發(fā)布時(shí)間：2018-03-02 09:59

  本文關(guān)鍵詞： 前交叉韌帶 髁間窩寬度 脛骨端左右徑 損傷因素　出處：《中國運(yùn)動(dòng)醫(yī)學(xué)雜志》2016年12期 　論文類型：期刊論文

【摘要】：目的:探討股骨髁間窩寬度與前交叉韌帶(ACL)脛骨端左右徑之間的相關(guān)性及其與ACL損傷的關(guān)系,為ACL重建術(shù)提供解剖依據(jù)。方法:選取在本院接受膝關(guān)節(jié)鏡檢的患者,ACL損傷組17人,ACL完整組20人,搜集其性別、年齡、是否為運(yùn)動(dòng)員、受傷至手術(shù)時(shí)間等信息。術(shù)中在關(guān)節(jié)鏡下測量ACL脛骨端左右徑和髁間窩上1/3、下1/3及基底部寬度。分別比較ACL損傷組和ACL完整組、男性和女性患者、ACL損傷組男性和ACL完整組男性、ACL完整組女性和ACL完整組男性患者之間測量指標(biāo)有無統(tǒng)計(jì)學(xué)差異,并分別分析髁間窩寬度與ACL脛骨端左右徑之間有無相關(guān)性。結(jié)果:(1)各組別患者的髁間窩寬度、ACL脛骨端左右徑絕對值比較均無統(tǒng)計(jì)學(xué)差異。(2)ACL損傷組患者髁間窩寬度與ACL脛骨端左右徑不具有相關(guān)性,而ACL完整組患者具有中等程度相關(guān)性;單獨(dú)分析男性患者,發(fā)現(xiàn)ACL完整組男性患者患者髁間窩寬度與ACL脛骨端左右徑具有高度相關(guān)性,而ACL損傷組男性患者不具有相關(guān)性,提示髁間窩寬度與ACL脛骨端左右徑不匹配可能是非接觸性ACL損傷發(fā)生的危險(xiǎn)因素之一。(3)全體男性患者的髁間窩寬度與ACL脛骨端左右徑具有中等程度相關(guān)性,而全體女性患者則不具有相關(guān)性;去掉ACL損傷患者,發(fā)現(xiàn)ACL完整組男性患者髁間窩寬度與ACL脛骨端左右徑具有高度相關(guān)性,而ACL完整組女性患者則不具有相關(guān)性,提示髁間窩寬度與ACL脛骨端左右徑不匹配可能是女性非接觸性ACL損傷發(fā)生率高于男性的原因之一。結(jié)論:ACL脛骨端左右徑相對于髁間窩寬度太寬或太窄可能是ACL損傷的危險(xiǎn)因素,也可能是女性ACL損傷發(fā)生率高于男性的原因之一。
[Abstract]:Objective: to investigate the correlation between the width of femoral intercondylar fossa and the tibial diameters of anterior cruciate ligament (ACL) and its relationship with ACL injury. Methods: a total of 17 patients with ACL injury in our hospital underwent arthroscopy, and 20 patients in the intact group were selected to collect their sex, age, and whether they were athletes, and to provide anatomical basis for the reconstruction of ACL. The right and left diameters of the tibial end of ACL and the width of the upper 1 / 3 of the intercondylar fossa, the lower 1/3 and the base base width were measured under arthroscopy. The ACL injury group and the ACL intact group were compared, respectively. Whether there was statistical difference between male and female patients with ACL-injury and ACL intact group with ACL-intact group and ACL group. The correlation between the width of the intercondylar fossa and the left and right diameters of the tibial end of ACL was analyzed respectively. Results there was no significant difference in the width of the intercondylar fossa and the left and right diameters of the tibia between the two groups. There was no correlation with the left and right diameters of the tibial end of ACL. It was found that the width of intercondylar fossa was highly correlated with the left and right diameters of ACL tibia in ACL intact group, but that in ACL injury group, there was no correlation between the width of intercondylar fossa and the left and right diameters of tibia in ACL intact group. It is suggested that the mismatch between the width of the intercondylar fossa and the left and right diameters of the tibial end of ACL may be one of the risk factors for non-contact ACL injury.) the width of the intercondylar fossa in all male patients is moderately correlated with the left and right diameters of the tibial end of ACL. The width of intercondylar fossa was highly correlated with the left and right diameters of ACL tibia in the ACL intact group, but not in the ACL intact group. It is suggested that the mismatch between the width of the intercondylar fossa and the left and right diameters of the tibial end of ACL may be one of the reasons for the higher incidence of non-contact ACL injury in women than in the male. Conclusion the width of the left and right tibial ends of the tibial ends of ACL is too wide or too narrow relative to the width of the intercondylar fossa. It is also possible that the incidence of ACL damage in women is higher than that in men.
【作者單位】： 國家體育總局運(yùn)動(dòng)醫(yī)學(xué)研究所;
【分類號(hào)】：R687.4

