DOI QR코드

DOI QR Code

Infrared Thermal Imaging in Patients with Medial Collateral Ligament Injury of the Knee - A Retrospective Study

  • Yang, HyunJung (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Sangji University) ;
  • Park, HaeIn (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Sangji University) ;
  • Lim, Chungsan (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Sangji University) ;
  • Park, SangKyun (Department of Meridian, College of Korean Medicine, Sangji University) ;
  • Lee, KwangHo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Sangji University)
  • Received : 2014.09.11
  • Accepted : 2014.10.01
  • Published : 2014.12.30

Abstract

Objectives: Digital infrared thermographic imaging (DITI) has been used widely for various inflammatory diseases, circulatory diseases, skin diseases, musculoskeletal diseases and cancers. In cases of ligament injury, obviously the temperature of the damaged area increases due to local inflammation; however, whether the temperature also increases due to DITI has not been determined. The purpose of the present study was to identify whether or not the changes of temperature in patient's with medial collateral ligament injury were really due to infrared thermography and to determine the applicability of DITI for assessing ligament injuries. Methods: Twenty patient's who underwent DITI for a medial collateral ligament injury from September 2012 to June 2014 were included in the current study. The thermographic images from the patient's knees were divided to cover seven sub-areas: the middle of the patella, and the inferomedial, the inferolateral, the superomedial, the superolateral, the medial, and the lateral regions of patella. The temperatures of the seven regions were measured, and the temperature differences between affected and unaffected regions were analyzed by using the Wilcoxon signed rank test. Results: The 20 patient's were composed of 14 women (70%) and 6 men (30%), with a mean age of $62.15{\pm}15.71$ (mean${\pm}$standard deviation (SD)) years. The temperature of the affected side, which included the middle of the patella, and the inferomedial, the superomedial, the superolateral, and the medial regions, showed a significant increase compared to that of the unaffected side (P < 0.05). The inferolateral and the lateral regions showed no significant changes. Conclusion: Our study results suggest that DITI can show temperature changes if a patient has a ligament injury and that it can be applied in the evaluation of a medial collateral ligament injury.

Keywords

References

  1. Kim HC. [Knee: basic science and injury of bone]. KOSSM. 2003;2(2):77-81. Korean.
  2. Kwon SK, Chang CB. [Differential diagnosis of knee pain commonly encountered in clinical practice]. J Rheum Dis. 2007;14(3):185-95. Korean.
  3. College of Oriental Medicine Diagnostics & Biofuncional Medicine Compilation Committee. [Biofunctional medicine]. Seoul: Gunja; 2008. p. 166-79. Korean.
  4. Park YJ, Park YB. [The study on utilization of thermography in oriental medicine]. J Korea Instit Orient Med Diagn. 2000;4(1):97-104. Korean.
  5. The Acupuncture and Moxibustion Textbook Compilation Committee. [The acupuncture & moxibustion medicine]. Seoul: Jipmoondang; 2013. p. 549-64. Korean.
  6. Choi YC, Lim CS, Kwon KR. [Standardization study of thermal imaging using the acupoints in human body]. J Pharmacopunct. 2008;11(3):113-22. Korean. https://doi.org/10.3831/KPI.2008.11.3.113
  7. Seo BK, Ryu SR, Kang JW, An KE, Lee JD, Choi DY, et al. [Study on the applicability of thermography as severity measurement in the patients with osteoarthritis of the knee]. The Acupuncture. 2008;22(4):35-45. Korean.
  8. Kim YJ, Lee SY, Lee MH, Yoo SY, Lee SH, Nam SS, et al. [Study on the correlation between DITI and assessment instruments of knee OA]. The Acupuncture. 2009;26(6):171-8. Korean.
  9. Kim HK, Lee SH, Seo JC, Lee SD, Choi SM, Kim YS. [The study about the correlation between assessment instruments of knee OA and DITI]. The Acupuncture. 2006;23(1):155-64. Korean.
  10. Jeong HJ. [Human pathology]. Seoul: Jeongdam-media; 2013. p. 50-78, 321-57. Korean.
  11. Kim RS. [Knee joint]. Seoul: Choesinuihaksa; 2007. p. 2-3. Korean.
  12. Stanley H. Physical examination of the spine and extremities. Seoul: Daehak-seorim; 2000. p. 216-7, 222-3.
  13. Sarwark JF. Essentials of musculoskeletal care. Seoul: Beommun Education; 2013. p. 392-6.
  14. Lee JI, Song IS, Jung YB, Kim YG, Wang CH, Yu H, et al. Medial collateral ligament injuries of the knee: ultrasonographic findings. J Ultrasound Med. 1996;15(9):621-5. https://doi.org/10.7863/jum.1996.15.9.621
  15. Kim JM, Lee DY, Koh IJ, Kim SM. [Evaluation of medial instability of the knee with ultrasonography-technical note]. J Korean Orthop US Soc. 2008;1(2):73-7. Korean.
  16. Kim KT, Yoo MC, Kwon OS, Chae MY. [The role of thermography in diagnosis of knee joint disease]. J Kyoung Hee Med. 1995;11(2):152-8. Korean.
  17. Jang HJ, Hwang DS, Kim JH, Cho JH, Jang JB, Lee KS. Infrared thermographic inspection of the west in the comparative study of korean traditional medicine. J Orient Med Thermol. 2010;8(1):1-6.
  18. Burkstrom S, Goldie IF. A study of the arterial supply of the patella in the normal state in chondromalacia patellae and in osteoarthrosis. Acta Orthop Scand. 1980;51(1):63-70. https://doi.org/10.3109/17453678008990770
  19. Anna ED, Norine H, Carl FP, Virginia BK. Patellar skin surface temperature by thermography reflects knee osteoarthritis severity. Clin Med Insights Arthritis Musculoskelet Disord. 2010;15(3):69-75.
  20. Hwang DS, Park KS, Kim EG, Lee CH, Jang JB, Lee KS. Review of clinical trials on infrared thermography usiong search of papers in medline within 5 years. J Orient Med Thermol. 2010;8(1):13-7.
  21. Vujcic M, Nedeljkovic R. Thermography in the detection and follow up of chondromalacia patellae. Ann Rheum Dis. 1991;50:921-5. https://doi.org/10.1136/ard.50.12.921
  22. Pamela M, John M. Oxford textbook of functional anatomy: Volume 1: Musculo-skeletal system. Oxford: Epublic; 2010. p. 155-65.

Cited by

  1. Tuberculine reaction measured by infrared thermography vol.122, pp.2, 2015, https://doi.org/10.1016/j.cmpb.2015.08.009
  2. Computer-based automated analysis of X-ray and thermal imaging of knee region in evaluation of rheumatoid arthritis vol.231, pp.12, 2017, https://doi.org/10.1177/0954411917737329