DOI QR코드

DOI QR Code

Development of Knee Radiography Auxiliary Device

무릎 방사선 검사 보조장비의 개발

  • Do-Byung Rhee (Department of Radiology, Kyungpook National University Chilgok Hospital) ;
  • Il-Hwan Bae (Department of Radiology, Kyungpook National University Chilgok Hospital) ;
  • Hye-Jung Kim (Department of Radiology, Kyungpook National University Chilgok Hospital) ;
  • So-Mi Lee (Department of Radiology, Kyungpook National University Chilgok Hospital) ;
  • Deok-Mun Kwon (Department of Radiologic Technology, Daegu Health College) ;
  • Dong-Ho Choi (Department of Neurology, K-Hospital) ;
  • Hee-June Kim (Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital)
  • 이도병 (칠곡경북대학교병원 영상의학과) ;
  • 배일환 (칠곡경북대학교병원 영상의학과) ;
  • 김혜정 (칠곡경북대학교병원 영상의학과) ;
  • 이소미 (칠곡경북대학교병원 영상의학과) ;
  • 권덕문 (대구보건대학교 방사선학과) ;
  • 최동호 (케이병원) ;
  • 김희준 (경북대학교 의과대학 정형외과학교실)
  • Received : 2024.03.18
  • Accepted : 2024.04.03
  • Published : 2024.04.30

Abstract

Most knee axial radiographs, known as sunrise and skyline view, were performed with the patient in the prone position. The authors tried to address some of the shortcomings of conventional radiography by developing a new radiography method, K-RAD. According to previous research, the K-RAD method showed a wider patellar-femoral joint space than conventional radiography and provided a clear patellar hemi-lateral image with a constant gap between the femoral trochlear groove and tibial tuberosity. The authors worked with an orthopedic specialist to perform radiography using the K-RAD method rather than using existing methods, and as a result, the two knees were aligned correctly and a clear image of the patellar-femoral joint space was created. The authors propose the K-RAD method for knee axial radiography because the K-RAD method provides a sense of stability to the patient and provides images with high diagnostic value.

