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Degeneration of patellar cartilage in patients with recurrent patellar dislocation following conservative treatment: evaluation with delayed gadolinium-enhanced magnetic resonance imaging of cartilage
Osteoarthritis and Cartilage , 09/23/09
Watanabe A et al. – dGEMRIC may be a useful method to monitor glycosaminoglycan concentration in patients with RPD following conservative treatment.
Methods- 3 groups of knees evaluated
- Group I, 35 knees from both knees of patients with bilateral RPD and dislocated side knees of patients with unilateral RPD
- Group II, 15 non-dislocated side knees of patients with unilateral RPD
- Group III, 20 knees from both knees of healthy volunteers [T1
- Differences in post-contrast T1 [T1(Gd)] of cartilage at both medial and lateral facets between groups I, II and III analyzed
- Length of time between the initial dislocation and MRI and the total number of dislocations between the initial dislocation and MRI for both medial and lateral facets
- mMean T1(Gd) of cartilage at medial facets for groups I, II and III were 411 ± 46 ms, 465 ± 38 ms and 490 ± 29 ms, respectively
- Mean T1(Gd) of cartilage at lateral facets for groups I, II and III were 426 ± 53 ms, 466 ± 45 ms and 510 ± 36 ms, respectively
- Significant correlations were observed between T1(Gd) of cartilage for both medial and lateral facets and length of time between the initial dislocation and MRI
- No other significant correlations
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