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A Study on the Accuracy and Convenience of Imaging Method Using Support Device in Knee Joint Lateral Radiography

슬관절의 측면 방사선 촬영에서 보조기구를 이용한 검사방법의 정확성과 편의성에 대한 연구

  • Uhm, Soyeong (Department of Radiology, Soonchunhyang University Bucheon Hospital) ;
  • Cho, Yongkeun (Department of Radiology, Soonchunhyang University Bucheon Hospital) ;
  • Kang, Sungjin (Department of Radiology, Soonchunhyang University Bucheon Hospital)
  • 엄소영 (순천향대학교 부속 부천병원 영상의학과) ;
  • 조용근 (순천향대학교 부속 부천병원 영상의학과) ;
  • 강성진 (순천향대학교 부속 부천병원 영상의학과)
  • Received : 2017.07.13
  • Accepted : 2017.08.31
  • Published : 2017.08.31

Abstract

In lateral projection imaging method of knee joint, a method that adjusts the incidence angle of central X-ray toward the head side to $5{\sim}7^{\circ}$ in true lateral position which is existing recommended is called imaging method A, Method of imaging the central X-ray perpendicular to the horizontal plane of the examination table toward the knee is called imaging method B, and a method in which the central X-ray is perpendicularly applied to the joints while the lateral side of the distal tibia is compensated by radiolucent materials is called as method C. After tests each imaging method to classified study subject respectively, the joint space distance and the distance between lateral and medial condyle of femur were measured and compared as the quantitative index from the three imaging methods. In addition, the convenience of each imaging method was confirmed through questionnaires to practician. According to the result of the quantitative index, there is no statistically significant difference in imaging method A and C(p>0.05). However, imaging method B showed a significant difference in both A and C(p<0.05). As a result of evaluating the convenience of the imaging method, imaging method A was relatively assessed lower in all items than imaging methods B and C, and as a small difference, imaging method B is assessed higher than C. In this study suggested new knee joint lateral projection imaging method, by using a simple support device, could describe joint space as not much different as existing recommended method without some complex process, and could increase convenience of the practician in the process of the imaging.

Keywords

Knee Joint;Radiography;Support Device

References

  1. H. J. Mankin, "The response of articular cartilage to mechanical injury," Journal of Bone & Joint Surgery-American Volume, Vol. 64, Issue 3, pp. 460-466, 1982. https://doi.org/10.2106/00004623-198264030-00022
  2. N. H. Choi, J. H. Lee, "Evaluation of patellofemoral joint disorder," Journal of Korean orthopaedic society for sports medicine, Vol. 5, No. 1, pp. 17-21, 2006, in Korean.
  3. T. J. Ahn, J. K. Kim, B. W. Ahn, C. H. Park, "Standardization of Preoperative Radiography for Total Knee Arthroplasty," Knee surgery & related research, Vol. 6, No. 2, pp. 158-164, 1994.
  4. T. R. McAdams, K. Mithoefer, J. M. Scopp, B. R. Mandelbaum, "Articular Cartilage Injury in Athletes," Cartilage. Vol. 1, Issue 3, pp. 165-179, 2010. https://doi.org/10.1177/1947603509360210
  5. http://stat.kosis.kr/nsieu/view/tree.do?task=branchView&hOrg=350&id=350_35004*MT_OTITLE&hOrg=350
  6. T. E. McAlindon, S. Snow, C. Cooper, P. A. Dieppe, "Radiographic patterns of osteoarthritis of the knee joint in the community: the importance of the patellofemoral joint," Annals of the Rheumatic Diseases, Vol. 51, pp. 844-849, 1992. https://doi.org/10.1136/ard.51.7.844
  7. C. J. P. Thijn, "Accuracy of double-contrast arthrography and arthroscopy of the knee joint," Skeletal Radiology, Vol. 8, Issue 3, pp. 187-192, 1982. https://doi.org/10.1007/BF00355504
  8. F. R. Noyes, C. L. Stabler, "A system for grading articular cartilage lesions at arthroscopy," American Journal of Sports Medicine, Vol. 17, No. 4, pp. 505-513, 1989. https://doi.org/10.1177/036354658901700410
  9. M. L. Purnell, A. I. Larson, W. Clancy, "Anterior Cruciate Ligament Insertions on the Tibia and Femur and Their Relationships to Critical Bony Landmarks Using High-Resolution Volume-Rendering Computed Tomography," The American Journal of Sports Medicine, Vol. 36, Issue 11, pp. 2083-2090, 2008. https://doi.org/10.1177/0363546508319896
  10. R. Kijowski, A. Lu, W. Block, T. Grist, "Evaluation of the articular cartilage of the knee joint with vastly undersampled isotropic projection reconstruction steady-state free precession imaging," Journal of Magnetic Resonance Imaging, Vol. 24, No. 1, pp. 168-175, 2006. https://doi.org/10.1002/jmri.20596
  11. R. F. LaPrade, B. K. Konowalchuk, H. M. Fritts, F. A. Wentorf, "Articular Cartilage Injury of the Knee," The Physician and sportsmedicine, Vol. 29, No. 5, pp. 53-59, 2001. https://doi.org/10.3810/psm.2001.05.777
  12. H. D. Clarke, W. N. Scott, J. N. Insall, Anatomy, Insall JN, Scott WN editors, Surgery of the knee, 3rd edition, New York, Churchill Livingstone Inc., pp. 13-76, 2001.
  13. C. C. Jiang, K. M. Yip, T. K. Liu, "Posterior slope angle of the medial tibial plateau," Journal of the Formosan Medical Association, Vol. 93, No. 6, pp. 509-512, 1994.
  14. A. A. Hofmann, K. N. Bachus, R. W. Wyatt, "Effect of the tibial cut on subsidence following total knee arthroplasty," Clinical Orthopaedics & Related Research, No. 269, pp. 63-69, 1991.