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Lee W, Miller EY, Zhu H, Schneider SE, Reiter DA, Neu CP. Multi-frame biomechanical and relaxometry analysis during in vivo loading of the human knee by spiral dualMRI and compressed sensing. Magn Reson Med 2023; 90:995-1009. [PMID: 37213087 PMCID: PMC10330244 DOI: 10.1002/mrm.29690] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 03/27/2023] [Accepted: 04/14/2023] [Indexed: 05/23/2023]
Abstract
PURPOSE Knee cartilage experiences repetitive loading during physical activities, which is altered during the pathogenesis of diseases like osteoarthritis. Analyzing the biomechanics during motion provides a clear understanding of the dynamics of cartilage deformation and may establish essential imaging biomarkers of early-stage disease. However, in vivo biomechanical analysis of cartilage during rapid motion is not well established. METHODS We used spiral displacement encoding with stimulated echoes (DENSE) MRI on in vivo human tibiofemoral cartilage during cyclic varus loading (0.5 Hz) and used compressed sensing on the k-space data. The applied compressive load was set for each participant at 0.5 times body weight on the medial condyle. Relaxometry methods were measured on the cartilage before (T1ρ , T2 ) and after (T1ρ ) varus load. RESULTS Displacement and strain maps showed a gradual shift of displacement and strain in time. Compressive strain was observed in the medial condyle cartilage and shear strain was roughly half of the compressive strain. Male participants had more displacement in the loading direction compared to females, and T1ρ values did not change after cyclic varus load. Compressed sensing reduced the scanning time up to 25% to 40% when comparing the displacement maps and substantially lowered the noise levels. CONCLUSION These results demonstrated the ease of which spiral DENSE MRI could be applied to clinical studies because of the shortened imaging time, while quantifying realistic cartilage deformations that occur through daily activities and that could serve as biomarkers of early osteoarthritis.
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Affiliation(s)
- Woowon Lee
- Paul M. Rady Department of Mechanical Engineering, University of Colorado Boulder, Boulder, CO, USA
| | - Emily Y. Miller
- Biomedical Engineering Program, University of Colorado Boulder, Boulder, CO, USA
| | - Hongtian Zhu
- Paul M. Rady Department of Mechanical Engineering, University of Colorado Boulder, Boulder, CO, USA
| | - Stephanie E. Schneider
- Paul M. Rady Department of Mechanical Engineering, University of Colorado Boulder, Boulder, CO, USA
| | - David A. Reiter
- Department of Radiology & Imaging Sciences, Emory University, Atlanta, GA, USA
| | - Corey P. Neu
- Paul M. Rady Department of Mechanical Engineering, University of Colorado Boulder, Boulder, CO, USA
- Biomedical Engineering Program, University of Colorado Boulder, Boulder, CO, USA
- BioFrontiers Institute, University of Colorado Boulder, Boulder, CO, USA
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2
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Vuurberg G, Dahmen J, Dobbe IGG, Kleipool RP, Hayat B, Sierevelt IN, Streekstra G, Kerkhoffs GMMJ, Stufkens SAS. Lower leg symmetry: a Q3D-CT analysis. Surg Radiol Anat 2022; 44:851-860. [PMID: 35534775 PMCID: PMC9246803 DOI: 10.1007/s00276-022-02940-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 04/07/2022] [Indexed: 10/29/2022]
Abstract
PURPOSE In fracture and realignment surgery, the contralateral unaffected side is often used as a model or template for the injured bone even though clinically valuable quantitative data of bilateral symmetry are often unavailable. Therefore, the objective of the present study was to quantify and present the bilateral symmetry of the tibia and fibula. METHODS Twenty bilateral lower-leg CT scans were acquired in healthy volunteers. The left and right tibia and fibula were segmented resulting in three-dimensional polygons for geometrical analyses (volume, surface and length). The distal and proximal segment of the right tibia of each individual was subsequently matched to the left tibia to quantify alignment differences (translation and rotation). Bone symmetry on group level was assessed using the Student's t test and intra-individual differences were assessed using mixed-models analyses. RESULTS Intra-individuals differences were found for tibia volume (5.2 ± 3.3 cm3), tibia surface (5.2 ± 3.3 cm2), translations in the lateral (X-axis; 9.3 ± 8.9 mm) and anterior direction (Y-axis; 7.1 ± 7.0 mm), for tibia length (translation along Z-axis: 3.1 ± 2.4 mm), varus/valgus (φz: 1.7o ± 1.4°), and endotorsion/exotorsion (φz: 4.0o ± 2.7°). CONCLUSION This study shows intra-individual tibia asymmetry in both geometric and alignment parameters of which the surgeon needs to be aware in pre-operative planning. The high correlation between tibia and fibula length allows the ipsilateral fibula to aid in estimating the original tibia length post-injury. Future studies need to establish whether the found asymmetry is clinically relevant when the contralateral side is used as reference in corrective surgery. LEVEL OF EVIDENCE III cohort study.
