长期功能和放射性结果的未经治疗的状联盟:一个基于社区的观察性研究
Alysa Nash1, Carolina Alvarez2, Jordan B Renner2,3
1Department of Orthopaedic Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Journal of pediatric orthopedics
|April 4, 2025
概括
无症状的状结合很少导致足部显著功能障碍或骨关节炎. 虽然talocalcaneal联盟可能会稍微降低功能评分,但对于这些常见的足部疾病,建议进行非手术性管理.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 足部医学是一门专业.
背景情况:
- 没有治疗的尾结合的自然史和长期结果尚未得到充分理解.
- 来自后脚运动有限的非典型生物力学可能会导致早期变性,疼痛或功能障碍.
- 缺乏关于非手术管理的无症状尾结合的数据.
研究的目的:
- 在一般人群中确定射线图形上明显的形结合的频率.
- 通过比较功能分数和骨关节炎来观察状联盟的自然历史.
- 评估联盟存在是否与恶化结果或放射性骨关节炎有关.
主要方法:
- 来自社区研究的放射图被审查为calcaneonavicular (CN) 和 talocalcaneal (TC) 联盟.
- 患者报告的结果 (PROMIS,FAOS) 和放射性骨关节炎在联盟 (C) 和没有联盟 (NC) 组之间进行了比较.
- 使用了III级证据.
主要成果:
- 在299名参与者中,X光联盟在9.3%的脚部 (6.4%CN,3.0%TC) 中被确定.
- 在NC和C组之间没有发现PROMIS或FAOS得分的显著差异.
- 联盟存在和放射性骨关节炎之间没有显著的关联;在CN联盟和节骨关节炎之间发现了温和的关联. 在TC联盟中,FAOS分数略有下降,但功能障碍很小.
结论:
- 亚临床尾结合显示与骨关节炎或足部显著功能障碍的联系有限.
- 塔洛卡卡纳 (TC) 联盟可能与略低的终身功能评分有关.
- 对于无症状的状结合体,建议进行非手术治疗,发现有助于患者咨询.
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