Incidence and risk factors for patellofemoral dislocation in adults with Charcot‐Marie‐Tooth disease: An observational study.
Background and Purpose: Patellofemoral (PF) dislocation is frequently encountered in clinical practice among people with Charcot‐Marie‐Tooth disease (CMT), but the frequency and risk factors for PF dislocation in adults with CMT are unknown. This study aimed to establish the incidence of PF dislocat...
| Publicado en: | Physiotherapy Research International Vol. 28; no. 3; pp. 1 - 10 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jul2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164763684&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164763684 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13582267 GPG jtl: Physiotherapy Research International issn: 13582267 maglogo: Y pubinfo: dt: Jul2023 vid: 28 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 164763684 161950678 164763684 164763684 10.1002/pri.1996 164763684 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Incidence and risk factors for patellofemoral dislocation in adults with Charcot‐Marie‐Tooth disease: An observational study. aug: au: Leone, Enza Davenport, Sally Robertson, Claire Laurà, Matilde Skorupinska, Mariola Reilly, Mary M. Ramdharry, Gita affil: Physiotherapy Group, UCL Great Ormond Street Institute of Child Health, London, UK sug: subj: Charcot-Marie-Tooth Disease In Adulthood Risk Assessment Patella Dislocation Risk Factors Patella Dislocation Epidemiology Human Nonexperimental Studies Cross Sectional Studies Charcot-Marie-Tooth Disease Diagnosis Outpatient Service England Interviews Incidence Age Factors Age of Onset Descriptive Statistics Joint Instability Scales Data Analysis Software Severity of Illness Physical Examination Mann-Whitney U Test Chi Square Test Fisher's Exact Test Logistic Regression Odds Ratio Confidence Intervals Male Female Adult Middle Age Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background and Purpose: Patellofemoral (PF) dislocation is frequently encountered in clinical practice among people with Charcot‐Marie‐Tooth disease (CMT), but the frequency and risk factors for PF dislocation in adults with CMT are unknown. This study aimed to establish the incidence of PF dislocation in adults with CMT and to explore the risk factors associated with PF dislocation. Methods: This is a cross‐sectional study involving adults with a diagnosis of CMT, attending their outpatient clinics at a specialist neuromuscular centre in the United Kingdom. Eighty‐one individuals were interviewed about any PF dislocation and underwent a lower‐limb assessment, with a focussed knee examination, to identify possible risk factors for PF dislocation. The incidence of PF dislocation was expressed as a percentage (number of individuals with a positive history of patellar dislocation/overall sample) and the association between different risk factors and PF dislocation was explored using logistic regression analysis. Results: The incidence of PF dislocation was 22.2% (18/81). PF dislocation was associated with a younger age at the time of the assessment (p = 0.038) and earlier disease onset (p = 0.025). All people bar two who dislocated had CMT1A (88.9%), but there was no difference in terms of CMT distribution with the non‐dislocation group (p = 0.101). No association was found between PF dislocation and CMT severity measured by CMTSS (p = 0.379) and CMTES (p = 0.534). Patella alta (p = 0.0001), J‐sign (p = 0.004), lateral patellar glide (p = 0.0001), generalised joint hypermobility (p = 0.001) and knee flexors weakness (p = 0.008) were associated with an increased risk of dislocation. Patella alta (p = 0.010) and lateral patellar glide (p = 0.028) were independent PF dislocation predictors. Conclusions: PF dislocation was common in this cohort with CMT and was associated with multiple risk factors. Future studies should be conducted to confirm the present findings so that the identified risk factors may be addressed by clinicians through preventive, supportive and corrective measures. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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