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Affiliation(s)
- Gwendolyn Vuurberg
- Amsterdam UMC, Department of Orthopedic Surgery, Amsterdam Movement Sciences, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. .,Academic Center for Evidence-Based Sports Medicine (ACES), Amsterdam, The Netherlands. .,AMC/VUmc IOC Research Center, Amsterdam Collaboration on Health and Safety in Sports (ACHSS), Amsterdam, The Netherlands. .,Amsterdam UMC, Department of Radiology and Nuclear Medicine, Amsterdam Movement Sciences, University of Amsterdam, Amsterdam, The Netherlands. .,Department of Radiology and Nuclear Medicine, Rijnstate Hospital, Arnhem, The Netherlands.
| | - Jari Dahmen
- Amsterdam UMC, Department of Orthopedic Surgery, Amsterdam Movement Sciences, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.,Academic Center for Evidence-Based Sports Medicine (ACES), Amsterdam, The Netherlands.,AMC/VUmc IOC Research Center, Amsterdam Collaboration on Health and Safety in Sports (ACHSS), Amsterdam, The Netherlands
| | - Iwan G G Dobbe
- Amsterdam UMC, Department of Biomedical Engineering and Physics, Amsterdam Movement Sciences, University of Amsterdam, Amsterdam, The Netherlands
| | - Roeland P Kleipool
- Academic Center for Evidence-Based Sports Medicine (ACES), Amsterdam, The Netherlands.,Amsterdam UMC, Department of Medical Biology, Amsterdam Movement Sciences, University of Amsterdam, Amsterdam, The Netherlands
| | - Batur Hayat
- Amsterdam UMC, Department of Orthopedic Surgery, Amsterdam Movement Sciences, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
| | - Inger N Sierevelt
- Specialized Centre for Orthopedic Research and Education (SCORE), Xpert Orthopedics, Amsterdam, The Netherlands
| | - Geert Streekstra
- Amsterdam UMC, Department of Radiology and Nuclear Medicine, Amsterdam Movement Sciences, University of Amsterdam, Amsterdam, The Netherlands.,Amsterdam UMC, Department of Biomedical Engineering and Physics, Amsterdam Movement Sciences, University of Amsterdam, Amsterdam, The Netherlands
| | - Gino M M J Kerkhoffs
- Amsterdam UMC, Department of Orthopedic Surgery, Amsterdam Movement Sciences, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.,Academic Center for Evidence-Based Sports Medicine (ACES), Amsterdam, The Netherlands.,AMC/VUmc IOC Research Center, Amsterdam Collaboration on Health and Safety in Sports (ACHSS), Amsterdam, The Netherlands
| | - Sjoerd A S Stufkens
- Amsterdam UMC, Department of Orthopedic Surgery, Amsterdam Movement Sciences, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.,Academic Center for Evidence-Based Sports Medicine (ACES), Amsterdam, The Netherlands.,AMC/VUmc IOC Research Center, Amsterdam Collaboration on Health and Safety in Sports (ACHSS), Amsterdam, The Netherlands
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3
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Vuurberg G, Dahmen J, Dobbe J, Kleipool R, Stufkens S, Maas M, Kerkhoffs G, van Dijk C, Streekstra G. The effect of foot rotation on measuring ankle alignment using simulated radiographs: a safe zone for pre-operative planning. Clin Radiol 2019; 74:897.e1-897.e7. [DOI: 10.1016/j.crad.2019.07.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Accepted: 07/16/2019] [Indexed: 10/26/2022]
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Han H, Kubo A, Kurosawa K, Maruichi S, Ishizaka M, Sadakiyo K, Nomura T, Honzawa K. Ipsilateral patterns of the rotational range of motion of the hip in healthy Japanese adults. J Phys Ther Sci 2016; 28:2550-2555. [PMID: 27799692 PMCID: PMC5080174 DOI: 10.1589/jpts.28.2550] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Accepted: 05/23/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study aimed to categorize the internal and external rotation range of
