POSSIBILITIES OF FUNCTIONAL MULTISPIRAL COMPUTED TOMOGRAPHY OF THE KNEE JOINT IN THE DIAGNOSIS OF LATERAL POSITION OF THE PATELLA AND HYPERPRESSION OF THE LATERAL FACET OF THE PATELLA
P urpose. To demonstrate the possibilities of functional multispiral computed tomography (fMSCT) of the knee joint in the diagnosis of lateroposition of the patella and hyperpression of the lateral facet of the patella on the example of a clinical observation. Materials and methods. The article presents a clinical observation of patient E., 27 years old, with complaints of pain in the anterior section of the right knee joint. After examination by an orthopedic traumatologist to detect changes in the patellofemoral articulation, the patient underwent a standard radiographic examination, functional MSCT, magnetic resonance imaging of the knee joint, and arthroscopy. Results. During the orthopedic examination and static radiography and MSCT, indirect signs of lateroposition of the patella were noted. Magnetic resonance imaging revealed chondromalacia of the lateral facet of the 1st degree, which indicates a possible hyperpression of the facet. When performing functional MSCT, convincing data were obtained indicating the presence of lateroposition of the patella and hyperpression of the lateral facet of the patella in patient E., which was confirmed during surgery. Conclusions. Functional MSCT of the knee joint allows obtaining detailed diagnostic information about the state of the structures of the patellofemoral joint in patients with lateroposition of the patella and hyperpression of the lateral facet of the patella. Clinical observation has shown that the diagnostic capabilities of standard radiographic techniques are significantly inferior to those of functional MSCT in identifying this type of pathology of the patellofemoral joint.