广东地区青壮年人群胫骨平台后倾角与ACL损伤的相关性  

Correlation Analysis of Noncontact Posterior Tibial Slope and Anterior Cruciate Ligament Injury of Young Adults in Guangdong Province

作　　者：齐勇[1] 樊粤光[2] 孙鸿涛[1] 黎飞猛[1] 江辉耀 麦卓敏 Qi Yong Fan Yueguang Sun Hongtao Li Feimeng Jiang Huiyao Mai Zhuomin(Department of Orthopaedics, Guangdong Second People＇s Hospital, Guangzhou 510317, China Department of Orthopaedics, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, China Department of Orthopaedics, Yangshan People＇s Hospital, Yangshan 513100,China)

机构地区：[1]广东省第二人民医院骨科,广州510310 [2]广州中医药大学第一附属医院骨科,广州510405 [3]广东省阳山县人民医院骨科,广东阳山513100

出　　处：《中国运动医学杂志》2016年第12期1106-1111,共6页Chinese Journal of Sports Medicine

基　　金：广东省清远市社会发展领域自筹经费科技计划项目(2016B147)

摘　　要：目的:探讨广东地区青壮年人群中胫骨平台后倾角与前交叉韧带(anterior cruciate ligament,ACL)损伤的相关性。方法:回顾分析2012年1月至2015年12月,因膝关节疾病在广东省第二人民医院住院接受膝关节镜治疗的全部患者的临床资料,将其分为ACL损伤组和非ACL损伤组。各组按照纳入标准和排除标准进行筛选,其中ACL损伤组50例,ACL非损伤组按照就诊顺序依次选择连续100例,通过MRI图像测量胫骨平台内侧后倾角、外侧后倾角,并进行相关对比分析。结果:(1)两组患者在年龄、BMI等方面无差异,ACL损伤组胫骨内侧后倾角为10.03±3.18°、外侧后倾角为11.01±4.14°,非损伤组内侧后倾角为8.53±3.06°、外侧后倾角为8.66±3.65°,ACL损伤组胫骨内、外侧平台后倾角均高于非损伤组,差异有统计学意义(P<0.05);(2)ACL损伤组男性内侧后倾角为9.88±2.85°、外侧平台后倾角为11.12±4.12°,非损伤组男性内侧后倾角为8.00±3.11°、外侧平台后倾角为8.39±3.26°,损伤组胫骨内、外侧平台后倾角均高于非损伤组,差异有统计学意义(P<0.05);(3)ACL非损伤组中,男性外侧后倾角为8.39±3.26°,女性外侧后倾角为9.04±4.16°,男性外侧后倾角略低于女性,但两者之间差异无统计学意义(P>0.05)。男性内侧后倾角为8.00±3.11°,女性内侧后倾角为9.29±2.85°,女性高于男性,两者之间差异有统计学意义(P<0.05)。结论:在广东地区青壮年中,女性内侧胫骨平台后倾角大于男性;ACL损伤与胫骨平台内侧及外侧后倾角均有关,内外侧后倾角增大是ACL损伤的危险因素,这在广东地区男性患者是明确的,对于女性需要进一步研究。Objective To investigate the correlation between posterior inclination of tibial plateau and noncontact anterior cruciate ligament （ACL） injury in young adults in the Guangdong province. Methds The clinical data of all patients underwent arthroscopic treatment for knee diseases between January 2012 and December 2015 in The Second People＇s Hospital of Guangdong Province were analyzed retro- spectively. According to the inclusion criteria and exclusion criteria, 50 patients were included in the ACL injury group and another 100 were selected into the ACL non injury group. The medial posterior tibial slope （MPTS） and lateral posterior tibial slope （LPTS） were measured for both groups using MRI, and compared using SPSS20.0 software. Results （~）There were no significant differences in age and body mass index between the two groups. The average MPTS and LPTS was 10.03＋3.18~ and 11.01＋4.14~ in the ACL injury group,significantly higher than those of the ACL non injury tibia group, 8.53＋3.06~ and 8.66~3.65~ respectively （P〈0.05）. ~） The average MPTS and LPTS of male ACL inju- ry patients were 9.88＋2.85~ and 11.12-＋4.12~ respectively,significantly higher those of the non injury patients （8.00＋3.11~ and 8.39~3.26~）. （~）In ACL non injury group,the average LPTS of the male was 8.39~3.26~,a little lower than that of the female （9.04~4.16~） without significant differences. The aver- age MPTS of the male was 8.00~3.11~ ,significantly lower than that of the female, 9.29~2.85~ （P〈 0.05）. Conclusion Among young adults in the Guangdong province, the female has greater MPTS an- gles than the male. The ACL injury is closely related to PTS. The increase in PTS is a risking factor for noncontact ACL injury among the male in Guangdong,but the relationship between PTS and noncon- tact ACL injury in female in Guangdong needs further study.

关 键 词：交叉韧带 胫骨平台后倾角 青壮年 膝关节 

分 类 号：R684[医药卫生—骨科学]