双侧乳头不稳定的患者在每个膝盖都有多个对称的风险因素
Shital N Parikh1, Neil Rajdev2
1Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH, 45229, USA. Shital.Parikh@cchmc.org.
概括
双边骨不稳定通常涉及多种解剖学风险因素,主要是三角骨发育不良和骨高. 配对膝盖在这些危险因素中表现出了显著的对称性,这表明有系统性倾向.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 医疗成像医学成像
背景情况:
- 在患者中经常观察到双边带不稳定.
- 双边状骨不稳定的管理带来了更高的并发症率.
- 潜在的解剖学风险因素可能会导致并发症率的增加.
研究的目的:
- 为了评估双边带不稳定的患者体内解剖风险因素的存在.
- 为了评估膝盖之间这些风险因素的侧对侧差异.
- 确定双边案件中更高的并发症率的潜在因素.
主要方法:
- 追溯性研究分析了32名患者 (2008-2017年) 的双边带不稳定.
- 解剖学风险因素的MRI评估:三角膜发育不良,骨高度,骨结核横向化和骨倾斜.
- 性别,横向性和症状 (索引) 膝盖之间的风险因素的比较;膝盖对称性的分析.
主要成果:
- 最常见的危险因素是三角膜发育不良 (92.1%) 和大腿骨高 (79.7%).
- 结核的横向化是最不常见的 (12.5%).
- 大多数膝盖 (85.9%) 至少有两种危险因素,46.8%有三种或四种危险因素. 根据性别,横向性或指针膝盖,没有发现任何显著差异. 对于所有评估的风险因素,在配对膝盖之间观察到高对称性.
结论:
- 双边乳头不稳定的患者通常会表现出多种解剖学风险因素,三角膜发育不良最为普遍.
- 大多数受影响的膝盖都存在两个或两个以上的危险因素.
- 在所有评估的风险因素中,双膝之间存在显著的对称性,这表明有系统性倾向.
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