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Published in: Surgical and Radiologic Anatomy 2/2016

01-03-2016 | Original Article

Anthropometric difference of the knee on MRI according to gender and age groups

Authors: Hyuksoo Han, Sohee Oh, Chong Bum Chang, Seung-Baik Kang

Published in: Surgical and Radiologic Anatomy | Issue 2/2016

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Abstract

The purpose of this study was to analyze the anthropometric data from MRI images that were obtained from the non-arthritic knees in Asian adults, and to identify the existence of morphologic differences between age groups. This cross-sectional study included knee MR images of 535 patients (273 males, 262 females) taken for the evaluation of soft-tissue injuries, excluding cases with cartilage defect and malalignment. The age, gender, height, and BMI were also assessed. The patients were grouped into three different 20-year age groups (20–39, 40–59, and 60–79). The MRI analysis was performed on the anthropometric parameters of distal femur and posterior tibial slope. Age-related differences were found in femoral width, distance from the distal and posterior cartilage surface to the medial/lateral epicondyle, medial posterior condylar offset (PCO), and posterior condylar angle (PCA) (all P < 0.001), but not in lateral PCO, and medial/lateral tibial slopes. In the analysis of covariance analyses, significant interaction between gender and age groups was found in most parameters, but not in PCA, distance from the posterior cartilage surface to the medial epicondyle, or medial tibial slope. We found anthropometric differences among age groups exist in most of distal femoral parameters, but not in posterior tibial slope. The results of this study can be used by manufacturers to modify prostheses to be suitable for the future Asian elderly population.
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Literature
1.
go back to reference Bellemans J, Carpentier K, Vandenneucker H, Vanlauwe J, Victor J (2010) The John Insall Award: both morphotype and gender influence the shape of the knee in patients undergoing TKA. Clin Orthop Relat Res 468:29–36PubMed Bellemans J, Carpentier K, Vandenneucker H, Vanlauwe J, Victor J (2010) The John Insall Award: both morphotype and gender influence the shape of the knee in patients undergoing TKA. Clin Orthop Relat Res 468:29–36PubMed
2.
go back to reference Berger RA, Rubash HE, Seel MJ, Thompson WH, Crossett LS (1993) Determining the rotational alignment of the femoral component in total knee arthroplasty using the epicondylar axis. Clin Orthop Relat Res 286:40–47 Berger RA, Rubash HE, Seel MJ, Thompson WH, Crossett LS (1993) Determining the rotational alignment of the femoral component in total knee arthroplasty using the epicondylar axis. Clin Orthop Relat Res 286:40–47
3.
go back to reference Blaha JD, Mancinelli CA, Overgaard KA (2009) Failure of sex to predict the size and shape of the knee. J Bone Joint Surg Am 91(Suppl 6):19–22PubMed Blaha JD, Mancinelli CA, Overgaard KA (2009) Failure of sex to predict the size and shape of the knee. J Bone Joint Surg Am 91(Suppl 6):19–22PubMed
4.
go back to reference Cheng FB, Ji XF, Lai Y, Feng JC, Zheng WX, Sun YF, Fu YW, Li YQ (2009) Three dimensional morphometry of the knee to design the total knee arthroplasty for Chinese population. Knee 16:341–347PubMed Cheng FB, Ji XF, Lai Y, Feng JC, Zheng WX, Sun YF, Fu YW, Li YQ (2009) Three dimensional morphometry of the knee to design the total knee arthroplasty for Chinese population. Knee 16:341–347PubMed
5.
go back to reference Chin KR, Dalury DF, Zurakowski D, Scott RD (2002) Intraoperative measurements of male and female distal femurs during primary total knee arthroplasty. J Knee Surg 15:213–217PubMed Chin KR, Dalury DF, Zurakowski D, Scott RD (2002) Intraoperative measurements of male and female distal femurs during primary total knee arthroplasty. J Knee Surg 15:213–217PubMed
6.
go back to reference Dennis DA (2004) Evaluation of painful total knee arthroplasty. J Arthroplasty 19:35–40PubMed Dennis DA (2004) Evaluation of painful total knee arthroplasty. J Arthroplasty 19:35–40PubMed
7.
go back to reference Ding C, Cicuttini F, Scott F, Cooley H, Jones G (2005) Association between age and knee structural change: a cross sectional MRI based study. Ann Rheum Dis 64:549–555PubMedPubMedCentral Ding C, Cicuttini F, Scott F, Cooley H, Jones G (2005) Association between age and knee structural change: a cross sectional MRI based study. Ann Rheum Dis 64:549–555PubMedPubMedCentral
8.
