Involvement of the proximal tibiofibular joint in osteoarthritis of the knee

Öztuna, Volkan; Yıldız, Altan; Özer, Caner; Milcan, Abtullah; Kuyurtar, Fehmi; Turgut, Akin

doi:10.1016/s0968-0160(03)00004-8

Cited by 39 publications

(45 citation statements)

References 7 publications

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“…Degenerative joint disease (DJD) of the PTFJ has been previously reported in the early stages of primary osteoarthritis of the knee [2]. However, data about the radiological features of the PTFJ in knees with severe primary tibiofemoral joint (TFJ) osteoarthritis in elderly patients are lacking.…”

Section: Introductionmentioning

confidence: 99%

Radiological evaluation of the proximal tibiofibular joint in knees with severe primary osteoarthritis

Boya

Özcan²,

Oztekin

2007

Knee Surg Sports Traumatol Arthr

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The proximal tibiofibular joint (PTFJ) can be considered to be the fourth compartment of knee joint. Although degenerative diseases of the knee joint may also have detrimental effects on the PTFJ until now, details of arthritic affection of PTFJ in the elderly who have severe femorotibial arthritis have not been described. Convenience samples of knees of elderly patients with Kellgren-Lawrence grade III-IV primary osteoarthritis were investigated further in order to determine the X-ray findings of PTFJ. Sixty knees in 34 patients with an average age of 71 years (61-86 years) were examined. Both knees were examined in 26 patients. On the radiographs, 23 joints were grade IV, 14 were grade III, and 23 were grade II. At most, only minor differences were seen between knees on the same patient in terms of lower extremity alignment, grade of TFJ degeneration, grade of PTFJ degeneration, and type of PTFJ. Interobserver correlation was good for radiographic evaluation of PTFJ (kappa = 0.557). By intraobserver analysis with McNemar test, there was no statistically significant difference between the radiographic evaluations of PTFJ (p = 0.167). Arthritic grades of PTFJ and tibiofemoral joints were strongly correlated (Pearson coefficient r = 0.58, p < 0.001). No significant relation was found between type of PTFJ and grade of arthritis (chi(2) test, p = 0.42). In the light of these findings, the proximal tibiofibular joint should be evaluated for arthritic findings that may be responsible for lateral knee pain before a total knee arthroplasty operation is considered. The type of PTFJ is not related to the degree of this joint arthritis.

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Section: Introductionmentioning

confidence: 99%

Radiological evaluation of the proximal tibiofibular joint in knees with severe primary osteoarthritis

Boya

Özcan²,

Oztekin

2007

Knee Surg Sports Traumatol Arthr

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“…Arthritic involvement of PTFJ in patients with early stage primary knee osteoarthritis has been reported previously (2). Also, the radiologic degree of osteoarthritis in PTFJ correlates strongly with the degree of arthritis in TFJs with severe degenerative joint disease (DJD) and varus malalignment (3).…”

Section: Discussionmentioning

confidence: 79%

“…It seems oblique PTFJs are prone to degenerative changes. Results supporting or rejecting this idea have been reported in different studies (2,3).…”

Section: Discussionmentioning

confidence: 79%

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Varus Di̇zi̇li̇m Bozukluğu Ve Pri̇mer Osteoartrozlu Di̇zlerde Total Di̇z Protezi̇ Sonrasi Proksi̇mal Ti̇bi̇ofi̇bular Kaynakli Ağri Hasta Mutsuzluğuna Neden Mi̇?

Akbaş¹,

Boya²,

Özcan³

et al. 2017

Kocatepe Tıp Dergisi

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İleri evre gonartrozlarda proksimal tibiafibular eklem (PTFE) ile tibiofemoral eklem (TFE) arasındaki klinik ilişki daha önce gösterilmemiştir. Bu retrospektif çalışmanın amacı son evre gonartrozu olup diz protezi uygulanan genu varum deformiteli hastalarda PTFE'in klinik değerlendirmesidir. GEREÇ VE YÖNTEM:İleri evre osteoartrozu olup diz protezi uygulanan genu varum deformiteli hastalar değerlendirmeye alındı. PTFE'in klinik muayene bulguları ile PTFE tipi, hamstring gerginliği, ve lateral eklem aralığı (LEA) hassasiyeti arasındaki ilişki ki-kare testi kullanılarak araştırıldı. Ayrıca tanımlayıcı istatistikte kullanıldı. BULGULAR: Çalışma grubu (5 erkek ve 49 kadın; ortalama yaş 62.7 yıl; 46-81 arasında) elli dört hastadan oluşmaktadır. 30 hastanın (%55.6) her iki dizi ameliyat edildi. Ortalama takip süresi 21.6 ay (12-49 ay). PTFE hassasiyeti, hamstring gerginliği ve LEA hassasiyeti sırasıyla altı (%7.1), dört (%4.8), ve altı (%7.1) dizde tespit edildi. Altı dizde (%7.1) horizontal tip PTFE varken, yetmiş sekiz dizde (%92.9) oblik tip PTFE vardı. Oblik tip PTFE olan dizlerde PTFE hassasiyeti (ki-kare testi, p=0.000) , LEA hassasiyeti (ki-kare testi, p=0.000), hamstring gerginliği (ki-kare testi, p=0.000) tespit edildi. SONUÇ:Varus dizilim kusuru olan ileri evre dejeneratif eklem hastalığı nedeniyle diz protezi yapılan hastalarda, PTFE'in ameliyat sonrası lateral diz ağrısının kaynağı olmadığı ortaya konmuştur. Bununla birlikte oblik tip PTFE bu dizlerde potansiyel ağrı kaynağı olabileceği düşünülebilir..

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“…Pathologies of this joint include primary osteoarthritis (Bozkurt et al, 2004;Öztuna et al, 2003;Özcan et al, 2009), trauma (Ogden, 1974;Resnick et al, 1978), infection, and inflammatory arthritis (Resnick & Niwayama,1995), synovial osteochondromatosis (Bozkurt et al, 2007;Heybeli et al, 2009;Weiss et al, 1975), neoplasms (Forster et al, 2007), ganglion cysts (Miskovsky et al, 2004;Mortazavi et al, 2006;Ward & Echardt, 1994), and pigmented villonodular synovitis (Ryan et al, 2004).…”

Section: Pathologies Of Ptfjmentioning

confidence: 99%

Proximal Tibiofibular Joint in Knees with Arthroplasty

Boya¹

2012

Recent Advances in Hip and Knee Arthroplasty

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Involvement of the proximal tibiofibular joint in osteoarthritis of the knee

Cited by 39 publications

References 7 publications

Radiological evaluation of the proximal tibiofibular joint in knees with severe primary osteoarthritis

Radiological evaluation of the proximal tibiofibular joint in knees with severe primary osteoarthritis

Varus Di̇zi̇li̇m Bozukluğu Ve Pri̇mer Osteoartrozlu Di̇zlerde Total Di̇z Protezi̇ Sonrasi Proksi̇mal Ti̇bi̇ofi̇bular Kaynakli Ağri Hasta Mutsuzluğuna Neden Mi̇?

Proximal Tibiofibular Joint in Knees with Arthroplasty

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