状肌-侧面状脊距离测量作为状肌不稳定性与不对齐的指标
Brittany M Ammerman1, Ryann Davie1, Natalie K Pahapill1
1Hospital for Special Surgery, New York, New York, USA.
Orthopaedic journal of sports medicine
|February 2, 2026
概括
状肌-侧面三脊距离 (PT-LTR) 是对不稳定患者的状肌不稳定的一个重要测量. 较高的PT-LTR值表明结合软组织和骨调整程序的潜在益处.
科学领域:
- 整形外科手术 整形外科手术
- 生物机械分析分析
- 放射性成像 - 放射性成像
背景情况:
- 有多种X射线测量用于骨不稳定性和错误跟踪.
- 肌-侧面三脊距离 (PT-LTR) 尚未被探索在不稳定时的肌.
研究的目的:
- 在不稳定和不对齐的患者中评估PT-LTR.
- 确定PT-LTR是否表明与不稳定性一起出现不良跟踪.
- 探索PT-LTR与骨高度和骨结核-喉沟距离 (TT-TG) 的关系.
主要方法:
- 用证据水平3进行横截面研究.
- 三组患者:ACL重建 (ACLR),隔离的中间骨肌带重建 (MPFLR) 和结合MPFLR与结核移植 (TTT).
- 类内相关系数 (ICC) 评估了PT-LTR测量协议;统计测试分析了数据.
主要成果:
- 平均PT-LTR在各组之间有显著差异 (P < .0001).
- ACLR组: 1.15 ± 3.71 毫米; MPFLR组: 6.60 ± 6.58 毫米; MPFLR+TTT组: 12.72 ± 8.43 毫米.
- 较高的PT-LTR观察到患有大腿骨高,TT-TG升高或两者的患者.
结论:
- 与ACLR和孤立的MPFLR组相比,MPFLR+TTT组的平均PT-LTR显著更高.
- PT-LTR可能表明皮带不稳定的皮带不稳定.
- PT-LTR可以预测患者从结合软组织和骨调整程序中受益.
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