摘要
背景:研究表明后交叉韧带损伤与膝关节解剖形态有关。目的:探究后交叉韧带损伤解剖形态的危险因素。方法:回顾性分析2015年1月至2022年8月因膝关节疾患来滨州医学院附属医院就诊的142例患者的影像学资料,分为后交叉韧带损伤组(n=71,男49例,女22例)与后交叉韧带完好组(n=71,男49例,女22例)。在MRI图像上测量髁间窝宽度、髁间窝高度、股骨双髁宽度、髁间窝宽度指数、髁间窝夹角、Blumensaat线倾角、内侧和外侧胫骨髁间隆起高度、胫骨髁间隆起宽度、胫股一致性指数、胫骨平台前后径、内侧胫骨平台深度、髌腱-胫骨解剖轴角,在X射线片上测量胫骨平台后倾角。将上述指标纳入Logistic回归分析进行研究。结果与结论:①男性单因素Logistic回归分析发现胫骨髁间隆起宽度、胫股一致性指数、内侧胫骨平台深度、胫骨平台后倾角与后交叉韧带损伤相关(P<0.05);多因素二元Logistic回归分析发现胫股一致性指数、内侧胫骨平台深度与后交叉韧带损伤相关(P<0.05);②女性单因素Logistic回归分析发现内侧、外侧胫骨髁间隆起高度、胫骨髁间隆起宽度、胫骨平台后倾角与后交叉韧带损伤相关(P<0.05);多因素二元Logistic回归分析发现胫骨平台后倾角与后交叉韧带损伤相关(P<0.05);③受试者工作特征曲线显示,胫股一致性指数、内侧胫骨平台深度、胫骨平台后倾角对后交叉韧带损伤有一定的预测价值;④结果表明,后交叉韧带损伤的解剖形态学危险因素存在性别差异,胫骨髁间隆起宽度、胫骨平台后倾角是共同的危险因素;在男性人群中,异常的胫骨髁间隆起宽度、胫股一致性指数、内侧胫骨平台深度、胫骨平台后倾角易诱发后交叉韧带损伤,而在女性人群中,异常的内侧和外侧胫骨髁间隆起高度、胫骨髁间隆起宽度、胫骨平台后倾角易诱发后交叉韧带损伤;临床医生可以运用上
BACKGROUND:Studies have shown that posterior cruciate ligament injuries are associated with the anatomical morphology of the knee joint.OBJECTIVE:To explore anatomical morphological risk factors for posterior cruciate ligament injury.METHODS:The imaging data of 142 patients who visited Affiliated Hospital of Binzhou Medical University for knee joint problems from January 2015 to August 2022 were retrospectively analyzed.They were divided into posterior cruciate ligament injury group(n=71,including 49 males and 22 females)and posterior cruciate ligament intact group(n=71,including 49 males and 22 females).Intercondylar notch width,intercondylar notch height,bicondyle width,notch width index,angle of intercondylar notch,Blumensaat’s line inlication angle,medial tibial spine height,lateral tibial spine height,tibial spine width,tibiofemoral consistency index,tibial plateau anterior-posterior diameter,medial tibial depth and patellar tendon-tibial shaft angle were measured on MRI images.Posterior tibial slope was measured on X-ray images.The above indicators were included in the logistic regression analysis for investigation.RESULTS AND CONCLUSION:(1)Univariate logistic regression analysis in men showed that tibial spine width,tibiofemoral consistency index,medial tibial depth,and posterior tibial slope were associated with posterior cruciate ligament injury(P<0.05).Multivariate binary logistic regression analysis showed that tibiofemoral consistency index and medial tibial depth were associated with posterior cruciate ligament damage(P<0.05).(2)Univariate logistic regression analysis in women showed that medial tibial spine height,lateral tibial spine height,tibial spine width,and posterior tibial slope were associated with posterior cruciate ligament injury(P<0.05).Multivariate binary logistic regression analysis showed that posterior tibial slope was associated with posterior cruciate ligament damage(P<0.05).(3)The receiver operating characteristic curve showed that tibiofemoral consistency index,medial tibial d
作者
王德宁
张克凡
石辉
杜长岭
王鑫
Wang Dening;Zhang Kefan;Shi Hui;Du Changling;Wang Xin(Affiliated Hospital of Binzhou Medical University,Binzhou 256603,Shandong Province,China;Binzhou Medical University,Yantai 264003,Shandong Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2024年第18期2887-2894,共8页
Chinese Journal of Tissue Engineering Research
基金
山东省省级临床重点专科学科建设项目(SLCZDZK-0302),项目负责人:石辉。
关键词
后交叉韧带
解剖形态危险因素
股骨髁
胫骨平台
解剖学
影像学
posterior cruciate ligament
anatomical morphological risk factor
femoral condyle
tibial plateau
anatomy
imaging
