评估三级医院关节镜半月板部分切除术后关节线压痛和儿童试验(鸭行走试验)的临床改善

Dr. Md. Muag Bin Jabal, Dr. Md. Mohiuddin Aslam, Dr. Md. Amirul Islam, Dr. Md. Mizanur Rahman, R. Kabir
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引用次数: 0

摘要

背景:临床负重激发试验,如确定儿童试验(鸭走试验)和关节线压痛在诊断半月板撕裂中的敏感性和特异性,以及确定撕裂部位和损伤程度是否重要。然而,儿童试验(鸭子行走试验)和关节线压痛试验的诊断准确性缺乏证据,撕裂的原因(外伤性与退行性)和ACL功能不全与试验的敏感性和特异性差异有关。目的:本研究的目的是评估临床改善关节线压痛和儿童试验(鸭走试验)在三级护理医院。方法:前瞻性介入研究。该研究过去是在孟加拉国达卡Sher-E-Bangla Nagar国立创伤学和骨科康复研究所(NITOR)住院患者的骨科进行的。2013年1月至2014年12月期间在孟加拉国。结果:本研究对20例16 ~ 40岁的患者进行了研究,80%的患者的Childress试验(Duck walk试验)阳性,所有患者的术后试验均为阴性。20例患者中,90%的患者术后恢复正常至接近正常的膝关节功能和稳定性。疼痛和肿胀也明显减轻。结论:半月板损伤多发于活动量大的青壮年人群,使其运动水平降低,最终成为经济负担。因此,早期干预和部分半月板切除术,可以提供非常准确的即时结果,是使他们健康并恢复正常活动的必要条件。
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Assess Clinical Improvement Regarding Joint Line Tenderness and Childress’ Test (Duck Walk Test) after Arthroscopic Partial Meniscectomy in a Tertiary Care Hospital
Background: Clinical weight bearing provocation tests, like to determine the sensitivity and specificity of the childress’ test (duck walk test) and joint line tenderness in diagnosing meniscal tears and to determine whether the location of tear and severity of injury is important. However, evidence of the diagnostic accuracy of the childress’ test (duck walk test) and joint line tenderness test are lacking and the cause of tear (traumatic versus degenerative), and ACL insufficiency were associated with differences in the sensitivity and specificity of the test. Objectives: The aim of this study was to assess the clinical improvement regarding joint line tenderness and childress’ test (duck walk test) in a tertiary care hospital. Methods: This is a prospective interventional study. The study used to be carried out in the admitted patient’s Department of Orthopedic, National Institute of Traumatology and Orthopedic Rehabilitation (NITOR) Sher-E-Bangla Nagar, Dhaka, Bangladesh. In Bangladesh for the duration of the period from January 2013 to December 2014. Results: This study conducted on 20 patients aged 16 to 40 years, Childress test (Duck walk test) was positive in case of 80% patients and post operatively the test became negative in all patients Out of 20 patients 90% regained normal to near-normal knee function and stability after surgery. Pain and swelling were also significantly reduced. Conclusions: Meniscus injury frequently takes place in young adult population who are very active, which reduces their endeavor level and ultimately become an economic burden. So, early intervention and partial meniscectomy, which offers very accurate momentary result, is imperative to make them healthy and return to their normal activity.
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