关节外变化对年轻成年人的关节功能的影响,有Perthes病史的年轻人
Johan Olav Brevik1, Kristine Risum1,2, Armend Fejzulai3,4
1Section of Orthopaedic Rehabilitation, Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
概括
像高升的大三角管 (HGT) 和减少的股骨偏移 (FO) 这样的残留形在珀斯病后很常见. 这些部异常与斯图尔伯格分类有关,但与年轻成年人部功能受损无直接关系.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 康复医学 康复医学 康复医学
背景情况:
- 珀斯病可以导致残留形,如高的大三角管 (HGT) 和减少大腿部偏移 (FO).
- 这些形可能会对带器功能和长期关节结果产生负面影响.
- 了解这些长期后果对于管理患者的Perthes病后疾病至关重要.
研究的目的:
- 为了调查HGT和异常FO的患病率在年轻的成年人与治愈的单边珀斯病.
- 评估这些形与斯图尔伯格分类和整体部功能之间的关联.
- 为了确定潜在的风险因素影响部功能在这个队列.
主要方法:
- 一个横截面的后续研究包括180名个人 (平均年龄为28.2岁) 具有单边珀斯病史.
- 放射测量包括关节 - 胸腔距离 (ATD) 和股骨偏移 (FO).
- 使用Trendelenburg测试,运动范围和哥本哈根部和部结果得分 (HAGOS) 评估了部功能.
主要成果:
- 减少的ATD和FO在受Perthes病影响的部中明显流行,与相反的部相比.
- 在39%的个体中观察到高升的大三角管 (HGT).
- 虽然ATD和FO与修改后的斯图尔伯格分类相关,但与部功能参数或HAGOS分数没有发现显著的关联.
结论:
- 减少ATD和FO是年轻成年人有Perthes病史的常见发现.
- 这些放射性异常与根据斯图尔伯格分类的股骨头形的严重程度有关.
- 该研究没有发现评估队列中这些特定形和部功能受损之间的直接联系.
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