膝关节参数在膝前疼痛中的意义  

Knee joint parameters are significant for anterior knee pain

作　　者：隋金颇[1,2,3] 葛帮荣[4] 杨文锋[1] 段国庆[3] 张元民[3] 赵晓伟[3] 谢士成[3] 

机构地区：[1]山东省肿瘤医院,山东省济南市250001 [2]济南大学山东省医学科学院医学与生命科学学院,山东省济南市250001 [3]济宁医学院附属医院骨关节科,山东省济宁市272029 [4]济宁市第一人民医院心内科,山东省济宁市272011

出　　处：《中国组织工程研究》2013年第9期1633-1640,共8页Chinese Journal of Tissue Engineering Research

基　　金：山东省济宁市科技局立项课题;济宁医学院附属医院资助项目:济科字[2011]57号;课题名称:髌骨轴位X线片在评估髌股关节紊乱中的作用研究~~

摘　　要：背景:膝关节参数如合适角异常对于膝前疼痛有统计学意义已在CT测量下证实,但是没有在临床手术实践中证实。目的:通过对膝前疼痛患者髌骨X射线轴位片上的合适角、髌股指数、外侧髌股角、倾斜角等参数的测量,分析这些参数对膝前疼痛的诊断价值。方法:纳入不同程度髌股关节软骨损伤的膝前痛患者50例患者的50个膝关节,测量髌骨X射线轴位片上合适角、髌股指数、外侧髌股角、倾斜角参数,同时与50例无膝前痛仅存在半月板损伤的50个膝关节进行比较。结果与结论:髌骨X射线轴位片的合适角及髌股指数、倾斜角对于膝前疼痛有显著性差异,外侧髌股角无显著性差异。髌骨X射线轴位片的合适角、髌股指数对由髌股关节紊乱导致的膝前疼痛患者有重要的诊断治疗价值,是对髌股关节紊乱具有临床意义的有效参数。BACKGROUND： The abnormality of some parameters such as congruence angle has statistical significance on anterior knee pain has been confirmed under CT measurement, but has not been confirmed through clinical operations. OBJECTIVE： To analyzes the relationship between the parameter of knee joint and anterior knee pain through measuring the parameters such as congruence angle, patellofemoral index, lateral patellofemoral angle and tilt angle. METHODS： Fifty patients with anterior knee pain caused by varying degrees of atellofemoral cartilage damage were included, and the parameters such as congruence angle, patellofemoral index, lateral patellofemoral angle and tilt angle were measured on the patellar X-ray axial film. The parameters were compared with those of the other 50 patients without anterior knee pain and only with meniscus injury. RESULTS AND CONCLUSION： There were significant differences in congruence angle, patellofemoral index and tilt angle on the patellar X-ray axial film, and there was no significant difference in lateral patellofemoral angle. The congruence angle and patellofemoral index have important diagnosis value for the patients with anterior knee pain caused by patellofemoral joint disorders and are considered as the most effective parameters which has clinical efficacy for the patients with patellofemoral joint disorders.

关 键 词：骨关节植入物 骨损伤基础实验 膝关节参数 膝前疼痛 髋关节置换 合适角 髌股指数 倾斜角 外侧髌股角 髌股关节紊乱 X射线 髌骨轴位片 其他基金 骨关节植入物图片文章 

分 类 号：R318[医药卫生—生物医学工程]