股骨前转作为运动员前十字带损伤的潜在危险因素
Alireza Mirahmadi1, Pooya Hosseini-Monfared1, Maryam Salimi2
1Bone Joint and Related Tissues Research Centre Shahid Beheshti University of Medical Sciences Tehran Iran.
Journal of experimental orthopaedics
|January 1, 2025
概括
增加的股骨前转,男性运动员的一个常见问题,显著提高前十字带 (ACL) 撕裂的风险. 这一发现对于制定有针对性的伤害预防策略至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 非接触前十字带 (ACL) 损伤是多因素的,受下肢解剖学和生物力学的影响.
- 关键的贡献因素包括膝盖,部内部旋转和部外部旋转.
研究的目的:
- 调查股骨前转和运动员中ACL损伤的发生率之间的关联.
- 为了确定增加的股骨前转是ACL撕裂的危险因素.
主要方法:
- 一项回顾性比较研究,涉及137名怀疑患有ACL损伤的成年男性运动员.
- 用计算机断层扫描 (CT) 扫描和体检 (克雷格的测试) 来测量股骨前转.
- 为了进行比较,患者被分为"ACL撕裂"和"ACL完整"组.
主要成果:
- 在CT (18.4°对12.9°) 和克雷格测试 (20.2°对14.8°) 测量 (p < 0.001) 中,与没有ACL撕裂的运动员相比,平均股骨前转率显著更高.
- 在CT和克雷格测试测量之间观察到良好的相关性 (r=0.94).
- 确定的CT截止值为ACL撕裂是12.7° (灵敏度) 和19.0° (特异性).
结论:
- 较高的股骨前转动与男性运动员中ACL损伤风险增加有显著的相关性.
- 这些发现可以为非接触性ACL损伤的个性化预防计划的开发提供信息.
- 这项研究强调了在运动员查中评估股骨前倒的重要性.
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