Examination of the Patellofemoral Joint with Magnetic Resonance and Targeted Physiotherapy Procedures in Treatments of Retropatellar Pain
Authors:
B. Pauček 1,2; D. Smékal 2
Authors place of work:
Pracoviště magnetické rezonance Medihope, DC Olomouc
vedoucí prim. MUDr. B. Pauček, Ph. D.
1; Katedra fyzioterapie, Fakulta tělesné kultury, Univerzita Palackého v Olomouci
vedoucí prof. MUDr. J. Opavský, CSc.
2
Published in the journal:
Rehabil. fyz. Lék., 24, 2017, No. 3, pp. 131-142.
Category:
Original Papers
Summary
Aim:
To characterize and describe the morphological image of the most common causes of painful retropatellar conditions and indicate the recommended physiotherapy.
Methods:
We documented the most frequent nosological units of FP joint impairments in a group of patients examined in the Medihope magnetic resonance center of the Military Hospital in Olomouc. The patients were examined with MRI Signa HDxT 1.5 T (GE Healthcare, Milwaukee, USA) using an HD 1.5T knee coil in the standard protocol for the examination of the knee joint, with a special emphasis on axial and sagittal sequence to display the patellofemoral joint. In this review, the authors present MR findings of the most common causes of painful conditions of the ventral compartment of the knee joint, which are dysplasia of the patella with incongruence of the articular surfaces of the patellofemoral joint, symptoms of primary or secondary arthritis, a complex of changes in the chondromalacia patellae and functional changes in the lateral patella compression syndrome.
Conclusion:
The cause of retro patellar pain of the knee joint may be incongruence of the patellar articular surfaces of the patella and the surfaces of the femoral sulcus, chondropathy of the patellofemoral joint as a result of trauma, instability or overloading the joint. Magnetic resonance imaging is a valuable imaging method for the morphological differentiation of painful conditions of the ventral compartment of the knee. In the therapy of painful conditions of the patellofemoral joint, targeted physiotherapeutic procedures are applied. Physiotherapy has not only symptomatic effects in pain relief, but also specific effects on the muscle and joint structures, which allows the normalization of their condition.
Keywords:
dysplasia of the patella, physiotherapy, chondropathy, magnetic resonance imaging, retropatellar pain
Zdroje
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Štítky
Physiotherapist, university degree Rehabilitation Sports medicineČlánok vyšiel v časopise
Rehabilitation and Physical Medicine
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