Novel Method for Diagnosing Lateral Patellar Compression Syndrome Using X-ray: a Retrospective Case-Control Study

NCT ID: NCT04454593

Last Updated: 2020-07-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

87 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-03-22

Study Completion Date

2020-05-22

Brief Summary

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This study evaluates whether the patellar axial radiograph of lateral patellar curvature angle (LPCA)with knee flexion at 30 ° can be used as a new diagnostic surrogate of lateral patellar compression syndrome(LPCS). We believe that the new index LPCA has high sensitivity and specificity in initial diagnosis of LPCS using axial patellar radiograph with knee flexion at 30 ° , and has high application value.

Detailed Description

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Background: A well-established reference is lacking for diagnosing lateral patellar compression syndrome (LPCS), and this diagnosis currently depends on clinicians' subjective judgment and several examination results. X-rays are primarily used to diagnose LPCS, but they have low detection rates of patellar tilt using the congruence angle (CA) and patellar tilting angle (PTA).

Purpose: To investigate whether patellar axial radiography of the lateral patellar curvature angle (LPCA) of knee in 30° flexion can diagnose LPCS.

Methods: We enrolled 87 patients between 2016 and 2019 and divided them as per diagnosis into three groups of 29 each: LPCS, patellar dislocation (PD, control), and meniscus tear (MT, negative control) groups. A senior radiologist and the chief physician of sports medicine examined their patellar axial radiographs of the knee in 30° flexion using a computer imaging system, measuring LPCA, PTA, and CA. Univariate analysis of variance and Kruskal-Wallis H test were used to compare measurement data with normal distribution and non-normal distribution, respectively. Bonferroni correction was used to analyze different indicators for different groups. The area under the curve (AUC) was calculated to verify the value of LPCA in initial diagnosis of LPCS.

Conditions

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Lateral Patellar Compression Syndrome

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Lateral patellar compression syndrome

Patients diagnosed with lateral patellar compression syndrome between February 2016 and April 2019

no intervention

Intervention Type OTHER

This is an observation study,with no intervention

patellar dislocation

Patients diagnosed with patellar dislocation between February 2016 and April 2019

no intervention

Intervention Type OTHER

This is an observation study,with no intervention

meniscus tear

Patients diagnosed with meniscus tear between February 2016 and April 2019

no intervention

Intervention Type OTHER

This is an observation study,with no intervention

Interventions

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no intervention

This is an observation study,with no intervention

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients were diagnosed as LPCS ,MT and PD respectively

Exclusion Criteria

* patients with ligament injury, malunion of patella fracture, free bodies in the joint, surgical contraindications, and with both knees affected.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University Third Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yang Yu-ping

Role: STUDY_CHAIR

Peking University Third Hospital

Locations

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Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Other Identifiers

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M2019464

Identifier Type: -

Identifier Source: org_study_id

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