在第三级护理中心呈现的关节神经关节病变的患病率
Amanda Marshall1, Cameron Meyer1, Michael Hurst2
1Podiatric Medicine and Surgery Residency, Department of Orthopedics, University of Pittsburgh Medical Center, Pittsburgh, PA.
概括
这项研究重新评估了Charcot神经关节病 (CN) 的分类,发现脚CN比以前认为的更为普遍,特别是在多关节病例中. 这项研究强调,需要在第三级护理机构更新分类系统.
科学领域:
- 整形外科 整形外科 整形外科
- 足部医学是一门专业.
- 糖尿病足部并发症 糖尿病足部并发症
背景情况:
- 查科特神经关节病 (CN) 的布罗德斯基和特雷普曼分类已经确立,但可能低估了脚参与.
- 之前的研究报告说,脚和多关节CN的患病率较低,这表明需要在第三级护理环境中重新评估.
研究的目的:
- 根据现有的分类,回顾性地分析Charcot神经关节病 (CN) 的不同解剖类型的患病率.
- 为了确定当代第三级护理患者队列中的脚和多关节CN的实际发病率.
主要方法:
- 在175名患者 (205英尺) 的回顾性审查中,在2004年至2020年期间出现了CN.
- 使用布罗德斯基模型与特雷普曼修改的CN类型 (中脚,后脚,脚,脚,多关节) 的放射分类.
- 对流行数据的分析,将发现与历史分类进行比较.
主要成果:
- 第1型 (中脚) CN是最常见的 (73.2%),其次是第2型 (后脚) (50.2%).
- 脚CN (3a型) 的患病率为21.5%,明显高 (2.4倍) 于之前报告的孤立脚CN (9%).
- 多关节性CN (类型4) 患病率为40.5%,比之前的研究增加了4.5倍,与脚参与有很高的关联.
结论:
- 涉及脚的Charcot神经关节病变明显比以前报告的更为常见,特别是在多关节的表现中.
- 现有的分类可能无法完全捕捉CN的频谱,特别是在第三级推中心.
- 进一步的研究和潜在的分类改进是有必要的,以准确地反映CN的流行病学.
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