基因瓦尔在儿科患者中呈现出骨骨不稳定性
Julia C Kirby1,2, Hunter Jones2, Benjamin L Johnson1
1Texas Scottish Rite Hospital for Children.
Journal of pediatric orthopedics
|November 28, 2023
概括
超过60%的青少年患有骨骨不稳定 (PFI) 的患者表现出下肢. 近四分之一的人患有高等级的,这是骨科外科医生在PFI治疗中考虑的关键因素.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科运动医学 儿科运动医学
- 生物力学 生物力学
背景情况:
- 下肢与骨骨不稳定性 (PFI) 有关.
- 导向生长可以治疗骨不成熟的患者的valgus对齐.
- 儿科和青少年PFI中的患病率尚未得到充分确立.
研究的目的:
- 为了确定PFI的青少年患者中valgus对齐的患病率.
- 评估高度 (II或III区) 和冠状元不对称.
- 调查骨发现与体重指数 (BMI) 之间的关联.
主要方法:
- 对279名患有PFI的患者 (349个膝盖) 进行了回顾性队列研究.
- 对人口统计,临床和放射数据的分析,包括全身站立对齐放射图.
- 计算机械轴偏差,机械侧边远距离大腿角和中间近接角 (MPTA).
主要成果:
- 在60.6%的患有PFI (172/349) 的膝盖中,存在关节对齐.
- 高度 (区域II或更大) 发生在23.3%的膝盖 (66/349).
- 较高的BMI与位对齐有关 (P=0.03).
结论:
- 在患有PFI的青少年中,下肢的患病率很高 (60%).
- 这些患者中,近25%的患者患有高度.
- 意识到关节对齐对于管理儿科和青少年PFI至关重要.
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