探讨MRI测量胫骨平台后倾角和股骨髁间窝参数与前交叉韧带损伤的相关性
|
摘要
目的探讨MRI测量胫骨平台后倾角、股骨髁间窝宽度以及髁间窝宽度指数(NWI)与前交叉韧带(ACL)损伤的相关性。方法选取2017年1月至2019年1月于本院就诊并经MRI明确的89例ACL损伤患者作为研究对象。根据MRI以及关节镜检查结果将患者分为关节稳定组(仅MRI下前交叉韧带呈长T1、长T2信号)47例与关节重建组(MRI下前交叉韧带呈长T1、长T2信号且前交叉韧带完全断裂)42例,另选取接受膝关节MRI检查的健康人员50例作为对照组,比较各组患者胫骨平台后倾角、股骨髁间窝宽度以及NWI参数与前交叉韧带损伤的相关性。结果关节稳定组与关节重建组患者髁间窝宽度、NWI、内外侧胫骨平台后倾角比较差异无统计学意义;但关节稳定组与关节重建组患者髁间窝宽度、NWI水平均明显低于对照组,胫骨平台后倾角明显高于对照组(P<0.05)。结论 MRI检查能够准确评估膝关节损伤患者髁间窝宽度、NWI以及胫骨平台后倾角等解剖学参数,而相关性分析认为较低的髁间窝宽度、NWI以及高胫骨平台后倾角是前交叉韧带损伤的重要风险因素。
Objective To investigate the correlation between the posterior tilt angle of the tibial plateau, the width of the femoral condyle, and the intercondylar notch width index(NWI) and the anterior cruciate ligament(ACL) injury. Methods A total of 89 patients with ACL injuries who were admitted to our hospital from January 2017 to January 2019 and confirmed by MRI were enrolled. According to the results of MRI and arthroscopy, the patients were divided into the joint stability group(only the MRI under the anterior cruciate ligament with long T1 and long T2 signals) and the joint reconstruction group(MRI under the anterior cruciate ligament with long T1 and long T2 signals and before Forty-two patients with complete rupture of the cruciate ligament were enrolled, and 50 healthy subjects who underwent MRI of the knee joint were selected as the control group.The posterior tilt angle of the tibial plateau, the width of the femoral condyle, and the correlation between NWI parameters and anterior cruciate ligament injury were compared. Results There was no significant difference in the intertrochanteric socket width, NWI, and medial and lateral tibial plateau posterior tilt angle between the joint stability group and the joint reconstruction group, but it was not statistically significant. The width of the litter and the NWI level were significantly lower than those of the control group, and the posterior tilt angle of the tibial plateau was significantly higher than that of the control group(P<0.05). Conclusion MRI can accurately assess anatomical parameters such as intercondylar notch width, NWI,and tibial plateau posterior tilt angle in patients with knee joint injury. Correlation analysis suggests that lower intercondylar notch width, NWI, and high tibial plateau reclining angle are anterior crosses. An important risk factor for ligament injury.
Objective To investigate the correlation between the posterior tilt angle of the tibial plateau, the width of the femoral condyle, and the intercondylar notch width index(NWI) and the anterior cruciate ligament(ACL) injury. Methods A total of 89 patients with ACL injuries who were admitted to our hospital from January 2017 to January 2019 and confirmed by MRI were enrolled. According to the results of MRI and arthroscopy, the patients were divided into the joint stability group(only the MRI under the anterior cruciate ligament with long T1 and long T2 signals) and the joint reconstruction group(MRI under the anterior cruciate ligament with long T1 and long T2 signals and before Forty-two patients with complete rupture of the cruciate ligament were enrolled, and 50 healthy subjects who underwent MRI of the knee joint were selected as the control group.The posterior tilt angle of the tibial plateau, the width of the femoral condyle, and the correlation between NWI parameters and anterior cruciate ligament injury were compared. Results There was no significant difference in the intertrochanteric socket width, NWI, and medial and lateral tibial plateau posterior tilt angle between the joint stability group and the joint reconstruction group, but it was not statistically significant. The width of the litter and the NWI level were significantly lower than those of the control group, and the posterior tilt angle of the tibial plateau was significantly higher than that of the control group(P<0.05). Conclusion MRI can accurately assess anatomical parameters such as intercondylar notch width, NWI,and tibial plateau posterior tilt angle in patients with knee joint injury. Correlation analysis suggests that lower intercondylar notch width, NWI, and high tibial plateau reclining angle are anterior crosses. An important risk factor for ligament injury.
