在基于人口的出生队列中的13岁儿童的膝盖疼痛,关节负荷和MRI上的结构异常
Guido J van Leeuwen1, Laura A M Kemmeren2, Tom M Piscaer2
1Department of General Practice, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
The American journal of sports medicine
|September 25, 2024
概括
膝盖疼痛影响8%的13岁儿童,通常是慢性和前部疼痛. 较高的BMI与疼痛有关,但身体活动并非如此,一些MRI异常在受影响的儿童中更为常见.
科学领域:
- 儿科整形外科 儿科整形外科
- 流行病学 流行病学
- 放射学 放射学是一门学科.
背景情况:
- 膝盖疼痛是儿童和青少年经常出现的问题.
- 这种疼痛往往会持续很长时间,表明是慢性疼痛.
研究的目的:
- 为了确定13岁儿童膝盖疼痛的患病率.
- 调查膝关节疼痛与身体因素之间的关联.
- 通过磁共振成像 (MRI) 评估结构异常的存在.
主要方法:
- 一项采用基于人口的R世代研究数据的横截面研究.
- 评估了1849名13岁的膝盖疼痛患病率和特征,使用疼痛模型.
- 分析了患者的特征,身体活动,体重指数 (BMI) 标准偏差得分,腰部和部比率以及MRI发现.
主要成果:
- 膝关节疼痛的患病率为8.0%,其中92.3%为慢性,每天37.5%.
- 疼痛主要是前部 (98.6%).
- 患有膝盖疼痛的儿童的BMI标准偏差得分较高,但身体活动没有差异. 奥斯古德 - 施拉特病和双分骨类型3在MRI上更为常见.
结论:
- 膝盖疼痛在儿童中很常见,通常是慢性,前部和日常.
- 较高的BMI与儿科膝盖疼痛有关.
- 结构性MRI异常在儿科膝关节疼痛和未来投诉中的作用需要进一步调查.
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