噪音大的膝盖 - - 膝盖的患病率和与结构性病理的关联:系统性审查和元分析
Jamon L Couch1,2,3, Matthew G King1,2,4, Danilo De Oliveira Silva1,2,4
1La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.
British journal of sports medicine
|October 7, 2024
概括
膝盖,一个常见的膝盖噪音,影响到总人口的41%,与骨关节炎 (OA) 有关. 这次审查发现,在各种膝关节疾病中普遍存在,并与放射性OA风险增加三倍相关.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
背景情况:
- 膝盖,在膝盖运动时有可听到的或研磨的特点,在所有年龄组中都经常出现.
- 它经常引起人们对潜在的基础膝关节病理的担忧,需要更清楚地了解其患病率和关联.
研究的目的:
- 系统地审查和综合有关膝关节的流行现有证据.
- 在一般人群和特定的膝关节疾病中,研究膝关节和结构性病理,特别是骨关节炎 (OA) 之间的关联.
主要方法:
- 进行了全面的系统审查和元分析.
- 在多个数据库中进行了搜索,包括Medline,Embase,CENTRAL,Web of Science,SPORTDiscus和CINAHL.
- 包括了专注于膝盖的流行率及其关联的研究.
主要成果:
- 该审查包括了103项研究,其中有36439名参与者 (42816个膝盖).
- 在一般人群中,膝盖的综合患病率为41%,在无疼痛的人群中为36%,在患有骨关节炎的人群中为81%.
- 在其他肌肉骨膝关节疾病中,患病率在35%至61%之间,低至非常低的确定性证据将骨与放射性OA (OR 3.79) 和MRI检测到的OA特征联系起来.
结论:
- 膝关节在一般人群中非常普遍,无疼痛的个人,以及膝关节OA和其他肌肉骨疾病的人.
- 膝关节骨和放射性OA之间存在显著的关联,以及在MRI上发现的几个OA相关特征.
- 根据低至非常低的确定性证据的发现,由于潜在的偏见和异质性,应谨慎解释.
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