膝关节骨髓炎剖析与机械过载相关
Goran S van der Weiden1,2, Stijn van Cruchten2, Nienke van Egmond2
1Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
The American journal of sports medicine
|January 2, 2024
概括
膝关节骨髓炎切割 (OCD) 与机械因素有关. 高冲击体育和错位增加了强迫症膝盖患者的不稳定风险.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 流行病学 流行病学
背景情况:
- 膝关节骨质突变性解剖炎 (OCD) 是一种罕见的疾病,在这种疾病中,骨下部骨脱离,可能形成不稳定的碎片.
- 膝盖强迫症的确切病因尚不清楚,尽管涉及生物和机械因素.
研究的目的:
- 分析来自大量膝关节强迫症患者的流行病学数据.
- 识别导致膝盖强迫症发展和进展的因素.
主要方法:
- 从膝盖登记册 (2005-2022) 中对236名强迫症患者 (259名膝盖) 的回顾性分析.
- 评估强迫症的位置,国际软骨再生和关节保护学会 (ICRS) 的等级,并通过MRI和X线图对腿的对齐.
- 开发一个统计评分系统来评估损伤不稳定性的风险.
主要成果:
- 最常见的强迫症部位是中间大腿 (MFC) (66.2%),其次是侧大腿 (LFC) (26.6%).
- 在强迫症的位置和腿部对齐之间发现了显著的相关性:MFC病变与varus对齐有关,而LFC病变与valgus对齐有关 (P = .002).
- 结合年龄,吸烟,体育活动和创伤的多变量评分系统预测了病变的不稳定性,根据得分,风险从29.0%增加到97.0%.
结论:
- 对236名膝盖强迫症患者的详细流行病学数据进行了介绍.
- 高龄,吸烟,不活动和先前的创伤预测了强迫症病变的不稳定性.
- 强迫症位置,错位和高冲击运动之间的关联表明,机械过载在膝盖强迫症的发病过程中起着关键作用.
更多相关视频
05:04A Non-Invasive Method for Generating the Cyclic Loading-Induced Intra-Articular Cartilage Lesion Model of the Rat Knee
Published on: July 5, 2021
2.2K
06:27Author Spotlight: Investigating Early Events and Long-Term Effects of ACL Injuries for Osteoarthritis Progression
Published on: September 29, 2023
731
相关概念视频
01:16Bones of the Lower Limb: Femur and Patella
2.5K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.5K
01:23Knee Joint
1.8K
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...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.8K