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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

22卷

期数:

2016年03期

页码:

218-221

栏目:

临床医学

出版日期:

2016-05-20

文章信息/Info

Title:

Relationship between the femoral condyle notch shape, notch intercondylar width and anterior cruciate ligament injury

文章编号:

1006-8147（2016）03-0218-04

作者:

?王海蛟¹; 2; 黄竞敏¹; 2; 吴 疆²; 赵 斌²; 李冬超¹; 2; 李昱鸿¹; 2

(1．天津中医药大学研究生院,天津 300193; 2 天津市天津医院运动损伤与关节镜科，天津300211）

Author(s):

Wang Hai-jiao¹; 2; HUANG Jing-min¹;  2;  WU Jiang²;  ZHAO Bin²; LI Dong-chao¹;  2;  LI Yu-hong¹;  2.

?

（1. Graduate School ,Tianjin University of Traditional Chinese Medicine ,Tianjin 300193, China; 2. Department of Sports Injuries and Arthroscopic , Tianjin Hospital, Tianjin 300211，China）

关键词:

line-height: 150%; " align="left">股骨髁间窝形态; 髁间窝宽度; 髁间窝宽度指数; 前交叉韧带损伤; 关节镜; 磁共振

Keywords:

femoral intercondylar notch shape' target="_blank" rel="external">">femoral intercondylar notch shape;  intercondylar notch width;  intercondylar notch width index;  anterior cruciate ligament injury;  arthroscopy;  MRI

分类号:

R686.5+R445.2

DOI:

-

文献标志码:

A

摘要:

目的:应用关节镜与磁共振检查，明确股骨髁间窝形态、髁间窝宽度指数（NWI）与前交叉韧带（ACL）损伤间关系的相关性。方法:选取60例行磁共振检查与关节镜手术的患者，其中ACL损伤患者30例，男性23例，女性7例，年龄（28.36±8.30）岁，左膝16例，右膝14例，非ACL损伤患者30例，男性19例，女性11例，年龄（32.69±7.53）岁，左膝13例，右膝17例，观察并记录其股骨髁间窝形态，测量股骨双髁间宽度、髁间窝宽度，并应用公式计算出NWI。结果：（1）股骨髁间窝形态与ACL损伤间的关系：在30例ACL损伤的患者中，63.3% （19例）的患者髁间窝形态为“A”形，36.7%（11例）为“U”形，0.0%（0例）为“W”形，三者之间差异明显，具有显著统计学意义（P<0.05）。（2）髁间窝形态与NWI间的关系：髁间窝形态为“A”形的患者中有34.6%（9例）的患者NWI非正常，髁间窝形态为“U”形的患者中有30.3%（10例）的患者NWI非正常，两者相比，差异不明显，无显著统计学意义（P>0.05）。（3）NWI与ACL损伤间的关系：在30例ACL损伤的患者中仅有20.0%（6例）的患者NWI非正常，而80.0%（24例）的患者NWI均正常，表明两者之间相关性较低，不具有显著统计学意义（P>0.05）。结论：髁间窝形态的不同与ACL损伤之间存在显著相关性，“A”形髁间窝的出现是导致ACL损伤的一个重要危险因素，而较低的NWI不是导致ACL损伤的一个重要危险因素。

Abstract:

Objective: To explore the relationship between the femoral condyle notch shape, the intercondylar notch width index (NWI) and anterior cruciate ligament (ACL) injuries by MRI and arthroscopy. Methods：A total of 60 patients were enrolled in the study, including 30 patients with ACL injury, 23 males and 7 females, aged (28.36 ± 8.30) years, 16 cases of left knee, 14 cases of right knee; non-ACL injury 30 patients, 19 males and 11 females, aged (32.69 ± 7.53) years, 13 cases of left knee, 17 cases of right knee, all patients were examined by arthroscopy and MRI diagnosis. The femoral condyles notch shape types was observed and recorded, the width of the femoral condyles and intercondylar notch width were measured for calculating the NWI. Results: (1) Relationship between femoral notch shape and anterior cruciate ligament tear: In 30 patients with ACL injuries in 63.3% (19 cases) of patients intercondylar notch shape "A" type, 36.7% (11 cases) for the "U" type, 0.0% (0 cases) as "W" type, differences between the three, with a statistical significance, were found (P <0.05). (2) Relationship between femoral notch shape and NWI: intercondylar notch shape of "A" type patient in 34.6% (n = 9) of patients NWI were abnormal and intercondylar notch shape of "U" type patient in 30.3% (n = 10) of patients NWI were abnormal, no statistical significance was found (P> 0.05). (3) Relationship between femoral NWI and anterior cruciate ligament tear: Only in 30 patients with ACL injuries in 20.0% (n = 6) of patients NWI were abnormal, whereas 80.0% (24 cases) of patients NWI were normal, indicating a low correlation between the two , not statistically significant (P> 0.05). Conclusion：The Type “A” femoral notch could be a risk factor for ACL injury, while lower NWI may not be a significant risk factor for ACL injury.

参考文献/References:

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备注/Memo

备注/Memo:

?作者简介 王海蛟（1989-），男，硕士在读，研究方向：中医骨伤科学；通信作者：黄竞敏，E-mail：huangjingmin@126.com 。

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更新日期/Last Update: 2016-05-25