go back to reference Ding C, Cicuttini F, Scott F, Glisson M, Jones G (2003) Sex differences in knee cartilage volume in adults: role of body and bone size, age and physical activity. Rheumatol (Oxf) 42:1317–1323 Ding C, Cicuttini F, Scott F, Glisson M, Jones G (2003) Sex differences in knee cartilage volume in adults: role of body and bone size, age and physical activity. Rheumatol (Oxf) 42:1317–1323
9.
go back to reference Duparc F, Thomine JM, Simonet J, Biga N (2014) Femoral and tibial bone torsions associated with medial femoro-tibial osteoarthritis. Index of cumulative torsions. Orthop Traumatol Surg Res 100:69–74PubMed Duparc F, Thomine JM, Simonet J, Biga N (2014) Femoral and tibial bone torsions associated with medial femoro-tibial osteoarthritis. Index of cumulative torsions. Orthop Traumatol Surg Res 100:69–74PubMed
10.
go back to reference Elsner JJ, Portnoy S, Guilak F, Shterling A, Linder-Ganz E (2010) MRI-based characterization of bone anatomy in the human knee for size matching of a medial meniscal implant. J Biomech Eng 132:101008PubMed Elsner JJ, Portnoy S, Guilak F, Shterling A, Linder-Ganz E (2010) MRI-based characterization of bone anatomy in the human knee for size matching of a medial meniscal implant. J Biomech Eng 132:101008PubMed
11.
go back to reference Floyd B (2007) Focused life history data and linear enamel hypoplasia to help explain intergenerational variation in relative leg length within Taiwanese families. Am J Hum Biol 19:358–375PubMed Floyd B (2007) Focused life history data and linear enamel hypoplasia to help explain intergenerational variation in relative leg length within Taiwanese families. Am J Hum Biol 19:358–375PubMed
12.
go back to reference Frisancho AR (2007) Relative leg length as a biological marker to trace the developmental history of individuals and populations: growth delay and increased body fat. Am J Hum Biol 19:703–710PubMed Frisancho AR (2007) Relative leg length as a biological marker to trace the developmental history of individuals and populations: growth delay and increased body fat. Am J Hum Biol 19:703–710PubMed
13.
go back to reference Gillespie RJ, Levine A, Fitzgerald SJ, Kolaczko J, DeMaio M, Marcus RE, Cooperman DR (2011) Gender differences in the anatomy of the distal femur. J Bone Joint Surg Br 93:357–363PubMed Gillespie RJ, Levine A, Fitzgerald SJ, Kolaczko J, DeMaio M, Marcus RE, Cooperman DR (2011) Gender differences in the anatomy of the distal femur. J Bone Joint Surg Br 93:357–363PubMed
14.
go back to reference Griffin FM, Math K, Scuderi GR, Insall JN, Poilvache PL (2000) Anatomy of the epicondyles of the distal femur: MRI analysis of normal knees. J Arthroplasty 15:354–359PubMed Griffin FM, Math K, Scuderi GR, Insall JN, Poilvache PL (2000) Anatomy of the epicondyles of the distal femur: MRI analysis of normal knees. J Arthroplasty 15:354–359PubMed
15.
go back to reference Ha CW, Na SE (2012) The correctness of fit of current total knee prostheses compared with intra-operative anthropometric measurements in Korean knees. J Bone Joint Surg Br 94:638–641PubMed Ha CW, Na SE (2012) The correctness of fit of current total knee prostheses compared with intra-operative anthropometric measurements in Korean knees. J Bone Joint Surg Br 94:638–641PubMed
16.
go back to reference Harvey WF, Niu J, Zhang Y, McCree PI, Felson DT, Nevitt M, Xu L, Aliabadi P, Hunter DJ (2008) Knee alignment differences between Chinese and Caucasian subjects without osteoarthritis. Ann Rheum Dis 67:1524–1528PubMedPubMedCentral Harvey WF, Niu J, Zhang Y, McCree PI, Felson DT, Nevitt M, Xu L, Aliabadi P, Hunter DJ (2008) Knee alignment differences between Chinese and Caucasian subjects without osteoarthritis. Ann Rheum Dis 67:1524–1528PubMedPubMedCentral
17.
