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All Journal Pharmaciana: Jurnal Kefarmasian Jurnal Riset Kesehatan WARTA Jurnal Kesehatan Gigi Universa Medicina Jurnal AUDI JPSCR : Journal of Pharmaceutical Science and Clinical Research Indonesian Journal of Applied Informatics Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Jurnal Fundadikdas (Fundamental Pendidikan Dasar) Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya SALEE: Study of Applied Linguistics and English Education Narra J Mahakarya: Students' Journal of Cultural Sciences Smart Society Empowerment Journal Plexus Medical Journal Biomedika
Muchtar Hanafi
Department Of Radiology, Faculty Of Medicine, Universitas Sebelas Maret, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Journal : Biomedika

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PATELLAR HEIGHT EXAMINATION WITH VARIOUS METHODS ON GENU X-RAY: IN A SEARCH OF THE MORE PRECISE COMBINATION Astuti, Notariana Kusuma; Hanafi, Muchtar; Irawan , Amelia Tjandra; Adhie, Anistyaning Wahyu
Biomedika Vol 17, No 2 (2025): Biomedika August 2025
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v17i2.11756

Abstract

Patellar height, which represents distance formed by the patella and the length of patellar tendon, can predict various knee joint problems. The Insall-Salvati (IS), Caton-Deschamps (CD), and Blackburne-Peel (BP) ratios are widely used to measure patellar height. Those methods conveyed various levels of variability and reproducibility. However, no method perfectly defines the true patellar height in relation to the tibiofemoral joint with high reproducibility and minimal variability. The study involved x-rays of 15 left-knee joints of Indonesian women across various ages without any history of knee injury. Patellar height was measured using the IS, CD, and BP methods (three times of measurement for each method). Patellar height was classified into infera, norma, and alta based on Indonesian measurement standard. The average measurement ratios were analyzed descriptively to obtain the conclusion. The IS ratio identified a patella norma in 14 subjects and a patella infera in 1 subject. The CD ratio indicated 12 subjects with a patella norma, 2 subjects with a patella alta and 1 subject with a patella infera. The BP ratio resulted in a patella norma in 8 subjects and a patella alta in 7 subjects. Discrepancies in the subgroups were varied. Patella norma from IS ratio confirmed by CD and BP ratios resulted in a percentage of 33%. The IS method combined with the CD method yielded a percentage of 67% with p(IS-CD) = 0.915. The combination of IS-BP and CD-BP methods yielded 53% with p(IS-BP) = 0.02 and 40% with p(CD-BP) = 0.052 respectively. The results show a method-dependent disparity in patellar height measurement. Single IS ratio provides a smaller percentage than its combination with CD or BP ratio. The combination with the highest percentage was obtained between IS and CD ratios. This study implied the measurement of patellar height precisely in various genu joint problems, such as predicting progression of patellofemoral osteoarthritis, pain of the genu joint, and luxation or subluxation of the patella. A future study can involve a larger number of subjects.
DYNAMIC LUMBOSACRAL RADIOGRAPH IN COMPARISON WITH CONVENTIONAL LUMBOSACRAL RADIOGRAPH IN FINDING DEGENERATIVE DISEASE OF THE LUMBAR SPINE Adzhani , Fityay; Hanafi, Muchtar; Irawan, Amelia Tjandra; Wujoso, Hari
Biomedika Vol 18, No 1 (2026): Biomedika February 2026
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Degenerative lumbar spine disease is a leading cause of disability, reducing patient's quality of life. However, Magnetic Resonance Imaging (MRI), the primary diagnostic modality, is not routinely feasible due to high cost and limited availability. Routine anteroposterior (AP) and lateral plain radiographs remain inferior to MRI, highlighting the need for alternative modalities such as vertebral dynamic radiography (flexion-extension views) to assess intervertebral instability. This analytic observational study used a cross-sectional design analyzing 42 patients at RSUD Dr. Moewardi (February 2019 - February 2020) with MRI-confirmed degenerative disease, the study compared findings of spondylolisthesis, vacuum disk phenomenon, osteophytes, and intervertebral space narrowing. Statistical analysis obtained p-value <0.05, demonstrating that dynamic radiographs possess higher sensitivity for detecting degenerative diseases of the spine than conventional views. Furthermore, the vacuum disk phenomenon was most prevalent in extension radiographs and least frequent in flexion. While osteophyte detection and intervertebral space narrowing remained consistent across both modalities, the dynamic study proved superior in assessing joint instability. The study concludes that there was a significant difference in the findings of spondylolisthesis on dynamic lateral radiographs and conventional lateral radiographs.
Co-Authors Adhie, Anistyaning Wahyu Adzhani , Fityay Adzhani, Fityay Andri Haryanto Annang Giri Moelyo Apriningsih, Hendrastutik Astri Tantri Indriani Astri Tantri Indriani Astuti, Notariana Kusuma Atin Kurniawati Betty Saptiwi Betty Saptiwi Diah Kurnia Mirawati Dian Purwitasari Dyanneza, Frieska Faizal Muhammad Firdaus, Zaka J. Frieska Dyanneza Frieska Dyanneza Hari Wujoso Hendrastutik Apriningsih Hendrastutik Apriningsih Indriani, Astri Tantri Irawan , Amelia Tjandra Irawan, Amelia Tjandra jumiatmoko jumiatmoko Karla Kalua Kuncorowati, Niken Dwi Aryani Laily Shofiyah Maria Galuh Kamenyangan Sari Maryani Maryani Mashuri, Yusuf Ari Nanang Wiyono Nanang Wiyono Niken Dwi Aryani Kuncorowati Niken Dyah Aryani Kuncorowati Nurmayda Sukma Herdianti Prabowo, Nurhasan Agung Qisty Aulia Khoiry Rachmi Fauziah Rahayu Raden Andi Ario Tedjo Raditya Abyudaya Rahmatillah, Arif Risalina Myrtha Soewondo, Widiastuti Tonang Dwi Ardyanto Utiya Nabila Maulani Verina Widyati Putri Yeni Farida Yeni Farida Yeni Farida