摘要
背景:相关研究表明前交叉韧带断裂可能与股骨远端和胫骨近端的解剖形态有关。目的:探究胫骨髁间隆突与股骨髁间窝之间的匹配性与前交叉韧带断裂的相关性。方法:选择2016年1月至2021年3月就诊于中国人民解放军联勤保障部队第904医院的,74例因非接触机制导致单侧膝关节受伤或不适的男性军人患者,通过X射线片与MRI检查分为前交叉韧带断裂组(n=37)与前交叉韧带完整组(n=37)。在MRI冠状位上测量两组患者髁间窝宽度指数,在轴位上观察髁间窝形态;在X射线正位片上测量胫骨髁间隆突宽度、胫骨髁间隆突外侧高度和胫骨髁间隆突内侧高度,通过胫骨髁间隆突宽度与髁间窝宽度之比来描述胫骨髁间隆突与股骨髁间窝之间的匹配性。结果与结论:①两组患者股骨双髁宽度、胫骨髁间隆突外侧高度、胫骨髁间隆突内侧高度比较差异无显著性意义(P>0.05),前交叉韧带断裂组患者间髁间窝宽度、髁间窝宽度指数、胫骨髁间隆突宽度、胫骨髁间隆突宽度与髁间窝宽度之比低于前交叉韧带完整组(P<0.05),前交叉韧带断裂组A形髁间窝更常见,前交叉韧带完整组U形髁间窝更常见;②单因素Logistic回归分析显示,髁间窝宽度、髁间窝宽度指数、髁间窝形态、胫骨髁间隆突参数、胫骨髁间隆突宽度与髁间窝宽度之比均是前交叉韧带断裂的影响因素(P<0.05);多因素Logistic回归分析显示,胫骨髁间隆突宽度与髁间窝宽度之比是前交叉韧带断裂的独立危险因素(P<0.05);③ROC曲线显示,胫骨髁间隆突宽度与髁间窝宽度之比对前交叉韧带断裂有一定的预测价值;④结果表明,胫骨髁间隆突宽度与髁间窝宽度之比是前交叉韧带断裂的独立危险因素,对前交叉韧带断裂有一定的预测价值,比值越低表明胫骨髁间隆突与股骨髁间窝的匹配性越差,前交叉韧带断裂的危险程度越高。
BACKGROUND:Relevant studies have shown that anterior cruciate ligament rupture may be related to the anatomical morphology of the distal femur and proximal tibia.OBJECTIVE:To investigate the correlation between anterior cruciate ligament rupture and the match between the tibial intercondylar eminence and the femoral intercondylar fossa.METHODS:A total of 74 male soldier patients who were admitted at the 904 Hospital of the Joint Logistics Support Force from January 2016 to March 2021 and suffered unilateral knee injuries or discomfort due to non-contact mechanism were selected.According to X-ray and magnetic resonance imaging findings,they were divided into two groups(n=37 per group):an anterior cruciate ligament rupture group and an intact anterior cruciate ligament group.Width index of the intercondylar fossa was detected using coronal magnetic resonance imaging,and the morphology of the intercondylar fossa was observed using axial magnetic resonance imaging.In X-ray,posteroanterior films were used to detect the width,lateral and medial height of the tibial intercondylar eminence.Ratio of the width of the tibial intercondylar eminence to the width of the intercondylar fossa was used to describe the match between the tibial intercondylar eminence and the femoral intercondylar fossa.RESULTS AND CONCLUSION:There was no significant difference between the two groups in the width of femoral bicondyle,the lateral and medial heights of the tibial intercondylar eminence(P>0.05).The width of the intercondylar fossa,the width index of the intercondylar fossa,the width of the tibial intercondylar eminence,and the ratio of the width of the tibial intercondylar eminence to the width of the intercondylar fossa in the anterior cruciate ligament rupture group was lower than that in the intact anterior cruciate ligament group(P<0.05).The A-shaped intercondylar fossa was more common in the anterior cruciate ligament rupture group,and the U-shaped intercondylar fossa was more common in the intact anterior cruciate ligament group.U
作者
张伟
刘云鹏
王星亮
彭超
华国军
Zhang Wei;Liu Yunpeng;Wang Xingliang;Peng Chao;Hua Guojun(Wuxi Clinical College of Anhui Medical University,Wuxi 214000,Jiangsu Province,China;the 904 Hospital of the Joint Logistics Support Force of Chinese PLA,Wuxi 214000,Jiangsu Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2022年第15期2361-2366,共6页
Chinese Journal of Tissue Engineering Research
基金
无锡市科技发展资金项目(CSE31N1618),项目负责人:刘云鹏,项目名称:基于髌股关节三维运动模型的复发性髌骨脱位生物力学研究
无锡市卫生计生委科研项目(Q201772),项目负责人:王星亮,项目名称:内侧髌股韧带重建术对髌股关节解剖形态影响的影像学研究。
关键词
前交叉韧带
髁间窝
胫骨髁间隆突
影像学
解剖学
髁间窝宽度指数
前交叉韧带断裂
anterior cruciate ligament
intercondylar fossa
tibial intercondylar eminence
imaging
anatomy
width index of the intercondylar fossa
rupture of the anterior cruciate ligament
