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状肌插入线的外侧旋转:对于反复发生的状肌脱位的新奇预测因素

Yasuhito Sogi¹, Masahiro Ohnuma², Kento Chikazawa²

¹Department of Orthopaedic Surgery, Japanese Red Cross Sendai Hospital, 2-43-3 Yagiyamahoncho, Taihaku-ku, Sendai 982-8501, Japan; Department of Orthopaedic Surgery, Tohoku Orthopaedic and Dental Clinic, 4-9-22 Kamiyagari, Izumi-ku Sendai 981-3121, Japan.

|December 21, 2025

概括

新肌插入角度 (PTIA) 在患有复发性部脱位 (RPD) 的患者中显著升高,与传统的结节-喉沟 (TT-TG) 距离相比,提供更高的诊断准确性,用于评估结节横向化.

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.
生物力学生物力学

背景情况:

经常发生的骨脱位 (RPD) 往往与骨结核侧面化 (TTL) 有关.
标准的小腿结节-小腿沟 (TT-TG) 距离测量受到膝盖曲和小腿膜发育不良的影响.
建议使用一种新的参数,即状肌插入角度 (PTIA),来解释RPD的旋转异常.

研究的目的:

评价状肌插入角度 (PTIA) 作为评估RPD中TTL的新参数.
为了比较PTIA的诊断准确性与传统的TT-TG距离.
调查PTIA和TT-TG距离与股骨旋转 (FTR) 和外扭转 (ETT) 的相关性.

主要方法:

从48名RPD患者和50名对照组的低剂量计算机断层扫描结果的回顾性分析.
测量TT-TG距离,PTIA,FTR和ETT的测量.
接收机运行特征曲线分析用于诊断准确性,以及对参数关联的皮尔森相关性.

主要成果:

与对照组相比,RPD组的TT-TG距离和PTIA都显著增加.
在确定RPD时,PTIA的诊断准确度高于TT-TG距离.
TT-TG距离与FTR有正相关性,而PTIA显示出负相关性;两者都与ETT无关.

结论:

状肌插入角度 (PTIA) 是一种新的,基于骨的参数,在RPD中显著增加.
与TT-TG距离相比,PTIA对RPD具有更高的诊断准确性.
在RPD的背景下,PTIA可以提供更可靠的TTL评估.

关键词:

诊断的准确性诊断的准确性骨肌的肌是如何形成的关节关节的错位关节关节的错位经常发生的骨脱位.部结核性部结核性

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