motion (ROM) of ipsilateral hip joints into specific patterns based on the differences
between them, and clarify the distribution of these patterns. [Subjects and Methods] A
total of 222 healthy Japanese medical students (162 males, 60 females) with a mean age of
21.2 ± 4.0 years were enrolled. The ROM of internal and external rotation at the hip were
randomly measured with the subjects in the prone position. Thereafter, the difference
between internal and external rotations was assessed. Hip ROM patterns were classified
into 3 types based on the differences in the rotation ROM on each side. A total of 9
overall patterns were then determined based on the combination of patterns on both sides.
[Results] Although all the subjects were healthy, an asymmetrical ROM between internal and
external rotation in ipsilateral hip joints could be detected via pattern classification.
Moreover, the distribution of each hip ROM pattern was clarified. [Conclusion] Pattern
classification based on differences in internal and external rotation ROM could serve as a
useful evaluation method for clinical manipulative therapy.
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Affiliation(s)
- Heonoo Han
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | - Akira Kubo
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | - Kazuo Kurosawa
- Department of Physical Therapy, School of Health Sciences at Odawara, International University of Health and Welfare, Japan
| | | | - Masahiro Ishizaka
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | - Kaori Sadakiyo
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | - Takahiro Nomura
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | - Kaoru Honzawa
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
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Han H, Kubo A, Kurosawa K, Maruichi S, Maruyama H. Hip rotation range of motion in sitting and prone positions in healthy Japanese adults. J Phys Ther Sci 2015; 27:441-5. [PMID: 25729186 PMCID: PMC4339156 DOI: 10.1589/jpts.27.441] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2014] [Accepted: 09/02/2014] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The aim of this study was to elucidate the difference in hip external and
internal rotation ranges of motion (ROM) between the prone and sitting positions.
[Subjects] The subjects included 151 students. [Methods] Hip rotational ROM was measured
with the subjects in the prone and sitting positions. Two-way repeated measures analysis
of variance (ANOVA) was used to analyze ipsilateral hip rotation ROM in the prone and
sitting positions in males and females. The total ipsilateral hip rotation ROM was
calculated by adding the measured values for external and internal rotations. [Results]
Ipsilateral hip rotation ROM revealed significant differences between two positions for
both left and right internal and external rotations. Hip rotation ROM was significantly
higher in the prone position than in the sitting position. Hip rotation ROM significantly
differed between the men and women. Hip external rotation ROM was significantly higher in
both positions in men; conversely, hip internal rotation ROM was significantly higher in
both positions in women. [Conclusion] Hip rotation ROM significantly differed between the
sexes and between the sitting and prone positions. Total ipsilateral hip rotation ROM,
total angle of external rotation, and total angle of internal rotation of the left and
right hips greatly varied, suggesting that hip joint rotational ROM is widely
distributed.
