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Indications of individual imaging femoropatellar joint investigations
KOLÁŘ, Jiří
The main theme of this bachelor work is to evaluate the indication of single imaging methods for examinations in the area of the patellofemoral joint. The work contains shortly summarized anatomy-physiology conditions in this area, including anatomy variations of the patella and the patellofemoral joint pathology. The work continues with a description of single indicated imaging methods. The basic is a skiagraphy examination, every single projection is described in details, including a historical overview of the axial patella projection. Other methods which are mentioned are the artrography, the magnetic resonance imaging, the computed tomography and the scintigraphy. Issues of contraindications and risks for patients related to examinations are mentioned, too. A level of suitability how to use other examination methods, especially MRI, is considered on a chosen patient sample. At first plain pictures were done, some patients undertook ultrasonography examination and finally a magnetic resonance imaging examination was indicated. The computed tomography and the scintigraphy are not usually used for patellofemoral joint indications. The author compares financial and time demands of each method. The cheapest seem to be plain pictures and the sonography, on the other hand the most expensive is the magnetic resonance imaging, which is also the best way in the diagnostics at the same time. The magnetic resonance imaging method is the most contributory for a valuation of cartilages and tender joint parts. The time demands make a part of the comparison, too.
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