重新检查双分骨:没有那么无症状的辅助骨
Samuel X Ramirez1,2, Stuart D Ferrell3,4, Indranil V Kushare3,4
1Division of Orthopaedic Surgery, Texas Children's Hospital, 6621 Fannin Street, Houston, TX 77030, United States. samuel.ramirez@bcm.edu.
Pediatric radiology
|August 6, 2025
概括
在儿童中,双分骨并没有与骨骨发育不良有关. 这种情况往往会引起疼痛,需要特殊的管理,而不仅仅是作为正常变异的观察.
科学领域:
- 儿科整形外科 儿科整形外科
- 放射学 放射学是一门学科.
- 骨发育不良症 骨发育不良症
背景情况:
- 双部分骨是一种有争议的骨变体,其定义不清楚,从正常到暗示骨骨张力症.
- 区分正常变体和潜在发育不良的迹象对于准确的诊断和治疗至关重要.
研究的目的:
- 在使用MRI的儿童中,量化评估两部分骨是否属于正常解剖的范围,或者是否代表骨骨张力症的形式.
- 评估MRI发现的症状双部分骨及其临床含义.
主要方法:
- 从2010年1月到2024年3月,对两部分骨的膝盖MRI扫描进行了回顾性审查.
- 量化测量的比较 (胸腔深度,角等) 两部分骨之间,对照膝盖和患有骨骨发育不良的膝盖.
- 使用奇平方和曼-惠特尼U测试进行统计分析.
主要成果:
- 两部分膝盖和对照膝盖之间没有发现显著的定量差异.
- 在双部位和骨骨头发育不良症队列 (P<0.001) 之间观察到三角膜发育不良症测量的显著差异.
- 两部分骨 (83%) 和霍法脂肪 (36%) 的胀是常见的;13%的患者需要手术,所有患者都有骨的胀.
结论:
- 双分骨与潜在的骨骨发育不良症没有关联.
- 症状的双部分骨是儿科膝关节疼痛的常见来源,需要特别的临床考虑,而不仅仅是正常的骨化变异.
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