完整的盘状侧半月的撕裂模式 根据半月形态
Ho Yeon Kim1, Jong-Min Kim1, Bum-Sik Lee1
1Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Orthopaedic journal of sports medicine
|February 24, 2025
概括
块状盘状侧半月体 (DLM) 主要表现出外围撕裂,而形DLM则具有更为多样化的撕裂模式,水平撕裂是最常见的. 这项研究澄清了DLM撕裂的流行和形态.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 运动医学 运动医学
背景情况:
- 在完整的盘状侧半月体 (DLM) 内的撕裂模式和分布没有得到广泛的记录.
- 了解这些模式对于准确的诊断和治疗计划至关重要.
研究的目的:
- 用MRI和关节镜数据来确定完整的DLM中撕裂的流行率和类型.
- 为了研究DLM形态和撕裂特征之间的关联.
主要方法:
- 从1998年到2022年,对577个膝盖进行了回顾性审查,其中包括完整的DLM.
- 分析了手术前的MRI和手术后的关节镜检查结果,以分类撕裂类型和DLM形态 (块类型与形类型).
主要成果:
- 块型DLM (75.4%) 最常见的是带有外围撕裂 (66.7%).
- 型DLM (24.6%) 显示水平撕裂 (43%) 的患病率更高,其次是辐射和外围撕裂.
- 与块型相比,形类型的DLM表现出更为多样化的撕裂模式.
结论:
- 块状形态是手术治疗患者中主要的完整DLM类型.
- 型的DLM具有明显的撕裂形状,水平撕裂是最常见的,表明不同的生物力学特性.
- DLM的形态变异与特定的撕裂模式有关,有助于手术决策.
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