Valor de la distancia entre la tuberosidad anterior de la tibia y el surco intercondíleo en la inestabilidad patelofemoral

Alejandro Alvarez López; Rodrigo Fuentes-Véjar; Sergio Ricardo Soto-Carrasco; Yenima de la Caridad García Lorenzo

Valor de la distancia entre la tuberosidad anterior de la tibia y el surco intercondíleo en la inestabilidad patelofemoral

Alejandro Alvarez López, Rodrigo Fuentes-Véjar, Sergio Ricardo Soto-Carrasco, Yenima de la Caridad García Lorenzo

Texto completo:

XML PDF HTML

Resumen

La inestabilidad patelofemoral es una entidad que afecta principalmente a adolescentes y adultos jóvenes. En su diagnóstico se consideran elementos clínicos e imagenológicos, en especial para medir la distancia entre la tuberosidad anterior de la tibia y el surco intercondíleo, que permite la selección de la técnica quirúrgica en cada paciente, en específico la transferencia de la tuberosidad anterior de la tibia. En este artículo se exponen brevemente algunos aspectos de interés sobre el tema: métodos imagenológicos empleados en estos pacientes (radiografía simple, tomografía axial computarizada, imagen por resonancia magnética) y valores de referencia considerados como normales; también se describe por pasos cómo medir la distancia entre la tuberosidad anterior de la tibia y el surco intercondíleo.

Palabras clave

articulación patelofemoral; inestabilidad patelofemoral; tomografía axial computarizada; imagen de resonancia magnética.

Referencias

Best MJ, Tanaka MJ, Demehri S, Cosgarea AJ. Accuracy and reliability of the visual assessment of patellar tracking. Am J Sports Med. 2020;48(2):370-5.

Christensen TC, Sanders TL, Pareek A, Mohan R, Dahm DL, Krych AJ. Risk factors and time to recurrent ipsilateral and contralateral patellar dislocations. Am J Sports Med. 2017;45(9):2105-10.

Farr J. Editorial commentary: what is the optimal management of first and recurrent

patellar instability? Patellofemoral instability management continues to evolve. Arthroscopy. 2018;34(11):3094-7.

Fathalla I, Holton J, Ashraf T. Examination under anesthesia in patients with recurrent patellar dislocation: prognostic study. J Knee Surg. 2019;32(4):361-5.

Ye Q, Yu T, Wu Y, Ding X, Gong X. Patellar instability: the reliability of magnetic resonance imaging measurement parameters. BMC Musculoskelet Disord. 2019 [citado 13/02/2020];20(1):317. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6612413/pdf/12891_2019_Article_2697.pdf

Tompkins MA, Rohr SR, Agel J, Arendt EA. Anatomic patellar instability risk factors in primary lateral patellar dislocations do not predict injury patterns: an MRI-based study. Knee Surg Sports Traumatol Arthrosc. 2018;26(3):677-84.

Ferlic PW, Runer A, Dirisamer F, Balcarek P, Giesinger J, Biedermann R, et al. The use of tibial tuberosity-trochlear groove indices based on joint size in lower limb evaluation. Int Orthop. 2018;42(5):995-1000.

Hochreiter B, Hess S, Moser L, Hirschmann MT, Amsler F, Behrend H. Healthy knees have a highly variable patellofemoral alignment: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2020;28(2):398-406.

Tan SHS, Ibrahim MM, Lee ZJ, Chee YKM, Hui JH. Patellar tracking should be taken into account when measuring radiographic parameters for recurrent patellar instability. Knee Surg Sports Traumatol Arthrosc. 2018;26(12):35-93.

Dewan V, Webb MSL, Prakash D, Malik A, Gella S, Kipps C. When does the patella dislocate? A systematic review of biomechanical & kinematic studies. J Orthop. 2019;20:70-7.

Bartsch A, Lubberts B, Mumme M, Egloff C, Pagenstert G. Does patella alta lead to worse clinical outcome in patients who undergo isolated medial patellofemoral ligament reconstruction? A systematic review. Arch Orthop Trauma Surg. 2018;138(11):1563-73.

Hevesi M, Heidenreich MJ, Camp CL, Hewett TE, Stuart MJ, Dahm DL, et al. The recurrent instability of the patella score: a statistically based model for prediction of long-term recurrence risk after first-time dislocation. Arthroscopy. 2019;35(2):537-43.

Hernigou J, Chahidi E, Bouaboula M, Moest E, Callewier A, Kyriakydis T, et al. Knee size chart nomogram for evaluation of tibial tuberosity-trochlear Groove distance in knees with or without history of patellofemoral instability. Int Orthop. 2018;42(12):2797-806.

Xiong R, Chen C, Yin L, Gong X, Luo J, Wang F, et al. How do axial scan orientation deviations affect the measurements of knee anatomical parameters associated with patellofemoral instability? A simulated computed tomography study. J Knee Surg. 2018;31(5):425-32.

DeJour D, Saggin PRF, Kuhn VC. Disorders of the Patellofemoral Joint. En: Scott WN. Insall & Scott Surgery of the Knee. 6 ed. Philadelphia: Elsevier; 2018.p.843-84.

Arendt EA. Editorial Commentary: reducing the Tibial Tuberosity-Trochlear Groove distance in patella stabilization procedure. Too much of a (good) thing? Arthroscopy. 2018;34(8):2427-8.

Franciozi CE, Ambra LF, Albertoni LJB, Debieux P, Granata GSM, Kubota MS, et al. Anteromedial tibial tubercle osteotomy improves results of medial patellofemoral ligament reconstruction for recurrent patellar instability in patients with Tibial Tuberosity-Trochlear Groove distance of 17 to 20 mm. Arthroscopy. 2019;35(2):566-74.

Hinckel BB, Gobbi RG, Kihara Filho EN, Demange MK, Pécora JR, Rodrigues MB, et al. Why are bone and soft tissue measurements of the TT-TG distance on MRI different in patients with patellar instability? Knee Surg Sports Traumatol Arthrosc. 2017;25(10):3053-60.

Brady JM, Rosencrans AS, Shubin Stein BE. Use of TT-PCL versus TT-TG. Curr Rev Musculoskelet Med. 2018;11(2):261-5.

Cao P, Niu Y, Liu C, Wang X, Duan G, Mu Q, et al. Ratio of the tibial tuberosity-trochlear groove distance to the tibial maximal mediolateral axis: a more reliable and standardized way to measure the tibial tuberosity-trochlear groove distance. Knee. 2018; 25(1):59-65.

Esta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial 4.0 Internacional.