Poster électronique

Imagerie par résonance magnétique du syndrome de friction fémoro-patellaire latéral : étude prospective cas-témoins
B. Barbier-Brion, JM. Lerais, S. Aubry, D. Lepage, E. Delabrousse, B. Kastler - Besançon - France
Congrès 2011
Résumé
Objectifs
Décrire les anomalies morphologiques et les signes en Imagerie par Résonance Magnétique (IRM) rendant compte du syndrome de friction fémoro-patellaire latéral (SFFPL).
Matériels et méthodes
Étude prospective de 56 genoux (21 patients et 30 témoins) étudiés sur IRM 3 Tesla. Analyse comparative de données cliniques, de critères d'imagerie quantitatifs et qualitatifs entre une population de patients souffrant de gonalgies antérieures associés à une anomalie de signal du repli alaire latéral de la graisse de Hoffa en IRM, signe caractéristique du SFFPL, et une population témoins ne présentant ni gonalgie antérieure ni anomalie de signal de la graisse de Hoffa.
Résultats
Les patients souffrant d'un SFFPL ont des douleurs antérieures du genou et/ou latéralisées. Leur genou possède des prédispositions anatomiques d'instabilité avec principalement une patella alta (p<0.0001), une bascule patellaire >13.5° (p<0.0001), un nez patellaire >9mm (p=0.0037), un ratio de longueur nez patellaire-patella >0.25 (p<0.0001) une distance TA-GT <10mm (p<0.0001), et une saille de la trochlée >4mm (p=0.0056). Chez 35% des patients, une chondropathie patellaire est visible et 48% des patients ont des anomalies souschondrales patellaires ou trochléaires.
Conclusion
Les douleurs antérieures, latérales et médiales du genou peuvent être liées à un SFFPL. Des prédispositions anatomiques concourant à une instabilité sont retrouvées chez ces patients. Des chondropathies et des ostéochondropathies peuvent y être associées.
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2017-04-11 07.01 :
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