain occurring around or behind the patella and aggravated by at least one activity that placed load on the patellofemoral joint during weight bearing on the flexed knee These tests 1 Medial or lateral patellar facet tenderness 2 Clarks test 3 Patellar apprehension test 4 Patellar tilt test The inclusion criteria for the PFPS group were that the patients had knee pain for at least 3 month unilateral pain no history of knee surgery no systemic disease and no clinical symptoms of other knee pathologies other than PFPS In order to exclude other pathologies that cause knee pain patellar plica tests Apley compression and distraction tests McMurray tests varus-valgus stress tests anterior and posterior drawer tests pivot shift and Lachman tests were performed Those with positive results in these tests were excluded from the study
The inclusion criteria for the control group were absence of anterior knee pain no history of knee surgery and no systemic disease
Individuals with clinical symptoms related to other knee pathologies history of trauma history of patellar dislocation or subluxation passive motion restriction in the knee joint hip-spine related pain the presence of any neurological disease affecting the extremities inflammatory disease were excluded
Detailed history and physical examination findings were recorded The age education level marital status height weight body mass index kgm2 duration of pain dominant and affected extremity of all patients were recorded
Pain levels at rest and during activity were measured using the Visual Analogue Scale VASKujala patellofemoral score was used to assess functional status of patientsQuality of life was evaluated with Short form-36 SF-36 A B-mode ultrasound examination was performed by a radiologist with more than 5 years of experience using a Samsung RS85 Prestige Medical Systems Corporation Seoul South Korea with a high frequency 4-15 MHz linear probeThe painful knee of the PFAS group and the non-dominant knee of the control group were evaluated by ultrasonography The medial and lateral retinaculum thickness medial femoro-patellar distance from the medial patellar edge to the medial femoral condyle lateral patellofemoral distance from the lateral patellar edge to the lateral femoral condyle were measured in the axial plane with the patients in the supine position with the knee flexed 30 The medial and lateral sides of the trochlear cartilage were measured in the axial plane with the knee in 140 flexion
The inclusion criteria for the control group were absence of anterior knee pain no history of knee surgery and no systemic disease
Individuals with clinical symptoms related to other knee pathologies history of trauma history of patellar dislocation or subluxation passive motion restriction in the knee joint hip-spine related pain the presence of any neurological disease affecting the extremities inflammatory disease were excluded
Detailed history and physical examination findings were recorded The age education level marital status height weight body mass index kgm2 duration of pain dominant and affected extremity of all patients were recorded
Pain levels at rest and during activity were measured using the Visual Analogue Scale VASKujala patellofemoral score was used to assess functional status of patientsQuality of life was evaluated with Short form-36 SF-36 A B-mode ultrasound examination was performed by a radiologist with more than 5 years of experience using a Samsung RS85 Prestige Medical Systems Corporation Seoul South Korea with a high frequency 4-15 MHz linear probeThe painful knee of the PFAS group and the non-dominant knee of the control group were evaluated by ultrasonography The medial and lateral retinaculum thickness medial femoro-patellar distance from the medial patellar edge to the medial femoral condyle lateral patellofemoral distance from the lateral patellar edge to the lateral femoral condyle were measured in the axial plane with the patients in the supine position with the knee flexed 30 The medial and lateral sides of the trochlear cartilage were measured in the axial plane with the knee in 140 flexion
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None