评估膝骨关节炎与半月板病变之间的关系

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Malawi Medical Journal Pub Date : 2024-03-13 DOI:10.4314/mmj.v36i1.8
Irfan Atik, Enes Gul, Seda Atik
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引用次数: 0

摘要

背景膝关节骨关节炎是一种常见的退行性关节疾病,会导致慢性疼痛,影响日常生活。我们的研究旨在对 65 岁及以上患有膝关节疼痛的老年患者进行膝关节骨性关节炎的影像学和磁共振成像评估,并研究其与半月板病变的关系。方法 对 65-88 岁患有膝关节疼痛的患者进行膝关节骨性关节炎的影像学和磁共振成像评估,并进行分期。对磁共振成像中的半月板病变进行评估,并计算不同半月板病变类型的患病率。此外,还分析了膝关节骨性关节炎与半月板病变之间的关系。结果在我们研究组的 216 例病例中,有 182 例(84.2%)有膝关节骨性关节炎的放射学证据。磁共振成像和X光片显示的膝关节骨性关节炎程度之间存在很强的相关性。在所有 182 例有膝关节骨性关节炎影像学检查结果的病例中,至少有一例半月板病变。29例(85.3%)无骨关节炎症状的病例中至少有一个半月板出现病变。与无骨关节炎的患者相比,膝骨关节炎患者更常出现半月板退化、撕裂和挤压。结论骨关节炎在膝关节疼痛的老年患者中很常见。结论在膝关节疼痛的老年患者中发现骨关节炎很常见,膝关节骨关节炎的影像学检查和磁共振成像之间存在相关性。据观察,半月板病变在膝关节骨性关节炎患者中更为常见。
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Evaluation of the relationship between Knee Osteoarthritis and Meniscus Pathologies
BackgroundKnee osteoarthritis is a common, degenerative joint disease that causes chronic pain that affects daily life. Our study aims to evaluate geriatric patients aged 65 and over with knee pain in terms of osteoarthritis with radiography and magnetic resonance imaging and to investigate its relationship with meniscal pathologies.Methods Radiography and magnetic resonance imaging of patients aged 65-88 years with knee pain were evaluated in terms of knee osteoarthritis and staging was performed. Meniscal pathologies were evaluated in magnetic resonance imaging, and the prevalence of different meniscal lesion types was calculated. In addition, the relationship between knee osteoarthritis and meniscal pathologies was analyzed.ResultsRadiographic evidence of knee osteoarthritis was found in 182 (84.2%) of the 216 cases in our study group. A strong correlation was found between the degrees of knee osteoarthritis on magnetic resonance imaging and radiography. At least one meniscus pathology was observed in all 182 radiography cases with knee osteoarthritis findings. At least one meniscus pathology was observed in 29 (85.3%) of those without osteoarthritis signs. It was determined that meniscus degeneration, tear, and extrusion were observed more frequently in patients with knee osteoarthritis than in patients without osteoarthritis. Meniscal extrusion and complex and horizontal-type tears were the most common lesions.ConclusionsOsteoarthritis was found to be common in geriatric patients with knee pain. A correlation was found between radiography and magnetic resonance imaging regarding knee osteoarthritis. It was observed that meniscal pathologies were detected more frequently in patients with knee osteoarthritis.
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来源期刊
Malawi Medical Journal
Malawi Medical Journal Medicine-General Medicine
CiteScore
1.50
自引率
0.00%
发文量
27
审稿时长
>12 weeks
期刊介绍: Driven and guided by the priorities articulated in the Malawi National Health Research Agenda, the Malawi Medical Journal publishes original research, short reports, case reports, viewpoints, insightful editorials and commentaries that are of high quality, informative and applicable to the Malawian and sub-Saharan Africa regions. Our particular interest is to publish evidence-based research that impacts and informs national health policies and medical practice in Malawi and the broader region. Topics covered in the journal include, but are not limited to: - Communicable diseases (HIV and AIDS, Malaria, TB, etc.) - Non-communicable diseases (Cardiovascular diseases, cancer, diabetes, etc.) - Sexual and Reproductive Health (Adolescent health, education, pregnancy and abortion, STDs and HIV and AIDS, etc.) - Mental health - Environmental health - Nutrition - Health systems and health policy (Leadership, ethics, and governance) - Community systems strengthening research - Injury, trauma, and surgical disorders
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