在患有慢性侧脚不稳定的患者中,疼痛和关节内病理之间的关系
Tomoyuki Nakasa1, Yasunari Ikuta2, Junichi Sumii2
1Department of Artificial Joints and Biomaterials, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minamiku, Hiroshima City, Hiroshima, 734-8551, Japan. tnakasa0@gmail.com.
Archives of orthopaedic and trauma surgery
|November 20, 2023
概括
慢性侧脚不稳定性 (CLAI) 疼痛与关节内问题如肌炎和骨髓病变有关. 足扭伤的早期治疗对于预防退行性变化和相关疼痛至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 放射学 放射学是一门学科.
背景情况:
- 重复的脚扭伤可能导致慢性侧脚不稳定 (CLAI).
- 关节内病变在CLAI相关疼痛中的作用尚未完全理解.
- 了解这些因素对于有效的患者管理至关重要.
研究的目的:
- 分析CLAI患者的疼痛特征.
- 调查CLAI中疼痛和关节内病理之间的关系.
- 确定与CLAI患者疼痛相关的特定关节内发现.
主要方法:
- 在46名接受手术的CLAI患者中,对53个脚进行了回顾性审查.
- 通过关节镜和MRI评估关节内病变.
- 用CT扫描测量中间沟沟中的霍恩斯菲尔德单位 (HU) 比率.
主要成果:
- 疼痛得分与突炎 (96.3%) 和骨和骨的HU比率有显著相关性.
- 疼痛得分高的患者表现出更高的突炎得分和HU比率.
- 肌炎,骨髓病变 (BML) 和骨质硬化变化与疼痛有关.
结论:
- 关节内病变,包括突炎和BML,与CLAI的疼痛有关.
- 中间沟沟的骨质硬化变化表明早期的骨关节炎的发展.
- 适当治疗侧脚关节带损伤是防止二次退行性变化的必要条件.
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