没有其他结构相关的患者的部囊形态与部疼痛有关吗?
Johanna Luitjens1,2, Felix G Gassert3,4, Vasant Patwardhan5
1Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, USA. Johanna.luitjens@gmail.com.
European radiology
|January 3, 2024
概括
部疼痛患者往往具有不同的部囊形态,包括更厚的后部囊和改变的前后和中侧比率. 这些发现表明,应该在MRI评估部疼痛时评估部囊形态.
科学领域:
- 骨科成像和生物力学.
- 关节解剖学和病理学.
背景情况:
- 鉴定部疼痛的结构性原因可能是具有挑战性的,即使使用像MRI这样的先进成像技术.
- 部囊形态是部疼痛病因学中被低估的一个因素.
研究的目的:
- 确定没有其他可识别的MRI异常的患者的部囊形态和部疼痛之间的关联.
- 为了比较患有部疼痛的患者和无症状的对照者之间的部囊形态.
主要方法:
- 76名患有部疼痛的成年人和46名无症状的志愿者接受了MRI.
- 手动细分用于量化前后部囊区域及其比例.
- 后勤回归模型比较了群体之间的形态差异.
主要成果:
- 与对照组相比,患有部疼痛的患者表现出明显较低的前后囊面积比率 (p=0.002) 和较大的后后囊面积 (p=0.001).
- 前囊中的中侧面积比在部疼痛组中也明显较低 (p=0.004).
结论:
- 部疼痛与特定的部囊形态有关:后囊较厚,前后面积比较低,中间前囊较薄,中侧侧比较低.
- 囊形态是关节疼痛的一个重要因素,即使没有其他MRI检测到的异常.
- 需要进一步的研究来确定临床实践中异常的部囊测量的值.
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