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侧坐会导致每个膝盖的股骨-骨旋转不同
Kenichi Kono1, Shoji Konda2, Takaharu Yamazaki3
1Department of Orthopaedic Surgery, The University of Tokyo, Bunkyo, JPN.
Cureus
|June 5, 2024
概括
侧坐会导致每个膝盖的股骨和骨发生相反的旋转. 反侧膝盖可能会经历紧张的运动,这表明在某些膝盖置换患者中需要谨慎.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 膝盖运动学 膝盖运动学
背景情况:
- 以前的研究表明,不对称的跪下,就像侧坐一样,不会导致不对称的膝盖运动.
- 了解旋转膝盖动力学对于解释不对称姿势中的运动模式至关重要.
研究的目的:
- 为了研究和量化正常膝盖的股骨和骨在侧坐时的旋转运动.
- 为了比较ipsilateral和contralateral膝盖之间的旋转动力学.
主要方法:
- 志愿者在光镜指导下进行横坐.
- 采用二维和三维注册技术来分析膝盖运动.
- 在各种曲角度 (110°150°) 评估了大腿骨和骨旋转角度.
主要成果:
- 在曲过程中,侧膝盖和侧膝盖都表现出相对于骨的股骨外侧旋转.
- 侧膝盖在股骨 (26.3°) 和骨 (12.2°) 显示出显著的外部旋转.
- 反侧膝盖在股骨 (23.8°) 和骨 (30.4°) 显示出显著的内部旋转,骨旋转超过股骨旋转.
结论:
- 虽然两条膝盖在侧面坐着时,相对于骨而言,两条膝盖在外部旋转大腿骨,但双侧膝盖和对侧膝盖呈现相反的旋转方向.
- 反侧膝盖可能会因为股骨和骨的联合内部旋转而经历紧张的运动.
- 带导运动全膝关节整形术 (TKA) 或中枢转TKA的患者应考虑避免侧向坐姿.
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