髂前下棘撞击发生率随骨盆后倾变化的多变量线性混合分析:一项计算机模拟研究。

IF 1.4 4区 医学 Q3 ORTHOPEDICS Journal of Hip Preservation Surgery Pub Date : 2024-02-01 eCollection Date: 2024-07-01 DOI:10.1093/jhps/hnae003
Emi Kamono, Naomi Kobayashi, Yuya Yamamoto, Yohei Yukizawa, Hideki Honda, Hyonmin Choe, Hiroyuki Ike, Ken Kumagai, Yutaka Inaba
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引用次数: 0

摘要

众所周知,增加骨盆后倾是避免股骨在运动过程中与骨盆发生撞击的有效策略。每天重复的碰撞会产生机械负荷,发生的频率越高,造成的组织损伤和疼痛就越大。因此,降低撞击发生率对于避免症状加重非常重要。本研究旨在评估骨盆后倾的变化对各种功能姿势下股骨与髂前下棘/髂下棘之间发生撞击风险的影响。研究对象包括在2013年10月至2020年6月期间接受髋关节镜骨软骨置换术的股骨与髂前下棘间撞击综合征(FAIS)患者。我们使用三维重建模型模拟了日常生活中所需的 12 个髋关节位置的撞击发生率。我们对撞击空间发生率的预测值假定髋关节运动应超过 130/30 度而不会发生撞击。撞击是在三种骨盆位置测量的:前倾 10°、功能骨盆平面和后倾 10°。采用多变量线性混合模型来评估协变量调整后骨盆后倾对 AIIS 区域撞击发生率的影响。AIIS类型、中心-边缘角度、髋臼类型和股骨类型被用作协变量。评估了三种骨盆倾斜姿势的撞击发生率和位置。对 78 名 FAIS 患者(60 名男性,18 名女性;平均年龄为 46 ± 15.1 岁)进行了分析。多变量线性混合模型显示系数为-0.8%(95%置信区间为-0.9%至-0.7%;P
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Multivariate linear-mixed analysis of changes in anterior inferior iliac spine impingement incidence with posterior pelvic tilt: a computer simulation study.

It is well known that increased posterior tilt of the pelvis is an effective strategy for avoiding impingement of the femur with the pelvis during movement. Daily repetitive collisions become mechanical loads, and the more frequently they occur, the more tissue damage and pain they cause. Therefore, reducing the rate of occurrence of impingement is important to avoid aggravation of symptoms. This study aimed to evaluate the effects of changes in posterior pelvic tilt on the risk of impingement between the femur and the anterior inferior iliac spine (AIIS)/subspine in various functional postures. Patients with femoroacetabular impingement syndrome (FAIS) who were candidates for hip arthroscopic osteochondroplasty between October 2013 and June 2020 were included. A three-dimensional reconstructed model was used to simulate the incidence of impingement at 12 hip positions required for activities of daily living. We predicted value of the spatial incidence of impingement assumed that hip motion should exceed 130/30 degrees without impingement. Impingement was measured at three pelvic positions: an anterior tilt of 10°, in the functional pelvic plane and a posterior tilt of 10°. Multivariate linear-mixed models were used to assess the effect of covariate-adjusted posterior pelvic tilt on the impingement incidence in the AIIS region. AIIS type, center-edge angle, acetabular version and femoral version were used as covariates. The impingement rates and locations of the three pelvic tilt postures were assessed. Seventy-eight patients (60 males and 18 females; average age, 46 ± 15.1 years) with FAIS were analyzed. A multivariate linear-mixed model revealed a coefficient of -0.8% (95% confidence interval -0.9 to -0.7%; P < 0.001) for posterior pelvic tilt. Thus, posterior pelvic tilt affects AIIS impingement incidence. After adjusting for anatomical effects, the posterior pelvic tilt should be addressed to avoid impingement.

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自引率
20.00%
发文量
45
审稿时长
12 weeks
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