Radiological investigation on the pathogenesis of patello-femoral osteoarthritis.
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Diagnosis of patello-femoral osteoarthritis, PFOA, is based on narrowing of joint space. In search of pathogenesis of PFOA, radiological findings were analysed with computed tomography. It was found that PFOA can be classified into two types; type A is characterised by marked subchondral sclerosis and osteophyte and type B by subluxed patella with little sclerosis. In FTOA, especially in medial FTOA, the tibia has been observed externally rotated relative to the femur. Consequently the patella shifts laterally and so-called excessive lateral pressure syndrome will result in type A. In subluxation of the patella, type B will develop with a narrowing of joint space.
- 西日本整形・災害外科学会の論文
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