Relationship Between Coronal Alignment and Rotational Profile of Lower Extremity in Patients With Knee Osteoarthritis

Chang, Moon Jong; Jeong, Hyeon Jang; Kang, Soon Beom; Chang, Chong Bum; Yoon, Chang-Hwan; Shin, Joung Youp

doi:10.1016/j.arth.2018.07.022

Cited by 27 publications

(28 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This reinforces the findings of our study as other studies have shown that in valgus osteoarthritis knee the distal femur is more internally rotated than varus knee. 18 Another finding by Hochreiter et al was that TT-TG was not related to AT. We think that this finding has a bias in the method they use to measure the AT.…”

Section: Discussionmentioning

confidence: 96%

The Distance between Tibial Tubercle and Trochlear Groove Correlates with Knee Articular Torsion

et al. 2020

View full text Add to dashboard Cite

This study aims to correlate the tibial tubercle to trochlear groove (TT-TG) distance with knee axial alignment. The hypothesis is that as internal torsion of the distal femur or external torsion of the proximal tibial increases, the TT-TG distance increases. We designed a cross-sectional study approved by our institutional ethics review board. We reviewed 32 computed tomography angiographies of patients that have nonjoint or bone-related symptoms. Distal femoral torsion, proximal tibial torsion, knee articular torsion (AT), and TT-TG distance were measured. A regression analysis between the TT-TG distance and the AT was performed. A positive correlation between the TT-TG distance and the AT was found. An increase in external torsion of the proximal tibial or an increase in internal torsion of the distal femur increases the TT-TG distance. For a correct interpretation of the TT to trochlear groove distance, we propose that the axial alignment should be included in the regular analysis of patellofemoral disease.

show abstract

Section: Discussionmentioning

confidence: 96%

The Distance between Tibial Tubercle and Trochlear Groove Correlates with Knee Articular Torsion

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The inclusion criteria were: (1) age between 50 and 80 years; (2) had minimal knee pain of 2 on an 11-point visual analogy scale (VAS) during level walking and with most painful site located in the medial knee compartment; and (3) plain x-ray revealed more degenerative changes in the medial than lateral compartment. Participants were excluded if they had any of the following: (1) history of low back or lower limb injury within the past 12 months; (2) low back, pelvis, hip, ankle or foot pain of VAS 3 or above; (3) rheumatoid arthritis, (4) knee valgus more than 3° [ 25 ], (5) history of knee surgery; (6) history of intra-articular injection in the past 3 months; (7) any other muscular, joint or neurological condition influencing lower limb function; (8) unable to walk independently without external assistance; or (9) body mass index (BMI) > 36 kg/ m 2 [ 14 ]. Study size was reached according to the availability of eligible participants at the study period.…”

Section: Methodsmentioning

confidence: 99%

Exploring the relationship between pain intensity and knee moments in participants with medial knee osteoarthritis: a cross-sectional study

Huang

Chan

Chiu

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background High biomechanical loading is believed to be a risk factor to pain in people with knee osteoarthritis (OA), but controversial findings have been reported on the relationship between external knee adduction moment (KAM) and pain. A more comprehensive analysis considering other factor such as external knee flexion moment (KFM) could help better reveal this relationship. This study explored the relationship between external knee adduction moment and pain intensity in participants with knee osteoarthritis (OA) using an integrated path analysis model. Methods This was a cross-sectional study based on laboratory setting. Forty-seven participants with clinical and radiographic medial knee OA were analyzed for their external knee adduction moment (KAM) and knee flexion moment (KFM) during walking using a motion analysis system. Pain intensity was measured by visual analogue scale (VAS) and the pain subscale of the Knee Injury and Osteoarthritis Outcome Score. Varus/valgus alignment was captured and quantified using a bi-planar X-ray system. Using a path analysis model, the relationships between pain intensity, KAM, KFM, OA radiographic severity, knee varus angle and walking speed were examined. Results The proposed path model met the goodness-of-fit criteria. Based on this model, KAM had a negative effect on VAS pain indirectly through the mediation of KFM. The model indicated KAM and KFM were negatively related to one another; and KFM was positively related to VAS. The KAM index, defined as (KAM/ (KAM + KFM)), was negatively related to VAS. Conclusions Path analysis enabled the construction of a more integrated pathokinematic framework for people with knee OA. The KAM index which reflected the load sharing on the frontal and sagittal planes also revealed its relationship with pain. Re-distribution of mechanical loading from frontal to sagittal plane might be a strategy for pain avoidance associated with mechanical irritation.

show abstract

“…The range of femoral and tibial torsions was wide and factors related to both torsions remain unclear. It is important to evaluate femoral and tibial torsions, because the relationship between these values and deformity of knee OA was reported [2,22,23]. However, CT images are not always obtained in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

“…Tibial external torsion decreased with increasing varus inclination of medial tibial plateau in medial knee OA [22,23]. As lower limb alignment changed from valgus to varus, tibial external torsion decreased in medial and lateral knee OA [2]. The only relationship between femoral or tibial torsions, and lower limb alignment or the proximal medial tibial deformity in knee OA has been investigated.…”

Section: Introductionmentioning

confidence: 99%

Relationship between lower limb torsion and coronal morphologies of the femur and tibia in patients with medial knee osteoarthritis

Nejima

Akamatsu

Kobayashi

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background: To investigate the relationship between femoral or tibial torsion and hip-knee-ankle angle (HKA), mechanical lateral distal femoral angle (mLDFA), or mechanical medial proximal tibial angle (mMPTA) in patients with medial knee osteoarthritis (OA). Methods: A total of 75 knees were enrolled. Femoral and tibial torsions were measured by superimposing the axial planes of computed tomography images. The relationship between femoral or tibial torsion and HKA, mLDFA, or mMPTA on radiographs was examined. Results: The mean femoral torsion was 12.2 ± 8.5°internally; femoral internal and external torsions were observed in 70 and 5 knees, respectively. The mean tibial external torsion was 18.0 ± 7.4°externally; tibial external torsion was observed in all 75 knees. Femoral internal and tibial external torsions increased with lower mMPTA (r = 0.33, P = 0.003; r = − 0.32, P = 0.005, respectively) but were not related to HKA or mLDFA. Conclusion: Femoral and tibial torsions were correlated with varus inclination of the proximal tibia in patients with medial knee OA.

show abstract

Relationship Between Coronal Alignment and Rotational Profile of Lower Extremity in Patients With Knee Osteoarthritis

Cited by 27 publications

References 26 publications

The Distance between Tibial Tubercle and Trochlear Groove Correlates with Knee Articular Torsion

The Distance between Tibial Tubercle and Trochlear Groove Correlates with Knee Articular Torsion

Exploring the relationship between pain intensity and knee moments in participants with medial knee osteoarthritis: a cross-sectional study

Relationship between lower limb torsion and coronal morphologies of the femur and tibia in patients with medial knee osteoarthritis

Contact Info

Product

Resources

About