急性中间半月体后部根撕裂的流行病学特征
Yusuke Kamatsuki1,2, Takayuki Furumatsu3, Takaaki Hiranaka1
1Department of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikatacho, Kitaku, Okayama, 700-8558, Japan.
International orthopaedics
|June 17, 2023
概括
较高的BMI与中枢半月后部根撕裂 (MMPRTs) 的较年轻发病有关. 部分撕裂不太可能引起疼痛爆裂,有助于早期检测和诊断.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 生物机械工程 生物机械工程
背景情况:
- 未经治疗的中间阴茎后部根撕裂 (MMPRTs) 可能导致渐进的膝关节退化.
- 早期发现和准确诊断MMPRT对于防止进一步关节损伤至关重要.
研究的目的:
- 评估急性MMPRTs的流行病学特征.
- 识别与MMPRT相关的风险因素,用于早期检测和诊断.
主要方法:
- 在2018年至2020年期间,对234名为MMPRT进行了关节镜拔出修复的患者进行了回顾性分析.
- 统计分析包括韦尔奇的t测试,奇平方测试,斯皮尔曼的等级相关性和多变量逻辑回归.
- 分析了身体质量指数 (BMI) 和手术时的年龄,以及疼痛爆发事件的发生.
主要成果:
- 在BMI和年龄之间发现了显著的负相关性 (ρ = -0.36,p < 0.001).
- 27.7kg/m2的BMI截止值显示,在50岁以下的患者中检测MMPRT的灵敏度为79.2%,特异性为76.9%.
- 疼痛爆裂事件发生在79.9%的膝盖中,在部分撕裂中发生的频率明显低 (OR:0.080,p < 0.001).
结论:
- 较高的BMI与MMPRT发病年龄较小有关.
- 部分MMPRT的疼痛爆发事件的频率较低 (43.8%).
- 这些发现有助于早期检测和诊断MMPRTs.
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