Journals / International Journal of Thermodynamics / 2011 / Cilt: 14 - Sayı: 2

Thermal Imaging as a Noninvasive Diagnostic Tool for Anterior Knee Pain Following Implantation of Artificial Knee Joints

Pages
71–78
Publication Date
2022-10-18
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We consider this novel, rapid, inexpensive and non-invasive technology to posses the potential to become a useful and objective tool for diagnosis of pain and inflammation and to generate digital data that can be stored and analysed in clinical practice.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The variety of radiographic diagnostic used to diagnose pain localised close to metal implants is still limited.
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Key Findings & Data:In this article we present for the first time a direct correlation between an increase in skin temperature and existent anterior knee pain after total knee arthroplasty (TKA) measured with thermography.
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Conclusion & Impact:We consider this novel, rapid, inexpensive and non-invasive technology to posses the potential to become a useful and objective tool for diagnosis of pain and inflammation and to generate digital data that can be stored and analysed in clinical practice.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Thermography · Total Knee Arthroplasty · Objective Pain Evaluation

Abstract

The variety of radiographic diagnostic used to diagnose pain localised close to metal implants is still limited. Especially magnetic resonance results can not be analysed because of artefacts. In this article we present for the first time a direct correlation between an increase in skin temperature and existent anterior knee pain after total knee arthroplasty (TKA) measured with thermography. In a standardised way 26 knees were analysed. Thermographic photos were taken from frontal, medial and lateral directions with a computer-assisted infrared thermograph. In medial location (median 0.95 °C, p=0.0043), as well as in lateral location (median 0.5 °C, p=0.032) temperatures in locations with pain were significantly higher compared to the reference field. Median temperature difference between pain localization and localizations without pain was 0.7 °C and ranged from 0.1 °C to 1.7 °C on the side of the pain. In the ROC analysis the sensitivity of this method was 1.0 and specificity was 0.917. The evidence of a significant increase in skin temperature on the painful sites opened up the possibility to localize and assess pain more precisely in patients with total knee prosthesis. We consider this novel, rapid, inexpensive and non-invasive technology to posses the potential to become a useful and objective tool for diagnosis of pain and inflammation and to generate digital data that can be stored and analysed in clinical practice.

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Cite This Article

GLEHR, M., STİBOR, A., SADOGHİ, P., SCHUSTER, C., QUEHENBERGER, F., LEİTHNER, A., WİNDHAGER, R., GRUBER, G. (2022). Thermal Imaging as a Noninvasive Diagnostic Tool for Anterior Knee Pain Following Implantation of Artificial Knee Joints. International Journal of Thermodynamics, Cilt: 14 - Sayı: 2, 71–78. https://ajindex.com/articles/541911

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References (12)

  1. Arora N, Martins D, Ruggerio D, Tousimis E, Swistel AJ, Osborne MP, and Simmons RM. (2008). Effectiveness of a noninvasive digital infrared thermal imaging system in the detection of breast cancer. Am J Surg, 196(4), pp.523-526
  2. Barrack RL, Schrader T, Bertot AJ, Wolfe MW, and Myers L. (2001). Component rotation and anterior knee pain after total knee arthroplasty. Clin Orthop Relat Res, (392), pp.46-55.
  3. Bennell K, Hodges P, Mellor R, Bexander C, and Souvlis T. (2004). The nature of anterior knee pain following injection of hypertonic saline into the infrapatellar fat pad. J Orthop Res, 22(1), pp.116-121.
  4. Berend ME, Small SR, Ritter MA, Buckley CA, Merk JC, and Dierking WK. (2010). Effects of femoral component size on proximal tibial strain with anatomic graduated components total knee arthroplasty. J Arthroplasty, 25(1), pp.58-63. Bjorkstrom S, and Goldie IF. (1980). A study of the arterial supply of the patella in the normal state, in chondromalacia patellae and in osteoarthrosis. Acta Orthop Scand, 51(1), pp.63-70.
  5. Boas NF. (1964). Thermography in Rheumatoid Arthritis. Ann N Y Acad Sci, 121pp.223-234.
  6. Brenner M, Braun C, Oster M, and Gulko PS. (2006). Thermal signature analysis as a novel method for evaluating inflammatory arthritis activity. Ann Rheum Dis, 65(3), pp.306-311.
  7. Bruehl S, Lubenow TR, Nath H, and Ivankovich O. (1996). Validation of thermography in the diagnosis of reflex sympathetic dystrophy. Clin J Pain, 12(4), pp.316-325.
  8. Calvisi V, Camillieri G, and Lupparelli S. (2009). Resurfacing versus nonresurfacing the patella in total knee arthroplasty: a critical appraisal of the available evidence. Arch Orthop Trauma Surg, 129(9), pp.1261-1270.
  9. Chikura B, Moore T, Manning J, Vail A, and Herrick AL. (2010). Thumb involvement in Raynaud's phenomenon as an indicator of underlying connective tissue disease. J Rheumatol, 37(4), pp.783-786.
  10. Classen T, Wegner A, Muller RD, and Von Knoch M. (2010). Femoral component rotation and Laurin angle after total knee arthroplasty. Acta Orthop Belg, 76(1), pp.69-73.
  11. Craciunescu OI, Stauffer PR, Soher BJ, Wyatt CR, Arabe O, Maccarini P, Das SK, Cheng KS, Wong TZ, Jones EL et al. (2009). Accuracy of real time noninvasive temperature measurements using magnetic resonance thermal imaging in patients treated for high grade extremity soft tissue sarcomas. Med Phys, 36(11), pp.4848-4858.
  12. Dalury DF, Mulliken BD, Adams MJ, Lewis C, Sauder RR, and Bushey JA. (2009). Early recovery after total knee arthroplasty performed