Ultrasonographic assessment of quadriceps and patellar tendon thicknesses in patients with patellofemoral pain syndrome

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dc.authoridHilal Ecesoy: 0000-0001-9274-168Xen_US
dc.contributor.authorKızılkaya, Ahmet Özcan
dc.contributor.authorEcesoy, Hilal
dc.date.accessioned2020-01-18T21:12:14Z
dc.date.available2020-01-18T21:12:14Z
dc.date.issued2019
dc.departmentNEÜ, Meram Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Fizik Tedavi ve Rehabilitasyon Anabilim Dalıen_US
dc.descriptionWOS:000484851600007en_US
dc.descriptionPubMed ID:31103417en_US
dc.description.abstractObjective: The aim of this study was to compare ultrasonographically measured quadriceps and patellar tendon thicknesses between Patellofemoral Pain Syndrome (PFPS) patients and age- and gender- matched healthy controls. Methods: Among patients who presented to physical therapy and rehabilitation outpatient clinic in January-December 2016, 61 volunteers (28 men and 33 women; mean age: 30.79 6.55 years) who were eligible considering the inclusion and exclusion criteria were enrolled. 30 were diagnosed with PFPS, and the remaining were age- and gender-matched healthy volunteers. Mean age was 30.03 5.67 years in healthy subjects and 45.2% were of male gender. The patient group had mean age of 31.57 7.37 years and 46.7% of the patients were male. Q angles were measured at standing, supine and sitting positions. Patellar and femoral tendon thicknesses and areas were measured ultrasonographically. Kujala questionnaire were used to evaluate the functional status of the participants. Results: No significant difference was detected between groups regarding profession, educational background, and body mass indices (BMI) (p0.05). Q angle values were significantly higher in the patient group when compared to controls at standing , supine and sitting positions. Kujala score was significantly lower in the PFPS group when compared to controls. Patellar and quadriceps vs. tendon thicknesses were significantly higher in the PFPS group when compared to controls. There was no significant difference between groups regarding patellar tendon areas. Patellar tendon thickness values of 0.35 cm were found to have 66.7% sensitivity and 67.7% specificity for PFPS diagnosis in the ROC curve analysis (area under curve: 0.771, 95% confidence interval Quadriceps tendon thickness values of 0.54 cm were found to have 80% sensitivity and 71% specificity for PFPS diagnosis in the ROC curve analysis (area under curve: 0.824, 95% confidence interval. In PFPS patients, quadriceps tendon thickness had significant positive correlation with age and BMI ; and significant negative correlation with Kujala score. In the multivariate regression analysis, quadriceps tendon thickness was independently associated with the presence of PFPS (Exp (B): 3.089, 95% confidence interval. Conclusion: Our study demonstrates that ultrasonographically measured patellar and quadriceps tendon thicknesses are significantly higher in subjects with PFPS and particularly, quadriceps tendon thickness may be used for the diagnosis. Level of Evidence: Level III, Therapeutic Studyen_US
dc.identifier.citationEcesoy, H., Kızılkaya, A. Ö. (2019). Ultrasonographic assessment of quadriceps and patellar tendon thicknesses in patients with patellofemoral pain syndrome. Acta Orthopaedica Et Traumatologica Turcica, 53, 4, 272-277.en_US
dc.identifier.doi10.1016/j.aott.2019.04.009en_US
dc.identifier.endpage277en_US
dc.identifier.issn1017-995Xen_US
dc.identifier.issue4en_US
dc.identifier.pmid31103417en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage272en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.aott.2019.04.009
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TXpFeE5EZ3dNQT09/ultrasonographic-assessment-of-quadriceps-and-patellar-tendon-thicknesses-in-patients-with-patellofemoral-pain-syndrome
dc.identifier.urihttps://hdl.handle.net/20.500.12452/2729
dc.identifier.volume53en_US
dc.identifier.wosWOS:000484851600007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofActa Orthopaedica et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US]
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPatellofemoral pain syndromeen_US
dc.subjectUltrasonographyen_US
dc.subjectQuadriceps tendon thicknessen_US
dc.subjectPatellar tendon thicknessen_US
dc.subjectPatellar tendon areaen_US
dc.titleUltrasonographic assessment of quadriceps and patellar tendon thicknesses in patients with patellofemoral pain syndromeen_US
dc.typeArticleen_US

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