在手部骨关节炎患者中,肌参与及其与疼痛和手部功能相关
Irina Gessl1, Anna Vinatzer1, Gabriela Supp1
1Division of Rheumatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Rheumatology (Oxford, England)
|August 7, 2024
概括
关节炎和肌损伤在手骨关节炎 (OA) 中很常见,但似乎不会影响手部功能或疼痛水平. 超声波 (US) 有效地识别手部OA患者的这些肌问题.
科学领域:
- 类风湿病学 类风湿病学
- 肌肉骨成像系统的成像
- 手部骨关节炎研究研究
背景情况:
- 手部骨关节炎 (OA) 是一种普遍存在的退行性关节疾病.
- 肌干扰,包括肌炎和肌损伤,在手部OA中越来越多地被认可.
- 手部OA肌病理的临床意义尚未完全阐明.
研究的目的:
- 通过临床检查和超声波 (美国) 来确定手部骨质炎患者中肌炎和肌损伤的频率.
- 为了研究肌炎和肌损伤对疼痛和手部功能的影响,在手部OA.
- 为了比较诊断准确性临床检查与美国检测肌干涉.
主要方法:
- 86名手部骨关节炎患者和23名对照患者接受了临床检查和手部肌的检查.
- 用M-SACRAH问卷和Moberg拾起测试来评估手的功能.
- 使用K-means集群分析,根据X光和超声波检测结果对患者进行分组.
主要成果:
- 超声波检测到手部骨质炎患者中69.8%的肌受影响,而对照组为8.7% (P < 0.01).
- 肌损伤在曲肌中更常见,而肌炎在延伸肌中更常见.
- 临床检查显示,与美国相比,对于检测肌卷入的敏感性和特异性较低.
- 在美国检测到的肌干扰和手部功能或自我报告的疼痛之间没有发现显著的相关性.
结论:
- 肌干扰,包括突炎和肌损伤,在手部OA患者中非常常见.
- 尽管患病率很高,但超声波检测到的肌干扰与这组患者的手部功能受损或疼痛没有相关.
- 超声波是鉴定手部OA肌病理的一个有价值的工具,尽管它对功能的临床影响需要进一步调查.
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