综合性和状骨损伤:伴侣或巧合
Federico Paolo Gaube1, Felix Maßen1, Hans Polzer1
1Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany.
Foot & ankle international
|September 23, 2024
概括
不稳定的综合性损伤通常伴随着带关节 (DL) 损伤,但其严重程度大大不同. 这项研究评估了患有不稳定的综合性损伤的患者的DL损伤严重程度.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 放射学 放射学是一门学科.
背景情况:
- 综合性复杂性损伤通常与带带 (DL) 复杂性损伤有关.
- 目前的综合症分类考虑了DL损伤,但它们在不稳定的综合症损伤中的频率和严重程度仍未评估.
研究的目的:
- 为了评估急性,孤立,不稳定的综合性损伤手术的患者的带带 (DL) 损伤的频率和严重程度.
主要方法:
- 对37名患有急性,孤立,不稳定的综合性损伤的成年患者进行了回顾性队列研究.
- 由两个肌肉骨放射科医生通过MRI评估的综合性和DL复合的完整性.
- DL复杂损伤分级从0 (完好无损) 到IV (脱落骨折);统计分析包括h集群和曼·惠特尼U测试.
主要成果:
- 综合性损伤的平均严重程度为2.6 ± 0.8,DL损伤为1.6 ± 1.1.
- 19%的患者没有或轻微的DL损伤 (等级0或I).
- 确定了两个患者群和四个带群,表明异质性.
结论:
- 不稳定的综合性损伤可以独立发生或伴随着DL损伤.
- 综合性带和带带损伤的严重程度之间存在显著的异质性.
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