动态射频立体测量可以客观地量化膝关节的运动松模式和旋转不稳定性,在一个轴转移测试期间
Tobias Dahl Vind1,2, Emil Toft Petersen1,2, Ole Gade Sørensen1,3,4
1Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
概括
动态射线立体测量 (dRSA) 精确量化转轴转移测试期间的膝盖松,揭示了前十字带 (ACL) 和ACL-前侧带 (ALL) 结合损伤后显著的动力学变化.
科学领域:
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
- 医疗成像医学成像
背景情况:
- 旋转转移测试是对前十字带 (ACL) 损伤的膝盖不稳定性的临床评估.
- 目前对枢纽转移测试的临床评估具有较低的观察者间可靠性.
- 动态射频立体测量 (dRSA) 提供了关节动力学的精确,客观的评估.
研究的目的:
- 使用dRSA成像测试在旋转转移测试期间量化精确的膝盖动力学.
- 客观地评估前十字带 (ACL) 和结合ACL-前侧带 (ALL) 病变的膝盖关节松.
主要方法:
- 八个人类捐赠腿经历了关节镜手术,以诱导ACL和/或前侧带 (ALL) 病变.
- 旋转转移测试使用dRSA在完整的,ACL缺陷的和ACL+ALL缺陷的膝盖上进行并记录.
- 分析了运动参数,包括骨后部抽速度和前后外流.
主要成果:
- 在带病变后,出现了明显的旋转转移模式.
- 骨后部抽速度显著增加,从完好无损的膝盖的7.8mm/s增加到30.4mm/s (ACL缺陷) 和35.1mm/s (ACL+ALL缺陷).
- 与完整的膝盖相比,在ACL+ALL缺陷膝盖中,外旋转显著增加 (p <0.023).
结论:
- 动态射频立体测量 (dRSA) 是可行的客观量化膝盖动力学在旋转转移测试期间.
- dRSA揭示了与ACL和ACL-ALL结合带病变相关的明显动力学变化.
- 该方法提供客观数据,以补充膝盖不稳定的临床评估.
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