一个动态的字母数字分类系统的非创伤性coccydynia:进一步定义临床和研究范式
Hitesh Lal1, Atul Sareen2, Shwetasri Mohanta1
1Sports Injury Centre, VMMC & Safdarjung Hospital, New Delhi, 110029, India.
Journal of clinical orthopaedics and trauma
|September 22, 2025
概括
非创伤性尾骨疼痛与特定的尾 (尾骨) 类型和后部脱有关. 动态放射学对于评估这种情况至关重要,在coccydynia患者中观察到显著的变化.
科学领域:
- 整形外科和运动医学
- 放射学 放射学是一门学科.
- 生物力学 生物力学
背景情况:
- 越来越多的久坐不动的生活方式导致非创伤性尾,这是一个鲜为人知的疾病.
- 目前的分类系统不足以诊断和治疗状腺症.
- 久坐不动的行为和长时间的坐着是被确定为 coccydynia 的危险因素.
研究的目的:
- 分析印度人口的尾骨形态.
- 为了比较 coccydynia 患者和对照组之间的动态 sacrococcygeal 放射性指数.
- 评估相关的骨膜放射学参数.
主要方法:
- 进行了一项涉及69名参与者的病例控制研究 (33例,36例对照).
- 分析了 lumbosacral 脊椎和椎的动态横向视图X射线图.
- 测量包括骨类型,脱,移动性和神经骨/骨盆参数,使用一种新的动态字母数字分类.
主要成果:
- 与对照组相比,IV型尾及以上类型的尾病例更为普遍 (I型在对照组中更为常见).
- 在神经囊/囊间关节的后部脱显著与囊炎有关.
- 在动态放射图上,尾类型的变化为2个或更多级别,仅限于非创伤性尾发病组.
结论:
- 非创伤性囊炎是一种动态的疾病,需要通过动态放射学进行评估.
- 特定的尾类型 (III及以上),显著的动态变化 (≥2级) 和后部脱都与尾有关.
- 在这项研究中,没有发现sacropelvic参数是显著的因果因素.
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