Degeneration grade of a femoropatellar joint and functional status of a knee joint

Olesiak Beata, Przedborska Agnieszka, Raczkowski Jan W. Degeneration grade of a femoropatellar joint and functional status of a knee joint. Journal of Education, Health and Sport. 2019;9(2):44-55. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2556322

http://ojs.ukw.edu.pl/index.php/johs/article/view/6548

https://pbn.nauka.gov.pl/sedno-webapp/works/902284

 

 

 

 

 

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© The Authors 2019;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland

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The authors declare that there is no conflict of interests regarding the publication of this paper.

 

Received: 16.01.2019. Revised: 30.01.2019. Accepted: 03.02.2019.

 

 

 

 

 

Degeneration grade of a femoropatellar joint and functional status of a knee joint

 

Beata Olesiak¹, Agnieszka Przedborska²

Jan W. Raczkowski²

 

 

 

¹College of Education and Therapy in Szczecin

 

²Department of Orthopedic and Post-Traumatic Rehabilitation, Medical University of Lodz

 

 

 

 

 

Key words: femoropatellar joints, gonarthrosis, knee joint, joint function

 

 

 

 

 

 

The correspondence address:

Beata Olesiak

beataolesiak11@gmail.com

 

 

 

 

SUMMARY

 

Aim of the paper: The aim of the study was to assess the impact of degeneration of femoropatellar joint cartilage on selected variables related with a knee joint function

Material and methods: The studied group consisted of 50 patients that were diagnosed, through ultrasonography, changes in femoropatellar joint cartilage according to the Outerbridge classification. The data was collected with usage of a self-designed questionnaire. The study included pain assessment according to the VAS scale, Zohlen’s test, rectus femoris muscle test.

Results: There is statistically significant correlation between the grade of degenerative changes and age (p<0.0001), and the size of the body mass index (p=0.0098).

With the increase of the degenerative changes grade, the percentage of patients with the positive result of Zohlen’s test, and with the positive result of the quadriceps muscle test increases significantly (p=0.0001). Also, it is observed more frequent (p<0.0001) presence of the fluid in case of the III and IV grades of degeneration.

With the increase of degeneration grade of cartilage, intensification of pain symptoms, measured in the VAS scale, significantly (p=0.0083) increases.

Statistically significant (p=0.0001) relationship was also observed between the presence of fluid in the joint and the result of the quadriceps muscle function test (with the presence of the fluid, the percentage of patients with the positive test result increases).

Conclusions: 1. Degenerative changes of femoropatellar joint cartilage affect quadriceps muscle dysfunction. 2. Pain symptoms of femoropatellar joint cause motion deformity of the knee joint. 3. Increased amount of the joint fluid is related with a higher grade of the joint degeneration.