Department of Diagnostic and Interventional Radiology and Nuclear Medicine, Center for Radiology and Endoscopy, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
UKE Athleticum-Center for Athletic Medicine, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Sci Rep. 2020 Sep 18;10(1):15355. doi: 10.1038/s41598-020-72299-7.
The tibial tuberosity-trochlear groove (TT-TG) distance is a radiographic measurement that is used to quantify malalignment of the patellofemoral joint (PFJ) in cross-sectional imaging. There is an ongoing debate about the impact of the TT-TG-distance on lateral patellar instability and the initiating of cartilage degeneration. In this prospective study, the association of T2* relaxation times and TT-TG distances in professional soccer players was analyzed. 36 knees of 18 professional soccer players (age: 21 ± 2.8 years) were evaluated. Participants underwent knee MRI at 3 T. For qualitative image analysis, fat-saturated 2D PD-weighted Fast Spin Echo (FSE) and T1-weighted FSE sequences were used. For quantitative analysis, T2* measurements in 3D data acquisitions were performed. In a qualitative analysis there was no structural cartilage damage and no abnormalities of the patellar and trochlea shape. The highest T2* values (26.7 ± 5.9 ms) were observed in the central compartment of the patella. The mean TT-TG distance was 10 ± 4 mm (range 3-20 mm). There was no significant correlation between TT-TG distance and T2* relaxation times in all three compartments of the retropatellar cartilage. Our study shows that so long as patellar and trochlear morphology is normal, TT-TG distance alone does not affect the tissue structure of the retropatellar cartilage in professional soccer players.
胫骨结节-滑车沟(TT-TG)距离是一种用于量化髌股关节(PFJ)在横断面上的对线不良的影像学测量方法。关于 TT-TG 距离对髌外侧不稳定和软骨退变的起始的影响,目前仍存在争议。在这项前瞻性研究中,分析了职业足球运动员的 T2弛豫时间与 TT-TG 距离之间的关系。对 18 名职业足球运动员(年龄:21±2.8 岁)的 36 个膝关节进行了评估。参与者在 3T 下接受膝关节 MRI 检查。定性图像分析采用了脂肪饱和 2D PD 加权快速自旋回波(FSE)和 T1 加权 FSE 序列。定量分析采用了 3D 数据采集的 T2测量。在定性分析中,没有发现结构性软骨损伤,髌骨关节和滑车形态也没有异常。髌骨关节的中央区 T2值最高(26.7±5.9 ms)。TT-TG 距离的平均值为 10±4mm(范围 3-20mm)。在髌股后软骨的所有三个区域中,TT-TG 距离与 T2弛豫时间之间均无显著相关性。我们的研究表明,只要髌骨关节和滑车形态正常,TT-TG 距离本身不会影响职业足球运动员髌股后软骨的组织结构。