Assessment of the reliability and validity of imaging measurements for patellofemoral instability: an updated systematic review.

Objective: To provide an update on the reliability and validity of all radiological measures used to assess patients presenting with patellofemoral instability.Methods: A search of the CINHAL, EMBASE, MEDLINE, and SCOPUS databases and the Cochrane library was conducted. All studies assessing the val...

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Publicado en:Skeletal Radiology Vol. 51; no. 12; pp. 2245 - 2257
Autores principales: Geraghty, Liam, Humphries, David, Fitzpatrick, Jane
Formato: research systematic review tables/charts Journal Article
Publicado: Springer Nature Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00256-022-04110-9
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        atl: Assessment of the reliability and validity of imaging measurements for patellofemoral instability: an updated systematic review.
      aug:
        au:
          Geraghty, Liam
          Humphries, David
          Fitzpatrick, Jane
        affil: The Sports Medicine Practice Hobart, 36 Collins Street, 7000, Hobart, Australia
      sug:
        subj:
          Joint Instability
          Knee Joint
          Posterior Cruciate Ligament
          Human
          Reproducibility of Results
          Tibia
          Magnetic Resonance Imaging Methods
          Patella
      ab: Objective: To provide an update on the reliability and validity of all radiological measures used to assess patients presenting with patellofemoral instability.Methods: A search of the CINHAL, EMBASE, MEDLINE, and SCOPUS databases and the Cochrane library was conducted. All studies assessing the validity, reliability, sensitivity, and specificity of radiological measures of the patellofemoral joints of patients with patellofemoral instability from 2010 onwards were considered for inclusion. Discrimination validity, inter- and intra-observer reliability, and the sensitivity and specificity of specific imaging measures were evaluated.Results: Seventy-three studies met the selection criteria and were included for analysis. We identified eight radiological measures in four categories with good reliability and validity: the tibial tubercle to trochlear groove distance, specific measures of patellar height (Blackburne-Peel index, Caton-Deschamps index and Insall-Salvati ratios), three measures of trochlear dysplasia (sulcus angle, trochlear depth, and lateral trochlear inclination), and the tibial tubercle to posterior cruciate ligament distance. No included studies examined the reliability and validity of patellofemoral instability ultrasound measures.Conclusion: Our updated review demonstrated good inter- and intra-observer reliability and discrimination validity for the tibial tubercle-trochlear groove distance, specific patellar height, and trochlear dysplasia measures on MRI. The tibial tubercle to posterior cruciate ligament distance, an indirect measure of rotational asymmetry, was a valid and reliable measure on MRI. Due to a lack of assessments across more than one study, there are a variety of proposed measures with insufficient evidence to determine their validity, reliability, sensitivity, and specificity.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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