塔洛克鲁拉关节损伤增加了邻近关节的骨关节炎的严重程度:一个中期计算机断层扫描后续研究
Annika Willems1, Mauro Minnaard1, Edwin H G Oei2
1Department of Orthopaedics and Sports Medicine.
Foot & ankle specialist
|November 3, 2023
概括
骨关节炎 (OA) 进展在与骨关节相邻的脚关节,特别是在没有先前OA的关节中. 然而,关节炎的严重程度与患者的结果没有相关性,这表明临床影响有限.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 类风湿病学 类风湿病学
背景情况:
- 塔洛克鲁拉关节损伤可以导致邻近关节的骨关节炎 (OA).
- 目前尚不清楚OA是否是先前存在的,或者是手术后发展的.
- 这项研究使用了独特的手术前和手术后CT扫描.
研究的目的:
- 为了确定OA是否在骨关节切除后在相邻的关节中发展.
- 为了调查OA是否已经存在于脱骨关节病前.
- 为了将OA的严重程度与患者报告的结果相关联.
主要方法:
- 病人的电子档案的回顾性审查.
- 使用前和后续CT扫描评估相邻的关节OA.
- 收集患者报告的结果措施.
主要成果:
- 分析了23名患者,平均随访时间为7年.
- 在没有先前存在的OA的患者中,OA在所有相邻关节中显著进展.
- 在先前患有OA的患者中,OA在下关节进展;结果与OA严重程度没有相关性.
结论:
- 邻近关节的关节骨关节炎在骨关节骨折后进展,特别是在那些没有先前OA的人中.
- 骨关节炎进展的严重程度与患者报告的结果无关.
- 脊柱骨关节病变后OA进展的临床意义似乎有限.
相关概念视频
01:23Knee Joint
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
01:10Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...