Standardisation of the description of patellofemoral motion and comparison between different techniques
Standardisation of the description of patellofemoral motion and comparison between different techniques
复制标题
DOI：
10.1007/s00167-001-0276-5
复制
发表时间：
2002-05-01
影响因子：
3.8
通讯作者：
Amis, AA
中科院分区：
文献类型：
--
作者：
Bull, AMJ;Katchburian, MV;Amis, AA
髌股运动在临床上具有重要意义。然而，在文献中使用了许多不同的方法和术语，从而使研究之间的比较变得困难。我们回顾并解释用于描述髌股关节运动的不同方法。通过实验对这些方法进行比较，提出了一种标准化的方法。我们发现了描述髌骨运动的三种主要方法：髌骨在股体固定轴上的运动，髌骨在股体固定轴上的运动。以及这些的组合。股骨固定轴的描述在临床上没有意义。髌骨体固定轴的描述很简单，但由于缺乏解剖标志，这些轴的定义容易出错。结合方法在临床上更有意义，而且更容易找到解剖标志。当描述不同轴的运动时，髌骨屈曲变化高达26%，倾斜和移位对坐标系和运动轴的选择高度敏感，所有方法之间的旋转模式是一致的，然而，不同方法之间的差异随着髌骨屈曲而增加，我们建议从移位（沿着股骨内侧-外侧轴）和倾斜（关于髌骨长轴）方面描述髌骨的运动。旋转（围绕漂浮的髌骨前后轴）和屈曲（围绕股内外侧轴）。
Patellofemoral motion is significant clinically. yet in the literature many different methods and terminologies are used, thus making comparison between studies difficult. We review and explain the different methods used for the description of patellofemoral joint motion. compare these methods by experimentation, and propose a standardised method. We found three main methods for describing patellar motion: motion of the patella about femoral body fixed axes, about patellar body fixed axes. and a combination of these. Description about femoral body fixed axes does not make sense clinically. Description about patellar body fixed axes is straightforward, yet the definition of these axes is prone to error due to the lack of anatomical landmarks. The combination method makes most sense clinically and uses more easily found anatomical landmarks. Patellar flexion varied by up to 26% when describing the motion about different axes, Tilt and shift were highly sensitive to the choices of coordinate system,, and the axes of motion, The pattern of rotation was consistent between all methods however, differences between the methods increased with patellar flexion, We propose the description of patellofemoral motion in terms of shift (along a femoral medial-lateral axis), tilt (about the patellar long axis). rotation (about a floating patellar anterior-posterior axis) and flexion (about the femoral medial-lateral axis).