在诊断和管理Os Acetabulibuli当前的概念
Junya Yoshitani1, Benjamin Schoyer2, Anand Shah1
1Young Adult Hip Service, Addenbrooke's - Cambridge University Hospitals NHS Foundation Trust, Cambridge, CB2 0QQ, UK.
International orthopaedics
|January 10, 2024
概括
一个未融合的骨化中心,os acetabuli,影响3.47.7%的患者,通常与部发育不良或塞有关. 有效的管理需要解决潜在的原因,而不仅仅是骨本身.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 运动医学 运动医学
背景情况:
- 骨骨 (os acetabuli) 是一种罕见的疾病,涉及在骨骨边缘的未融合的二次骨化中心.
- 它的患病率从3.4%到7.7%不等,男性患病率更高.
- 这种状况通常与骨张力症和骨骨阻塞有关.
研究的目的:
- 审查当前关于疫学,病理生理学,诊断和治疗os acetabuli的证据.
- 综合现有文献中关于这种骨变体的发现.
主要方法:
- 根据乔安娜·布里格斯研究所的指导方针进行了范围审查.
- 在Medline (PubMed),Embase和Cochrane图书馆进行了系统的搜索.
- 包括专注于os acetabuli的研究,其中包括22篇符合条件的文章的叙事综合,涉及604名患者.
主要成果:
- 受影响患者的平均年龄为32.8岁.
- 真正的os acetabuli被定义为一个未融合的二级骨化中心.
- 管理通常涉及症状病例的关节镜切除,如果出现不稳定性,则考虑固定.
结论:
- 成功的os acetabuli管理取决于解决潜在的病理问题,如关节发育不良或入.
- 需要进一步的研究来确定明确的诊断标准和基于证据的治疗算法.
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