go back to reference Hashemi J, Chandrashekar N, Gill B, Beynnon BD, Slauterbeck JR, Schutt RC Jr, Mansouri H, Dabezies E (2008) The geometry of the tibial plateau and its influence on the biomechanics of the tibiofemoral joint. J Bone Joint Surg Am 90:2724–2734PubMedPubMedCentral Hashemi J, Chandrashekar N, Gill B, Beynnon BD, Slauterbeck JR, Schutt RC Jr, Mansouri H, Dabezies E (2008) The geometry of the tibial plateau and its influence on the biomechanics of the tibiofemoral joint. J Bone Joint Surg Am 90:2724–2734PubMedPubMedCentral
18.
go back to reference Hitt K, Shurman JR 2nd, Greene K, McCarthy J, Moskal J, Hoeman T, Mont MA (2003) Anthropometric measurements of the human knee: correlation to the sizing of current knee arthroplasty systems. J Bone Joint Surg Am 85-A(Suppl 4):115–122 Hitt K, Shurman JR 2nd, Greene K, McCarthy J, Moskal J, Hoeman T, Mont MA (2003) Anthropometric measurements of the human knee: correlation to the sizing of current knee arthroplasty systems. J Bone Joint Surg Am 85-A(Suppl 4):115–122
19.
go back to reference Ho WP, Cheng CK, Liau JJ (2006) Morphometrical measurements of resected surface of femurs in Chinese knees: correlation to the sizing of current femoral implants. Knee 13:12–14PubMed Ho WP, Cheng CK, Liau JJ (2006) Morphometrical measurements of resected surface of femurs in Chinese knees: correlation to the sizing of current femoral implants. Knee 13:12–14PubMed
20.
go back to reference Keeney JA, Eunice S, Pashos G, Wright RW, Clohisy JC (2011) What is the evidence for total knee arthroplasty in young patients?: a systematic review of the literature. Clin Orthop Relat Res 469:574–583PubMed Keeney JA, Eunice S, Pashos G, Wright RW, Clohisy JC (2011) What is the evidence for total knee arthroplasty in young patients?: a systematic review of the literature. Clin Orthop Relat Res 469:574–583PubMed
21.
go back to reference Kwak DS, Han S, Han CW, Han SH (2010) Resected femoral anthropometry for design of the femoral component of the total knee prosthesis in a Korean population. Anat Cell Biol 43:252–259PubMedPubMedCentral Kwak DS, Han S, Han CW, Han SH (2010) Resected femoral anthropometry for design of the femoral component of the total knee prosthesis in a Korean population. Anat Cell Biol 43:252–259PubMedPubMedCentral
22.
go back to reference Kwak DS, Surendran S, Pengatteeri YH, Park SE, Choi KN, Gopinathan P, Han SH, Han CW (2007) Morphometry of the proximal tibia to design the tibial component of total knee arthroplasty for the Korean population. Knee 14:295–300PubMed Kwak DS, Surendran S, Pengatteeri YH, Park SE, Choi KN, Gopinathan P, Han SH, Han CW (2007) Morphometry of the proximal tibia to design the tibial component of total knee arthroplasty for the Korean population. Knee 14:295–300PubMed
23.
go back to reference Lahti-Koski M, Seppanen-Nuijten E, Mannisto S, Harkanen T, Rissanen H, Knekt P, Rissanen A, Heliovaara M (2010) Twenty-year changes in the prevalence of obesity among Finnish adults. Obes Rev 11:171–176PubMed Lahti-Koski M, Seppanen-Nuijten E, Mannisto S, Harkanen T, Rissanen H, Knekt P, Rissanen A, Heliovaara M (2010) Twenty-year changes in the prevalence of obesity among Finnish adults. Obes Rev 11:171–176PubMed
24.
go back to reference Lemaire P, Pioletti DP, Meyer FM, Meuli R, Dorfl J, Leyvraz PF (1997) Tibial component positioning in total knee arthroplasty: bone coverage and extensor apparatus alignment. Knee Surg Sports Traumatol Arthrosc 5:251–257PubMed Lemaire P, Pioletti DP, Meyer FM, Meuli R, Dorfl J, Leyvraz PF (1997) Tibial component positioning in total knee arthroplasty: bone coverage and extensor apparatus alignment. Knee Surg Sports Traumatol Arthrosc 5:251–257PubMed
25.
