Factors affecting distal femoral cartilage in healthy adolescents: a cross-sectional ultrasonographic study


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AVAR AYDIN P. Ö., Koyuncu E. G., Arda N., ÖZÇAKAR L.

Turkish Journal of Pediatrics, cilt.68, sa.3, ss.393-400, 2026 (SCI-Expanded, Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 68 Sayı: 3
  • Basım Tarihi: 2026
  • Doi Numarası: 10.24953/turkjpediatr.2026.5631
  • Dergi Adı: Turkish Journal of Pediatrics
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, Directory of Open Access Journals, TR DİZİN (ULAKBİM), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
  • Sayfa Sayıları: ss.393-400
  • Anahtar Kelimeler: adolescence, cartilage, knee, musculoskeletal ultrasound, vitamin
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Background. Distal femoral cartilage is the most commonly deteriorated articular cartilage during metabolic and inflammatory processes. Musculoskeletal ultrasound (MSUS) is a widely accessible imaging modality to assess distal femoral cartilage thickness (DFCT). This study aims to explore DFCT and associated factors in healthy adolescents. Methods. Healthy adolescents aged between 12-18 years were eligible for the study. The central points of the medial and lateral femoral condyles and the intercondylar area were measured on bilateral knees by using B-mode MSUS according to a predefined scanning protocol. The average of DFCT measurements was evaluated according to age, sex, anthropometric measurements, exercise habits, and vitamin D levels. Results. A total of 150 adolescents participated in the study, with a mean age of 15 year; 67% were female. Age and sex were two factors showing significant effects on mean DFCT (p≤0.001). A negative mild correlation was observed between age and mean DFCT (r=-0.252, p=0.002). Weight, height, body mass index, and exercise frequency were not related to DFCT. Participants with severe vitamin D deficiency had similar DFCT when compared with others, and no correlation was observed between their levels (r=0.109, p=0.191). Conclusion. DFCT varies during adolescence, with age and sex identified as the primary associated factors. Anthropometric measurements, exercise frequency, and vitamin D levels did not show any effect on DFCT in healthy adolescents.