椎骨骨质炎剖析:由成熟期决定的椎骨骨关节特征
Jie C Nguyen1,2, Vandan Patel3,4,5, Sara N Kiani4
1Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA. nguyenj6@chop.edu.
Pediatric radiology
|April 4, 2024
概括
在儿童中,骨质合体炎剖析 (OCD) 显示出不正常的骨骨关节对齐. 这些异常在骨成熟的膝盖中更加明显,可能会影响愈合.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是指放射学
- 儿科运动医学 儿科运动医学
背景情况:
- 骨髓炎剖析 (OCD) 愈合的可能性随着骨成熟而降低.
- 理论上,异常的生物力学力量有助于强迫症的发展和进展.
研究的目的:
- 在患有骨性强迫症的儿科患者中描述骨骨关节形态和对齐.
- 根据区域骨成熟度使用MRI来评估这些特征.
主要方法:
- 74个膝盖MRI的回顾性审查,来自患有骨性强迫症的患者 (2008-2023年).
- 评估骨成熟度,强迫症病变细节和骨骨形态 (维伯格/德乔尔分类).
- 计算各种对齐指数 (例如,三气角,英萨尔-萨尔瓦蒂指数).
主要成果:
- 在所有患者中,三角膜角,三角膜深度和Insall-Salvati指数的异常是常见的.
- 骨成熟的膝盖显示出显著更高的多发性三角膜形态 (Dejour类型) 和异常的横侧三角膜倾斜率.
- 成熟的膝盖也更有可能表现出更多的特征,使其易于患上关节关节.
结论:
- 在患有骨性强迫症的儿童中,异常的骨骨形态和对齐很普遍.
- 这些异常在骨成熟的膝盖中更为严重,这表明在疾病进展中发挥了作用.
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