go back to reference Mahfouz M, Abdel Fatah EE, Bowers LS, Scuderi G (2012) Three-dimensional morphology of the knee reveals ethnic differences. Clin Orthop Relat Res 470:172–185PubMed Mahfouz M, Abdel Fatah EE, Bowers LS, Scuderi G (2012) Three-dimensional morphology of the knee reveals ethnic differences. Clin Orthop Relat Res 470:172–185PubMed
26.
go back to reference Matsuda S, Miura H, Nagamine R, Mawatari T, Tokunaga M, Nabeyama R, Iwamoto Y (2004) Anatomical analysis of the femoral condyle in normal and osteoarthritic knees. J Orthop Res 22:104–109PubMed Matsuda S, Miura H, Nagamine R, Mawatari T, Tokunaga M, Nabeyama R, Iwamoto Y (2004) Anatomical analysis of the femoral condyle in normal and osteoarthritic knees. J Orthop Res 22:104–109PubMed
27.
go back to reference Murshed KA, Cicekcibasi AE, Karabacakoglu A, Seker M, Ziylan T (2005) Distal femur morphometry: a gender and bilateral comparative study using magnetic resonance imaging. Surg Radiol Anat 27:108–112PubMed Murshed KA, Cicekcibasi AE, Karabacakoglu A, Seker M, Ziylan T (2005) Distal femur morphometry: a gender and bilateral comparative study using magnetic resonance imaging. Surg Radiol Anat 27:108–112PubMed
28.
go back to reference Pritzker KP, Gay S, Jimenez SA, Ostergaard K, Pelletier JP, Revell PA, Salter D, van den Berg WB (2006) Osteoarthritis cartilage histopathology: grading and staging. Osteoarthritis Cartilage 14:13–29PubMed Pritzker KP, Gay S, Jimenez SA, Ostergaard K, Pelletier JP, Revell PA, Salter D, van den Berg WB (2006) Osteoarthritis cartilage histopathology: grading and staging. Osteoarthritis Cartilage 14:13–29PubMed
29.
go back to reference Ravi B, Croxford R, Reichmann WM, Losina E, Katz JN, Hawker GA (2012) The changing demographics of total joint arthroplasty recipients in the United States and Ontario from 2001 to 2007. Best Pract Res Clin Rheumatol 26:637–647PubMed Ravi B, Croxford R, Reichmann WM, Losina E, Katz JN, Hawker GA (2012) The changing demographics of total joint arthroplasty recipients in the United States and Ontario from 2001 to 2007. Best Pract Res Clin Rheumatol 26:637–647PubMed
30.
go back to reference Russo CR, Lauretani F, Bandinelli S, Bartali B, Di Iorio A, Volpato S, Guralnik JM, Harris T, Ferrucci L (2003) Aging bone in men and women: beyond changes in bone mineral density. Osteoporos Int 14:531–538PubMed Russo CR, Lauretani F, Bandinelli S, Bartali B, Di Iorio A, Volpato S, Guralnik JM, Harris T, Ferrucci L (2003) Aging bone in men and women: beyond changes in bone mineral density. Osteoporos Int 14:531–538PubMed
31.
go back to reference Servien E, Viskontas D, Giuffre BM, Coolican MR, Parker DA (2008) Reliability of bony landmarks for restoration of the joint line in revision knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 16:263–269PubMed Servien E, Viskontas D, Giuffre BM, Coolican MR, Parker DA (2008) Reliability of bony landmarks for restoration of the joint line in revision knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 16:263–269PubMed
32.
go back to reference Shultz SJ, Schmitz RJ (2012) Tibial plateau geometry influences lower extremity biomechanics during landing. Am J Sports Med 40:2029–2036PubMed Shultz SJ, Schmitz RJ (2012) Tibial plateau geometry influences lower extremity biomechanics during landing. Am J Sports Med 40:2029–2036PubMed
33.
go back to reference Stiehl JB, Abbott BD (1995) Morphology of the transepicondylar axis and its application in primary and revision total knee arthroplasty. J Arthroplasty 10:785–789PubMed Stiehl JB, Abbott BD (1995) Morphology of the transepicondylar axis and its application in primary and revision total knee arthroplasty. J Arthroplasty 10:785–789PubMed
34.
go back to reference Tamari K, Tinley P, Briffa K, Aoyagi K (2006) 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 19:59–67PubMed Tamari K, Tinley P, Briffa K, Aoyagi K (2006) 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 19:59–67PubMed
35.
