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Titolo:
Arthroscopic evaluation of post-traumatic patellofemoral chondropathy
Autore:
Ayral, X; Ravaud, P; Bonvarlet, JP; Simonnet, J; Lecurieux, R; Nguyen, M; Sauvage, E; Dougados, M;
Indirizzi:
Hop Cochin, Rheumatol Unit, F-75679 Paris 14, France Hop Cochin Paris France 14 hin, Rheumatol Unit, F-75679 Paris 14, France Ctr Borely Meroz, Marseille, France Ctr Borely Meroz Marseille FranceCtr Borely Meroz, Marseille, France Lab Pharmasci, Courbevoie, France Lab Pharmasci Courbevoie FranceLab Pharmasci, Courbevoie, France
Titolo Testata:
JOURNAL OF RHEUMATOLOGY
fascicolo: 5, volume: 26, anno: 1999,
pagine: 1140 - 1147
SICI:
0315-162X(199905)26:5<1140:AEOPPC>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
OSTEO-ARTHRITIS; CHONDROMALACIA PATELLAE; KNEE; OSTEOARTHRITIS; CLASSIFICATION; INFLAMMATION; CARTILAGE; JOINT; PAIN; SYNOVITIS;
Keywords:
post-traumatic patellofemoral chondropathy; synovitis; arthroscopy; outcome measure;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Ayral, X Hoprancein, Rheumatol Unit, 27 Rue Faubourg St Jacques, F-75679 Paris 14, F Hop Cochin 27 Rue Faubourg St Jacques Paris France 14 aris 14, F
Citazione:
X. Ayral et al., "Arthroscopic evaluation of post-traumatic patellofemoral chondropathy", J RHEUMATOL, 26(5), 1999, pp. 1140-1147

Abstract

Objective. To evaluate clinically and arthroscopically post-traumatic patellofemoral chondropathy. Methods, Fifty-nine patients with post-traumatic patellofemoral chondropathy were included in a cross sectional study and 46 of them completed a 6 month longitudinal study. Evaluation of the disease, performed once in the cross sectional study and twice (at entry and after 6 months) in the longitudinal study, included clinical and arthroscopic variables evaluating diseaseactivity and severity. Arthroscopy was performed under local anesthesia inan outpatient procedure using a small arthroscope. Chondropathy was evaluated by the overall assessment of the investigator using a visual analog scale, and by the societe Francaise d'Arthroscopie (SFA) scoring system (SFA score: 0-100). Synovitis was assessed by the "synovitis score," which represents a composite index taking into account intensity, extent and location of synovial abnormalities. Results. In the cross sectional study, severity of chondropathy correlatedwith age, body mass index, disease duration, functional impairment (Lequesne's index and maximum number of steps descended), patellofemoral crepitus on active motion, limitation of flexion, and presence and amount of synovitis. Knee effusion correlated with the presence of synovitis, but no correlation was found between pain or functional impairment and presence or amountof synovitis. In the longitudinal study, no statistically significant change in chondropathy was observed after 6 months followup despite a statistically significant improvement in pain, function, and knee effusion after this period. However, a statistically significant correlation was found between the progression of patellofemoral chondropathy and the presence and amount of synovitis at baseline. Synovitis was present at baseline in 10 patients. Changes in SFA scores were 1.2 +/- 1.6 and -0.1 +/- 1.0 in the groups ofpatients with and without synovitis, respectively (p = 0.0062). Conclusion. These data suggest that synovitis might have a deleterious effect on the evolution of post-traumatic patellofemoral chondropathy or mightbe a marker for active cartilage breakdown.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 18:47:49