在不规则对齐的患者中,对四头骨肌角和侧面骨倾斜角的相关性:一项用回顾性数据进行的横截面研究
Fatma Zeynep Arslan1, Gülşen Yücel Oğuzdoğan1
1Department of Radiology, Basaksehir Cam and Sakura City Hospital, İstanbul, Turkey.
Quantitative imaging in medicine and surgery
|May 9, 2024
概括
四头骨 - 骨角 (QPA) 在很大程度上独立于其他膝盖角,但随着骨肌的长度而增加. 异常的侧面皮倾斜角度 (LPTA) 与增加的TT-TG距离和冠状腺癌风险有关.
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.
- 生物力学 生物力学
背景情况:
- 四头骨-骨角 (QPA) 量化了骨上的力量,对于诊断骨骨关节疼痛和不稳定性至关重要.
- 由于现有的研究缺陷,了解带不对齐,包括QPA和侧面带倾斜角度 (LPTA) 是必不可少的.
研究的目的:
- 在接受膝盖MRI的患者中研究QPA和LPTA之间的关系.
- 为了确定LPTA是否会影响chondromalacia的发病率和其他骨骨关节参数.
主要方法:
- 从2018年到2020年,对350个膝盖MRI (包括277个) 的回顾性分析.
- 测量包括QPA,LPTA,TT-TG距离,三沟深度 (TGD) 和冠状腺的频率.
- 统计分析包括Shapiro-Wilk,Chi-square,Mann-Whitney-U,斯皮尔曼相关性和ROC曲线分析.
主要成果:
- 较高的LPTA与增加的TT-TG距离以及降低的TGD和中间三叶片长度 (MT) 相相关.
- 在LPTA<5°的患者中, Fad-pad 胀显著增加.
- QPA在LPTA组之间没有显著差异,但与皮带肌长度有正相关.
结论:
- QPA与其他膝盖角度相对独立,但随着骨肌的长度增加,它会增加.
- 异常的LPTA与增加的TT-TG距离,降低的TGD/MT,以及更高的冠状马拉西亚/fad-pad胀风险有关.
- 低LPTA患者需要更密切的临床和MRI评估,以检查骨关节病理.
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