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Original Article

Clinical Pain 2010; 9(1): 21-26

Published online June 30, 2010

Copyright © Korean Association of Pain Medicine.

Follow Up of Chondromalacia by Pressure- Assisted Knee X-ray, Pain and Functional Scale

압력을 가한 무릎 단순 방사선 사진과 통증 및 기능 척도를 통한 연골연화증의 경과

Kyung-Jin Im, M.D., Jeong-Hwan Seo, M.D., Myoung- Hwan Ko, M.D. and Sung-Hee Park, M.D.

임경진ㆍ서정환ㆍ고명환ㆍ박성희

Department of Physical Medicine and Rehabilitation, Institude for Medical Science and Research Institute of Clinical Medicine, Chonbuk National University Medical School, Jeonju, Korea

전북대학교 의학전문대학원 재활의학교실, 의과학 연구소 및 임상의학연구소

Abstract

Objective: To evaluate the change of chondromalacia in one year by comparing the initial and the last data of physical examination, functional knee scale and pressure-assisted knee X-ray. Materials and Methods: Sixteen patients (6 men, 10 women) with clinically suspected chondromalacia were participated. All participants were included by clinical criteria of chondromalacia and had no operation history and knee joint contracture. We rechecked physical examination, functional knee scale and pressure-assisted knee X-ray. To measure the degree standing against pressure in knee X-ray, 150 mmHg pressure was applied at the knee with manual hemodynamometer. And we compared the parameters of the two patella tangential views, before and after application of pressure. Results: The score of visual analog scale was significantly decreased compared with the initial study (p<0.05). Similarly, Knee society score and 12-item knee score were significantly improved compared with the initial studies (p<0.05). However the parameters of the pressure assisted knee X-ray were not changed significantly in one year (p>0.05). Conclusion: Though the pain symptom of chondromalacia was improved, the data of pressure-assisted knee X-ray didn't show significant change. The softness of knee cartilage didn't correlate well with the patient's symptom. (Clinical Pain 2010;9:21-26)

KeywordsChondromalacia patella, Patellofemoral pain syndrome, Prognosis, X-ray

Korean Association of Pain Medicine

Vol.23 No.2
December 2024

eISSN: 2765-5156

Frequency: Semi Annual

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