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Affiliation(s)
- Heonsoo Han
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | - Akira Kubo
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | - Kazuo Kurosawa
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | | | - Hitoshi Maruyama
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
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Barrios JA, Higginson JS, Royer TD, Davis IS. Static and dynamic correlates of the knee adduction moment in healthy knees ranging from normal to varus-aligned. Clin Biomech (Bristol, Avon) 2009; 24:850-4. [PMID: 19703728 PMCID: PMC2763946 DOI: 10.1016/j.clinbiomech.2009.07.016] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2009] [Revised: 07/23/2009] [Accepted: 07/27/2009] [Indexed: 02/07/2023]
Abstract
BACKGROUND Individuals with medial knee osteoarthritis often present with varus knee alignment and ambulate with increased knee adduction moments. Understanding the factors that relate to the knee adduction moment in healthy individuals may provide insight into the development of this disease. Thus, this study aimed to examine the relationships of both static and dynamic lower extremity measures with the knee adduction moment. We hypothesized that the dynamic measures would be more closely related to this moment. METHODS Arch height index, hip abduction strength and two static measures of knee alignment were recorded for 37 young asymptomatic knees that varied from normal to varus-aligned. Overground gait analyses were also performed. Correlation coefficients were used to assess the relationships between the static and dynamic variables to the knee adduction moment. Hierarchical regression analyses were then conducted using the static measures, the dynamic measures, and the static and dynamic measures together. RESULTS Among the static measures, the tibial mechanical axis and the distance between the medial knee joint lines were correlated with the knee adduction moment. The best predictive static model (R(2)=0.53) included only the tibial mechanical axis. Among the dynamic variables, knee adduction and rearfoot eversion angles were correlated with the knee adduction moment. Knee adduction and rearfoot eversion, together, were the best dynamic model (R(2)=0.53). The static and dynamic measures together created the strongest of the three models (R(2)=0.59). CONCLUSIONS These results suggest that dynamic measures slightly enhance the predictive strength of static measures when explaining variation in the knee adduction moment.
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Affiliation(s)
- Joaquin A. Barrios
- 326 McKinly Lab, University of Delaware, Newark, DE 19716, USA, 302-831-4646, 301-831-4234 (fax),
| | - Jill S. Higginson
- 201A Spencer Lab, University of Delaware, Newark, DE 19716, USA, 302-831-6622,
| | - Todd D. Royer
- 144 Rust Ice Arena, 541 South College Avenue, University of Delaware, Newark, DE 19716, USA, 302-831-4351,
| | - Irene S. Davis
- 305 McKinly Lab, University of Delaware, Newark, DE 19716, USA, 302-831-4263,
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Tamari K, Tinley P, Briffa K, Aoyagi K. Ethnic-, gender-, and age-related differences in femorotibial angle, femoral antetorsion, and tibiofibular torsion: cross-sectional study among healthy Japanese and Australian Caucasians. Clin Anat 2006; 19:59-67. [PMID: 16283644 DOI: 10.1002/ca.20170] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
The current study was conducted to examine ethnic, gender, and age-related differences in femorotibial angle (FTA), femoral antetorsion and tibiofibular torsion. Healthy Japanese (n = 120) and Australian Caucasian (n = 82) subjects were examined using a series of clinically reliable methods for measuring FTA and torsion of the lower limb. Subjects between 18-29 years of age were categorized as younger, 30-59 years as middle age, and 60 or more as older age. Three-way analysis of variance was utilized for data analysis. The Japanese subjects had significantly greater FTA (more varus) than the Australian subjects (P < 0.001). Femoral antetorsion in the Japanese subjects was significantly smaller in middle and older age groups than younger group (P < 0.05), but did not differ between the age groups in the Australian subjects. Further, tibiofibular torsion in female subjects was significantly greater in younger and middle age groups than the older age group (P < 0.01), but was not different between different age groups in males. The results suggest that healthy Japanese may have more genu varus alignment compared to the corresponding Australian population. Age-related ethnic and gender differences in femoral and tibiofibular torsion are worthy of further study.
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Affiliation(s)
- Kotaro Tamari
- School of Physiotherapy, Curtin University of Technology, Bentley, Western Australia.
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