Tuncyurek Ozum, Ozkol Mine, Ozic Ugur, Pabuscu Yuksel
Ataturk State Hospital, Aydin, Turkey.
Surg Radiol Anat. 2010 Jul;32(6):539-43. doi: 10.1007/s00276-009-0610-z. Epub 2009 Dec 22.
To investigate the morphometry of patellar tendon with magnetic resonance imaging (MRI) and to reveal the relation between patellar tendon properties and anterior knee pain (AnKP).
Twenty-three patients with AnKP and nine healthy individuals were included in the study. Patients with knee anomaly that may cause AnKP were excluded from the study. The patellar tendon examination was performed on sagittal and coronal sections of MRI. Freehand technique was used to frame the area of tendon and calculations were done by generic software.
There were 23 patients in AnKP (+) and 9 individuals in AnKP (-) group. The morphometric results were not different among groups (p = 0.2). Higher body mass index was correlated with increased patellar tendon surface area in women (R (2) = 0.37).
Patellar tendon length, thickness and surface area do not seem as a significant parameter to explain the aetiology of AnKP. Given the well-defined role of patellar tendon to support knee kinetics, the clinical value of tendon morphometry is to be determined.
利用磁共振成像（MRI）研究髌腱的形态测量学，并揭示髌腱特性与膝前疼痛（AnKP）之间的关系。
本研究纳入了23例AnKP患者和9名健康个体。可能导致AnKP的膝关节异常患者被排除在研究之外。在MRI的矢状面和冠状面上进行髌腱检查。采用徒手技术勾勒肌腱区域，并通过通用软件进行计算。
AnKP（+）组有23例患者，AnKP（-）组有9名个体。各组间形态测量结果无差异（p = 0.2）。较高的体重指数与女性髌腱表面积增加相关（R（2）= 0.37）。
髌腱长度、厚度和表面积似乎不是解释AnKP病因的重要参数。鉴于髌腱在支持膝关节动力学方面的明确作用，肌腱形态测量学的临床价值有待确定。
