胫股关节骨形态与半月板损伤相关性的研究进展  

Correlation between tibiofemoral joint morphology and meniscal injury

作　　者：杨磊 邢叔星 YANG Lei;XING Shuxing(Department of Orthopedics,Chengdu Fifth People’s Hospital,Sichuan,Chengdu 611130,China)

机构地区：[1]四川省成都市第五人民医院骨科,611130 [2]川北医学院骨科

出　　处：《河北医药》2024年第23期3643-3647,共5页Hebei Medical Journal

基　　金：四川省科技厅科技计划项目(编号:2023YFS0235)。

摘　　要：半月板损伤目前是膝关节常见的运动损伤之一,是多种危险因素综合作用所致的结果,异常的解剖结构是危险因素其中之一,然而哪些解剖形态能导致半月板损伤、不同位置损伤及导致损伤机制的研究尚在进一步研究中,无统一的结论。随着膝关节生物力学的进步,越来越多的股骨髁、胫骨近端骨形态与不同半月板损伤之间的联系得到验证,其中包括股骨髁间窝形态参数、胫骨平台后倾角等为代表的众多因素通过影响膝关节生物力学,导致膝关节平移、旋转等活动性增加,进一步造成半月板损伤。因此系统性综述胫股关节骨形态对于内外侧半月板损伤的影响及机制提供理论基础,并在此基础上对于半月板损伤的诊疗及预防提供借鉴。Meniscal injury is currently one of the common sports injuries in the knee joint,resulting from a combination of multiple risk factors.Abnormal anatomical structures are among these risk factors.However,the research on which anatomical morphologies can lead to meniscal injury,different locations of injury,and the underlying mechanisms is still ongoing,with no unified conclusions.With advancements in knee joint biomechanics,an increasing number of connections have been validated between the morphology of femoral condyles,proximal tibia,and different types of meniscal injuries.These factors include parameters related to the morphology of the femoral intercondylar notch and posterior tibial slope angle,among others.By influencing knee joint biomechanics,they result in increased knee translation,rotation,and other dynamic movements,further leading to meniscal injuries.Therefore,this systematic review provides a theoretical foundation for understanding the impact and mechanisms of tibiofemoral joint morphology on medial and lateral meniscal injuries,and serves as a reference for the diagnosis,treatment,and prevention of meniscal injuries.

关 键 词：胫骨半月板损伤 膝关节 解剖形态 相关性 

分 类 号：R684.76[医药卫生—骨科学]