大脑麻的儿科患者的小肠道形态是否受到大肠的影响? 与年龄和功能状态的关联
Giulia Beltrame1,2, Patrick P Nian1, Samuel A Beber1
1Lerner Children's Pavilion, Hospital for Special Surgery, New York City, NY, USA.
概括
患有脑 (CP) 的儿童的关节高度与三角膜发育不良无关. 然而,随着年龄的增长,它可能会影响骨关节的对齐,可能导致疼痛或不稳定.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科神经学 儿科神经学
- 医疗成像医学成像
背景情况:
- 在患有脑性麻 (CP) 的儿童中,大腿 (patella alta) 很常见,通常与四头肌动和肌延长有关.
- 在典型发育的儿童中,关节高与三角膜发育不良和不稳定性有关.
- 脊椎上部,三细胞形态和CP的功能能力之间的关系尚不清楚.
研究的目的:
- 为了确定皮带高是否与患有CP的门诊儿童的三角膜形态变化有关.
- 评估年龄和功能严重程度对这种关联的影响.
主要方法:
- 对患有半或双脑的儿科患者 (18岁以下) 的回顾性研究,总运动功能分类系统I-III级.
- 包括有可用的膝盖放射和远骨/近骨CT扫描的患者.
- 对25名患者 (48个四肢) 的分析,以测量骨高度和三角膜形态.
主要成果:
- 在35.4%的被包括的四肢中,发现了大腿.
- 在CP组之间或跨功能层次之间,没有发现三角膜形态的显著差异.
- 年龄较大与生理学三沟发育特征相关;在 patela alta 病例中,年龄与结节至三沟 (TT-TG) 距离增加相关.
结论:
- 皮层高处与患有CP的门诊儿童的三角膜发育不良不相关.
- 持久的关节高度可能会通过与年龄相关的TT-TG增加影响关节骨对齐,可能导致疼痛或不稳定.
- 进一步的纵向研究和早期临床认可是有必要的.
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