引文
[1]王道安.MRI对前交叉韧带损伤的诊断意义及其与关节镜比较研究[J].中国CT和MRI杂志,2017,15(7):146-149.
[2]陈浩城,陈润华,许锐雄,等.MRI与关节镜诊断前交叉韧带损伤患者的临床结果探讨[J].中国伤残医学,2017,25(18):41-43.
[3]张南,钱学江,刘中冲,等.1.5TMRI对膝关节前交叉韧带损伤与关节镜诊断的一致性分析[J].医疗卫生装备,2017,38(5):76-78.
[4]王志斌,马春忠,于明珠,等.前交叉韧带损伤:MRI征象相关性分析[J].临床放射学杂志,2017,36(10):1472-1476.
[5]梁绮玲,韩立新,曹惠霞,等.MRI多征象分析对前交叉韧带损伤的诊断价值[J].医学影像学杂志,2010,20(9):1351-1354.
[6]陈聪,马愔花,吴萌,等.MRI评估骨关节炎髁间窝狭窄与前交叉韧带损伤的相关性研究[J].第三军医大学学报,2016,38(23):2535-2541.
[7]王海蛟,黄竞敏,吴疆,等.股骨髁间窝形态、髁间窝宽度指数与前交叉韧带损伤间关系的相关性研究[J].天津医科大学学报,2016,22(3):218-221.
[8]李晨曦,周敬滨,丁杰,等.股骨髁间窝宽度和前交叉韧带胫骨端左右径相关性及其与前交叉韧带损伤的关系[J].中国运动医学杂志,2016,35(12):1148-1153.
[9]张波,耿彬,谭小义,等.评价成人前交叉韧带损伤与髁间窝形态的关系:一项高分辨率MRI研究[J].中国矫形外科杂志,2015,23(20):1888-1892.
[10]张培润,徐斌,徐洪港,等.髁间窝宽度与非接触性前交叉韧带损伤的临床相关性研究[J].中国骨与关节损伤杂志,2015,30(10):1058-1061.
[2]陈浩城,陈润华,许锐雄,等.MRI与关节镜诊断前交叉韧带损伤患者的临床结果探讨[J].中国伤残医学,2017,25(18):41-43.
[3]张南,钱学江,刘中冲,等.1.5TMRI对膝关节前交叉韧带损伤与关节镜诊断的一致性分析[J].医疗卫生装备,2017,38(5):76-78.
[4]王志斌,马春忠,于明珠,等.前交叉韧带损伤:MRI征象相关性分析[J].临床放射学杂志,2017,36(10):1472-1476.
[5]梁绮玲,韩立新,曹惠霞,等.MRI多征象分析对前交叉韧带损伤的诊断价值[J].医学影像学杂志,2010,20(9):1351-1354.
[6]陈聪,马愔花,吴萌,等.MRI评估骨关节炎髁间窝狭窄与前交叉韧带损伤的相关性研究[J].第三军医大学学报,2016,38(23):2535-2541.
[7]王海蛟,黄竞敏,吴疆,等.股骨髁间窝形态、髁间窝宽度指数与前交叉韧带损伤间关系的相关性研究[J].天津医科大学学报,2016,22(3):218-221.
[8]李晨曦,周敬滨,丁杰,等.股骨髁间窝宽度和前交叉韧带胫骨端左右径相关性及其与前交叉韧带损伤的关系[J].中国运动医学杂志,2016,35(12):1148-1153.
[9]张波,耿彬,谭小义,等.评价成人前交叉韧带损伤与髁间窝形态的关系:一项高分辨率MRI研究[J].中国矫形外科杂志,2015,23(20):1888-1892.
[10]张培润,徐斌,徐洪港,等.髁间窝宽度与非接触性前交叉韧带损伤的临床相关性研究[J].中国骨与关节损伤杂志,2015,30(10):1058-1061.