go back to reference Terzidis I, Totlis T, Papathanasiou E, Sideridis A, Vlasis K, Natsis K (2012) Gender and side-to-side differences of femoral condyles morphology: osteometric data from 360 Caucasian dried femori. Anat Res Int 2012:679658PubMedPubMedCentral Terzidis I, Totlis T, Papathanasiou E, Sideridis A, Vlasis K, Natsis K (2012) Gender and side-to-side differences of femoral condyles morphology: osteometric data from 360 Caucasian dried femori. Anat Res Int 2012:679658PubMedPubMedCentral
36.
go back to reference Uehara K, Kadoya Y, Kobayashi A, Ohashi H, Yamano Y (2002) Anthropometry of the proximal tibia to design a total knee prosthesis for the Japanese population. J Arthroplasty 17:1028–1032PubMed Uehara K, Kadoya Y, Kobayashi A, Ohashi H, Yamano Y (2002) Anthropometry of the proximal tibia to design a total knee prosthesis for the Japanese population. J Arthroplasty 17:1028–1032PubMed
37.
go back to reference Urabe K, Miura H, Kuwano T, Matsuda S, Nagamine R, Sakai S, Masuda K, Iwamoto Y (2003) Comparison between the shape of resected femoral sections and femoral prostheses used in total knee arthroplasty in Japanese patients: simulation using three-dimensional computed tomography. J Knee Surg 16:27–33PubMed Urabe K, Miura H, Kuwano T, Matsuda S, Nagamine R, Sakai S, Masuda K, Iwamoto Y (2003) Comparison between the shape of resected femoral sections and femoral prostheses used in total knee arthroplasty in Japanese patients: simulation using three-dimensional computed tomography. J Knee Surg 16:27–33PubMed
38.
39.
go back to reference Yagi T, Sasaki T (1986) Tibial torsion in patients with medial-type osteoarthritic knee. Clin Orthop Relat Res 213:177–182 Yagi T, Sasaki T (1986) Tibial torsion in patients with medial-type osteoarthritic knee. Clin Orthop Relat Res 213:177–182
40.
go back to reference Yazar F, Imre N, Battal B, Bilgic S, Tayfun C (2012) Is there any relation between distal parameters of the femur and its height and width? Surg Radiol Anat 34:125–132PubMed Yazar F, Imre N, Battal B, Bilgic S, Tayfun C (2012) Is there any relation between distal parameters of the femur and its height and width? Surg Radiol Anat 34:125–132PubMed
41.
go back to reference Yip DK, Zhu YH, Chiu KY, Ng TP (2004) Distal rotational alignment of the Chinese femur and its relevance in total knee arthroplasty. J Arthroplasty 19:613–619PubMed Yip DK, Zhu YH, Chiu KY, Ng TP (2004) Distal rotational alignment of the Chinese femur and its relevance in total knee arthroplasty. J Arthroplasty 19:613–619PubMed
42.
go back to reference Yoshiike N, Seino F, Tajima S, Arai Y, Kawano M, Furuhata T, Inoue S (2002) Twenty-year changes in the prevalence of overweight in Japanese adults: the National Nutrition Survey 1976–95. Obes Rev 3:183–190PubMed Yoshiike N, Seino F, Tajima S, Arai Y, Kawano M, Furuhata T, Inoue S (2002) Twenty-year changes in the prevalence of overweight in Japanese adults: the National Nutrition Survey 1976–95. Obes Rev 3:183–190PubMed
43.
go back to reference Yoshino N, Takai S, Ohtsuki Y, Hirasawa Y (2001) Computed tomography measurement of the surgical and clinical transepicondylar axis of the distal femur in osteoarthritic knees. J Arthroplasty 16:493–497PubMed Yoshino N, Takai S, Ohtsuki Y, Hirasawa Y (2001) Computed tomography measurement of the surgical and clinical transepicondylar axis of the distal femur in osteoarthritic knees. J Arthroplasty 16:493–497PubMed
44.
go back to reference Yue B, Varadarajan KM, Ai S, Tang T, Rubash HE, Li G (2011) Differences of knee anthropometry between Chinese and white men and women. J Arthroplasty 26:124–130PubMed Yue B, Varadarajan KM, Ai S, Tang T, Rubash HE, Li G (2011) Differences of knee anthropometry between Chinese and white men and women. J Arthroplasty 26:124–130PubMed
Metadata
Title
Anthropometric difference of the knee on MRI according to gender and age groups
Authors
Hyuksoo Han
Sohee Oh
Chong Bum Chang
Seung-Baik Kang
Publication date
01-03-2016
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 2/2016
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-015-1536-2

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