Keywords

References

  1. Jung BY, Cho KH, Lee DH, Kim SY. The effects of continuity of care on hospital utilization in patients with knee osteoarthritis: Analysis of Nationwide insurance data. BMC Health Services Research. 2018; 18:1-12. DOI: https://doi.org/10.1186/s12913-018-2951-y
  2. Kim HS, Joo JC, Kim G. The relationship between the trust on the aged-person-covering sports-for-all leaders, satisfaction on lessons, satisfaction on guidance, and continuous participation of the aged persons participating in sports-for-all. Journal of Sport and Leisure Studies. 2008;34(1):691-701. DOI: 10.51979/KSSLS.2008.11.34.691
  3. Frosch KH, Schmeling A. A new classification system of patellar instability and patellar maltracking. Archives of Orthopaedic and Trauma Surgery. 2016; 136(4):485-97. DOI: 10.1007/s00402-015-2381-9
  4. Vivod G, Verdonk P, Drobnic M. Long-term clinical and radiographic outcome of patello-femoral realignment procedures: A minimum of 15-year follow-up. Knee Surgery, Sports Traumatology Arthroscopy. 2014;22(11):2747-55. DOI: 10.1007/s00167-013-2637-2
  5. Dixit S, Difiori JP, Burton M, Mines B. Management of patellofemoral pain syndrome. American Family Physician. 2007;75(2):194-202. PMID: 17263214
  6. Nagamine R, Otani T, White SE, McCarthy DS, Whiteside LA. Patellar tracking measurement in the normal knee. Journal of Orthopaedic Research. 1995;13(1):115-22. DOI: 10.1002/jor.1100130117
  7. Gyimah P. Usefulness of skyline view in the evaluation of acute patellar dislocation: A case study. Journal of Medical Imaging and Radiation Sciences. 2021;52(3):483-6. DOI: 10.1016/j.jmir.2021.02.002
  8. Dzioba RB. Diagnostic arthroscopy and longitudinal open lateral release: A four year follow-up study to determine predictors of surgical outcome. The American Journal of Sports Medicine. 1990;18(4): 343-8. DOI: 10.1177/036354659001800402
  9. Rhee DB, Seo SJ, Choi HW, Lee SH, Kim JK. Development and use of Supporting Device for Patellar X-ray Imaging. Journal of Biomedical Engineering Research. 2020;41(4):165-71. DOI: https://doi.org/10.9718/JBER.2020.41.4.165
  10. Brattstroem H. Shape of the intercondylar groove normally and in recurrent dislocation of patella: A clinical and X-ray anatomical investigation. Acta Orthopaedica Scandinavica Supplementum. 1964;68 (SUPPL68):1-148. PMID: 14171734
  11. Whitley AS, Jefferson G, Holmes K, Sloane C, Anderson C, Hoadley G. Clark's positioning in radiography 13E (13th ed). London: CRC Press; 2016. https://doi.org/10.1201/b13534
  12. McAlindon TE, Cooper C, Kirwan JR, Dieppe PA. Determinants of disability in osteoarthritis of the knee. Annals of the Rheumatic Diseases. 1993; 52(4):258-62. DOI: 10.1136/ard.52.4.258
  13. Rhee DB, Kim HJ, Kwon DM, Kim JS, Choi HW, Kim JK. Development of an auxiliary device for patellar and femoral joint tangential axial radiographic imaging and a method for obtaining an optimal radiographic image using the development. Applied Bionics and Biomechanics. 2022:12. DOI: 10.1155/2022/5951285
  14. Rhee DB, Kim JK, Hwang DG. Radiographic assistance device for patella imaging and radiographic method using the same. Korean Patent No.10-2179353-0000. filed Feb 27, 2019 and issued Nov 10, 2020. DOI: https://doi.org/10.8080/1020190022979
  15. Laurin CA, Dussault R, Levesque HP. The tangential X-ray investigation of the patellofemoral joint: X-ray technique, diagnostic criteria and their interpretation. Clinical Orthopaedics and Related Research. 1979;144:16-26. PMID: 535219
  16. Laurin CA, Levesque HP, Dussault R, Labelle H, Peides JP. The abnormal lateral patellofemoral angle: A diagnostic roentgenographic sign of recurrent patellar subluxation. The Journal of Bone and Joint Surgery. 1978;60(1):55-60. PMID: 624759
  17. Merrill V. Atlas of roentgenographic positions and standard radiologic procedures Volume 3. Saint Louis: Mosby; 1975. DOI: https://nla.gov.au/nla.cat-vn1760476
  18. Hughston JC. Subluxation of the patella. Journal of Bone and Joint Surgery. 1968;50(5):1003-26. PMID: 5676827 https://doi.org/10.2106/00004623-196850050-00014
  19. Hughston JC. Stone MM. Recurring dislocations of the patella in athletes. Southern Medical Journal. 1964;57(6):623-8. DOI: 10.1097/00007611-196406000-00002
  20. Merchant AC, Mercer RL, Jacobsen RH, Cool CR. Roentgenographic analysis of patellofemoral congruence. The Journal of Bone and Joint Surgery. 1974;56(7):1391-6. PMID: 4433362 https://doi.org/10.2106/00004623-197456070-00007
  21. Aglietti P, Insall JN, Cerulli G. Patellar pain and incongruence. I: Measurements of incongruence. Clinical Orthopaedics and Related Research. 1983;176:217-24. PMID: 6851329
  22. Fulkerson JP. Diagnosis and treatment of patients with patellofemoral pain. The American Journal of Sports Medicine. 2002;30(3):447-56. DOI: 10.1177/03635465020300032501
  23. Seoung YH. Usefulness evaluation of merchant auxiliary equipment of body type changing suitable for X-ray table integral type. Journal of the Korea Academia-Industrial Cooperation Society. 2013; 14(6):2773-9. DOI: https://doi.org/10.5762/kais.2013.14.6.2773
  24. Bradley WG, Ominsky SH. Mountain view of the patella. American Journal of Roentgenology. 1981; 136(1):53-8. DOI: 10.2214/ajr.136.1.53
  25. Merchant AC. Patellofemoral imaging. Clinical Orthopaedics and Related Research. 2001;389: 15-21. DOI: 10.1097/00003086-200108000-00004
  26. MAcNAB I. Recurrent dislocation of the patella. The Journal of Bone and Joint Surgery. 1952;34A(4):957-76. PMID: 12990635 https://doi.org/10.2106/00004623-195234040-00022
  27. Ficat RP, Hungerford DS. Disorders of the patello-femoral joint (3rd ed). Williams & Wilkins; 1977:39-43. CorpusID:177654232
  28. Hughston JC, Walsh WM, Puddu G. Patellar subluxation and dislocation. Philadelphia: WB Saunders Company; 1984:42-49. DOI: https://nla.gov.au/nla.cat-vn2091883
  29. Chung YK, Lee KB, Young WK. A clinical study of traumatic dislocation of the knee joint: Analysis of 7 cases. Journal of the Korean Orthopaedic Association. 1986;21(4):703-8. DOI: 10.4055/jkoa.1986.21.4.703
  30. Kim HJ, Joo YC, Choi JH, Lim WT. Assessment of congruence angle according to the central X-ray in the merchant view of patellofemoral joint. Journal of Radiological Science and Technology. 2019;42(6): 423-8. DOI: https://doi.org/10.17946/JRST.2019.42.6.423
  31. Merchant AC. Radiography of the patellofemoral joint. Operative Techniques in Sports Medicine. 1999;7(2):59-64. DOI: https://doi.org/10.1016/S1060-1872(99)80016-1