Feasibility and reliability of various morphologic features on magnetic resonance imaging for iliotibial band friction syndrome
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Background: To evaluate the feasibility, inter-reader reliability, and intra-reader reliability for various morphological features reported to be related to iliotibial band friction syndrome (ITBFS) on knee magnetic resonance imaging (MRI). Methods: A total of 145 patients with a clinical diagnosis and knee MRI findings consistent with ITBFS were included in the “study group” and 232 patients without knee pathology on both physical examination and MRI were included in the “control group”. Various morphologic features on knee MRI were assessed including the patella shape, patella height, lateral epicondyle anterior-posterior (AP) width, lateral epicondyle height, ITB diameter (ITB-d), and ITB area (ITB-a). Results: Patients in the study group had significantly higher lateral epicondyle height (13.9 mm vs. 12.92 mm, P = 0.003), ITB-d (2.9 mm vs. 2.0 mm, P = 0.022), and ITB-a (38.5 mm2 vs. 23.8 mm2, P < 0.001) than the control group. ITB-a showed higher area under the curve index (0.849 with 74.1% sensitivity and 72.4% specificity at a 30.3 mm2 cutoff) than ITB-d (0.710 with 70.8% sensitivity and 61.2% specificity at 2.4 mm cutoff) and lateral epicondyle height (0.776 with 72.4% sensitivity and 67.8% specificity at 13.4 mm cutoff). However, only the interreader agreement for ITB-a (intraclass correlation coefficient = 0.65) was moderate, while the agreements for other morphologic features were good or excellent. Conclusions: Lateral epicondyle height seems to be a reliable and feasible morphologic feature for diagnosis of ITBFS.
Abstract
Background: To evaluate the feasibility, inter-reader reliability, and intra-reader reliability for various morphological features reported to be related to iliotibial band friction syndrome (ITBFS) on knee magnetic resonance imaging (MRI). Methods: A total of 145 patients with a clinical diagnosis and knee MRI findings consistent with ITBFS were included in the “study group” and 232 patients without knee pathology on both physical examination and MRI were included in the “control group”. Various morphologic features on knee MRI were assessed including the patella shape, patella height, lateral epicondyle anterior-posterior (AP) width, lateral epicondyle height, ITB diameter (ITB-d), and ITB area (ITB-a). Results: Patients in the study group had significantly higher lateral epicondyle height (13.9 mm vs. 12.92 mm, P = 0.003), ITB-d (2.9 mm vs. 2.0 mm, P = 0.022), and ITB-a (38.5 mm2 vs. 23.8 mm2, P < 0.001) than the control group. ITB-a showed higher area under the curve index (0.849 with 74.1% sensitivity and 72.4% specificity at a 30.3 mm2 cutoff) than ITB-d (0.710 with 70.8% sensitivity and 61.2% specificity at 2.4 mm cutoff) and lateral epicondyle height (0.776 with 72.4% sensitivity and 67.8% specificity at 13.4 mm cutoff). However, only the interreader agreement for ITB-a (intraclass correlation coefficient = 0.65) was moderate, while the agreements for other morphologic features were good or excellent. Conclusions: Lateral epicondyle height seems to be a reliable and feasible morphologic feature for diagnosis of ITBFS.
참고문헌 (19)
- Orava S, "Iliotibial tract friction syndrome in athletes--an uncommon exertion syndrome on the lateral side of the knee", Br J Sports Med, 12, pp.69~73 (1978)
- Khaund R, "Iliotibial band syndrome : a common source of knee pain", Am Fam Physician, 71, pp.1545~1550 (2005)
- 홍지희, "Diagnosis of Iliotibial Band Friction Syndrome and Ultrasound Guided Steroid Injection", The Korean Journal of Pain, 26(4), pp.387~391 (2013), 대한통증학회
- Flato R, "The iliotibial tract : imaging, anatomy, injuries, and other pathology", Skeletal Radiol, 46, pp.605~622 (2017)
- Bankaoglu M, "Association of iliotibial band friction syndrome with patellar height and facets variations : a magnetic resonance imaging study", Iran J Radiol, 15, pp.e63459~ (2018)
- Everhart JS, "The relationship between lateral epicondyle morphology and iliotibial band friction syndrome: a matched case-control study", Knee, 26, pp.1198~1203 (2019)
- Li J, "A quantitative MRI investigation of the association between iliotibial band syndrome and patellofemoral malalignment", Quant Imaging Med Surg, 11, pp.3209~3218 (2021)
- Agridag Ucpinar B, "Measurement of iliotibial band diameter in iliotibial band friction syndrome and comparison with an asymptomatic population", Acta Radiol, 62, pp.1188~1192 (2021)
- Jiyeon Park, "The role of the iliotibial band cross-sectional area as a morphological parameter of the iliotibial band friction syndrome: a retrospective pilot study", The Korean Journal of Pain, 34(2), pp.229~233 (2021), 대한통증학회[DOI]
- Wibeeg G, "Roentgenographs and anatomic studies on the femoropatellar joint : with special reference to chondromalacia patellae", Acta Orthop Scand, 12, pp.319~410 (1941)
- Insall J, "Patella position in the normal knee joint", Radiology, 101, pp.101~104 (1971)
- Shabshin N, "MRI criteria for patella alta and baja", Skeletal Radiol, 33, pp.445~450 (2004)
- McHugh ML, "Interrater reliability : the kappa statistic", Biochem Med (Zagreb), 22, pp.276~282 (2012)
- Bland JM, "Statistical methods for assessing agreement between two methods of clinical measurement", Lancet, 1, pp.307~310 (1986)
- Walbron P, "Iliotibial band friction syndrome : an original technique of digastric release of the iliotibial band from Gerdy's tubercle", Orthop Traumatol Surg Res, 104, pp.1209~1213 (2018)
- Foch E, "Influence of previous iliotibial band syndrome on coordination patterns and coordination variability in female runners", J Appl Biomech, 35, pp.305~311 (2019)
- Ekman EF, "Magnetic resonance imaging of iliotibial band syndrome", Am J Sports Med, 22, pp.851~854 (1994)
- Fredericson M, "Hip abductor weakness in distance runners with iliotibial band syndrome", Clin J Sport Med, 10, pp.169~175 (2000)
- Messier SP, "Etiology of iliotibial band friction syndrome in distance runners", Med Sci Sports Exerc, 27, pp.951~960 (1995)