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 孫笑非;阮狄克;丘強(qiáng);何京力;;髁間窩退行性變的診斷與處理[J];實(shí)用骨科雜志;2005年06期

2 張明明;戴志剛;劉金蘭;張紅;;關(guān)節(jié)鏡下髁間窩成形術(shù)治療髁間窩撞擊綜合征[J];中國骨與關(guān)節(jié)外科;2010年04期

3 王邦軍;嚴(yán)力軍;莫樹喜;呂志剛;;膝骨關(guān)節(jié)病性髁間窩撞擊癥的鏡下診斷與治療[J];臨床骨科雜志;2007年05期

4 高明堂;劉軍;蔣電明;閆紅麗;符孔龍;張陸;;股骨髁間窩成形術(shù)治療髁間窩撞擊綜合征療效的初步觀察[J];醫(yī)藥論壇雜志;2011年01期

5 桑洪鵬;董樂樂;;關(guān)節(jié)鏡下前交叉韌帶重建中髁間窩成形的探討[J];包頭醫(yī)學(xué)院學(xué)報(bào);2009年06期

6 張明明;戴志剛;劉金蘭;張紅;;關(guān)節(jié)鏡下髁間窩成形術(shù)治療髁間窩撞擊綜合征病人膝關(guān)節(jié)屈伸功能受限[J];現(xiàn)代生物醫(yī)學(xué)進(jìn)展;2010年06期

7 邢斌;劉崇志;張有磊;;關(guān)節(jié)鏡治療膝關(guān)節(jié)髁間窩撞擊癥33例[J];中國內(nèi)鏡雜志;2006年06期

8 孫正芳;;雙側(cè)髁間窩鋼板加空心釘治療肱骨髁間粉碎性骨折12例分析[J];右江民族醫(yī)學(xué)院學(xué)報(bào);2009年05期

9 胡勝云;王奮強(qiáng);齊權(quán)律;胡鈞濤;;關(guān)節(jié)鏡下髁間窩成形聯(lián)合補(bǔ)腎通痹湯熏洗治療骨關(guān)節(jié)炎屈曲畸形的臨床研究[J];中國當(dāng)代醫(yī)藥;2012年27期

10 謝黎;;三維松針治療膝關(guān)節(jié)骨性關(guān)節(jié)炎320例療效觀察[J];中國醫(yī)學(xué)工程;2012年03期

相關(guān)碩士學(xué)位論文 前3條

1 張培潤;基于3.0T MRI測量的髁間窩寬度在前交叉韌帶損傷患者中的臨床相關(guān)性研究[D];安徽醫(yī)科大學(xué);2016年

2 丁楊;關(guān)節(jié)鏡下治療髁間窩撞擊征及其臨床療效分析[D];延邊大學(xué);2013年

3 李永磊;膝關(guān)節(jié)前交叉韌帶斷裂髁間窩MRI征像的特點(diǎn)研究[D];泰山醫(yī)學(xué)院;2012年

，

本文編號(hào)：1556042