Comparing goniometric and radiographic measurement of Q angle of the knee
Article Category: Brief communication (Original)
Published Online: Jan 31, 2017
Page range: 631 - 636
DOI: https://doi.org/10.5372/1905-7415.0905.433
Keywords
© 2015 Mohamed Faisal Chevidikunnan, Amer Al Saif, Harish Pai K, Lawrence Mathias
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Background
The Q angle is a relevant clinical diagnostic measurement to detect various disorders of the knee. The common method used to measure the Q angle in the routine clinical practice is by radiography. An alternative to radiographic measurement is goniometry, by which exposure to x-rays can be avoided.
Objectives
To compare and correlate the goniometric measurement of Q angle with radiographic measurement of the Q angle in patients with acute knee pain.
Methods
We selected 45 patient participants with a mean age of 32.5 years who satisfied the inclusion criteria for this study. All the patients underwent goniometric measurement of the Q angle followed by x-ray imaging of the entire lower limb. Later the bony prominences were marked on the x-ray image and the Q angle formed was measured using a protractor. The Pearson correlation coefficient between the goniometric and radiographic measurements was determined.
Results
We found a significant relationship between Q angles obtained using a goniometer and x-ray imaging in the supine position (r = 0.91, P = 0.001). The mean difference between the goniometric measurement of Q angle and the radiographic measurement was 0.1°, which is not significant.
Conclusions
Goniometry can be used to measure Q angle as accurately as radiography, and can be used as an inexpensive and radiation free alternative.