在青少年的成长过程中,小腿结节-胸腔沟距离可以增加或减少
Per-Henrik Randsborg1,2,3, Hasan Banitalebi2,4, Asbjørn Årøen1,2,3
1Department of Orthopedic Surgery, Akershus University Hospital, 1478 Lørenskog, Norway.
Children (Basel, Switzerland)
|May 25, 2024
概括
青春期成长过程中,在患有复发性侧面骨位移 (RLPD) 患者中,结节 - 喉槽 (TT-TG) 距离在青少年成长过程中单独变化. 这一发现挑战了在成长过程中持续增加TT-TG的概念.
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.
- 儿科运动医学 儿科运动医学
背景情况:
- 增加的小腿管状 - 胸腔沟 (TT-TG) 距离是一个已知的风险因素,导致反复的侧面骨位移 (RLPD).
- 以前的研究表明,在健康个体的成长过程中,TT-TG距离在健康个体的成长过程中逐渐增加.
- 在RLPD患者青春期TT-TG距离的个体变化仍未得到充分研究.
研究的目的:
- 在RLPD青少年骨成熟期内调查和量化TT-TG距离的变化.
- 为了确定TT-TG距离是否会持续增加,或者在这个患者群体的增长冲刺期间是否会发生个体变化.
主要方法:
- 这是一项前性研究,涉及13名连续的青少年患者 (平均年龄为13岁) 患有开放性肺部和RLPD.
- 磁共振成像 (MRI) 用于测量TT-TG距离在基线和三年随访时.
- 进行了统计分析,以评估在研究期间TT-TG距离的变化.
主要成果:
- 在三年随访期间,平均TT-TG距离的整体增加为2.9毫米 (95% CI 2.1-3.7).
- 个体TT-TG测量显示出差异性,一些患者表现出距离的增加,而另一些患者则表现出距离的减少.
- 这些发现表明,在RLPD患者的青少年骨成熟期间,TT-TG距离可能会发生不可预测的变化.
结论:
- 患有RLPD的患者的TT-TG距离在青少年成长期间不会均增加.
- 在增长冲刺期间,TT-TG距离的个体化变化,包括减少,可能会发生.
- 这项研究挑战了一致的TT-TG增加的既定概念,强调在RLPD管理中需要个性化评估.
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