复发性髌骨脱位危险因素的研究进展  

Research progress on risk factors of recurrent patellar dislocation

作　　者：谢国安 肖勋刚 何骁 XIE Guo'an;XIAO Xungang;HE Xiao(Hengyang Medical School,University of South China,Hengyang 421001;Chenzhou Hospital Affiliated to University of South China,Chenzhou 423000,China)

机构地区：[1]南华大学衡阳医学院,湖南衡阳421001 [2]南华大学附属郴州医院,湖南郴州423000

出　　处：《临床医学研究与实践》2024年第9期181-185,共5页Clinical Research and Practice

基　　金：郴州市运动医学技术研发中心项目。

摘　　要：髌骨脱位是儿童和青少年中最常见的膝关节损伤之一,在首次发生髌骨脱位后,反复脱位的风险仍然相当高,并容易导致膝关节活动度减少、加速膝关节骨关节炎的恶化。但是目前关于哪些患者首次脱位容易出现髌骨不稳甚至反复脱位尚不明确,归纳复发性脱位患者的危险因素,利用预测模型进行分类管理对临床干预是非常有意义的。本综述将分析复发性髌骨脱位患者的解剖因素和人口统计学特征,探究危险因素的综合效应,讨论用于评估复发性髌骨脱位的预测模型的作用,旨在识别复发性髌骨脱位的高危人群,为临床个体化评估和治疗提供依据。Patellar dislocation is one of the most common knee injuries in children and adolescents.The risk of recurrent patellar dislocation remains high after the first dislocation,that can lead to reduced knee mobility and accelerated progression of knee osteoarthritis.At present,it is not clear which patients are prone to patellar instability or even repeated dislocation in the first dislocation.Therefore,generalisation of risk factors in patients with recurrent dislocations and categorical management using predictive models is necessary for clinical intervention.This review will analyzing anatomical and demographic factors contributing to recurrent patellar dislocation,explore the combined effects of risk factors and discuss the role of predictive models for recurrent instability and scoring.The aim is to identify those at high risk of recurrent patellar dislocation and to provide a basis for individualised clinical assessment and treatment.

关 键 词：髌骨脱位 髌股关节不稳 风险因素 预测模型 膝关节损伤 

分 类 号：R681.8[医药卫生—骨科学]