垂直狭窄作为儿童前十字带断裂的形态风险因素:基于磁共振成像的比较
Claire E Manhard1, Sarah A Fogleman2, Tracey P Bryan1
1Division of Orthopedic Surgery, Rady Children's Hospital-San Diego, San Diego, California, USA.
The American journal of sports medicine
|October 31, 2023
概括
儿科前十字带 (ACL) 损伤与膝盖形态有关,儿童表现出更大的椎高度,青少年表现出缩. 受伤儿童的膝盖形状类似于青少年,并不暗示先天性低成形.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形医生 儿科整形医生
- 放射学 放射学是一门学科.
背景情况:
- 膝盖的解剖学变异可能会使个人易受前十字带 (ACL) 损伤.
- 了解儿科患者群体中的这些变异对于预防和管理伤害至关重要.
研究的目的:
- 为了比较儿童膝盖的磁共振成像 (MRI) 参数,有和没有ACL损伤.
- 调查膝盖形态与儿童和青少年的ACL损伤风险之间的关联.
主要方法:
- 追溯队列研究,将儿科膝盖与ACL破裂/缺陷与健康对照进行比较.
- 评估骨和软骨的测量和比例,包括隙宽度指数 (NWI) 和隙高度指数 (NHI).
- 统计分析按年龄分组:儿童 (5-11岁) 和青少年 (12-19岁).
主要成果:
- ACL 状态和年龄之间的显著相互作用是对状脊柱的测量,脊柱高度,脊柱以上的垂直空间和NWI.
- 患有ACL损伤的青少年表现出缺口狭窄 (减少NHI),而患有ACL撕裂的儿童的椎脊柱高度显著增加.
- 受伤儿童的膝盖形态与健康儿童相比,更像是青少年.
结论:
- 隙宽度指数 (NWI) 对儿童和青少年的ACL撕裂风险产生影响.
- 缺口高度指数 (NHI) 狭窄症主要在青少年中观察到.
- 儿科ACL损伤病例中的膝盖形态并不表明常见的先天性低成形,更像青少年.
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