探讨股骨近端形态学在非接触性前交叉韧带损伤中的作用:比较研究

IF 0.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL International Journal of Biomedicine Pub Date : 2023-09-05 DOI:10.21103/article13(3)_oa11
Dijon Musliu, J. Shatri, Sadi Bexheti, Ardita Kafexholli, Redon Jashari, Agron Mahmuti, Lavdim Berisha, Ardian Karakushi, Qerim Kida
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引用次数: 0

摘要

背景:非接触性前交叉韧带(ACL)损伤是运动员中一种常见且使人虚弱的损伤,具有高复发率和长期后果。识别有前交叉韧带损伤风险的个体可以帮助预防或减轻这些损伤的严重程度。本研究旨在评估受伤(同侧)和未受影响(对侧)的ACL断裂患者的α角(AA),并与对照组进行比较。方法与结果:本病例对照研究纳入105例(78.1%男性,21.9%女性),年龄在15 ~ 45岁,男女均参与体育运动。病例组包括54例经MRI鉴定为运动相关非接触性前交叉韧带断裂的患者。51例患者,其中10例(19.6%)为女性,无前交叉韧带破裂,作为对照组。所有受试者均采用改良的Dunn视图拍摄髋关节x线片,患者仰卧位,髋关节屈曲45度,外展200度。使用OsiriX软件进行测量。以足球运动(58.1%)、跳高运动(23.8%)、滑雪运动(18.1%)为主。未ACL破裂组平均AA为49.27 0 (SD=4.93),有ACL破裂组平均AA为54.84 0 (SD=6.17),差异有统计学意义(P<0.001)。结果还显示,病例受试者同侧(54.84分[SD=6.17])和对侧(49.48分[SD=7.04])髋部AA值差异有统计学意义(P<0.001)。logistic回归分析显示,病例组与对照组、同一受试者髋部间AA差异有统计学意义,OR分别为1.12 (P=0.041)、1.2 (P=0.000)。结论:股骨近端形态改变应被视为前交叉韧带损伤的潜在危险因素,AA可作为前交叉韧带损伤的重要预测因子。我们建议积极参加体育运动的年轻运动员测量他们的髋关节AA,以便那些AA较高的人可以遵循特殊的预防计划。
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Investigating the Role of Proximal Femoral Morphology in Noncontact ACL Injuries: A Comparative Study
Background: Non-contact anterior cruciate ligament (ACL) injury is a common and debilitating injury among athletes, with high recurrence rates and long-term consequences. Identifying individuals at risk of ACL injury can help prevent or reduce the severity of these injuries. The present study aimed to assess the alpha angle (AA) in ACL rupture patients in both the injured (ipsilateral) and non-affected (contralateral) extremities, compared to a control group. Methods and Results: This case-control study included 105 subjects (78.1% male and 21.9% female) aged between 15 and 45 years of both sexes involved in sports. The case group consisted of 54 patients with sport-related, noncontact ACL ruptures identified by MRI. Fifty-one patients, 10(19.6%) of whom were female, with no ACL rupture, were included in the study as a control group. Hip radiographs were taken in all the subjects using the modified Dunn View with the patient in the supine position, hip flexed 45o and abducted 20o. OsiriX software was used to obtain the measurements. Most injuries were caused by football (58.1%), followed by jumping sports (23.8%) and skiing (18.1%). The mean AA was 49.27 o (SD=4.93) for subjects without ACL rupture and 54.84o (SD=6.17) for subjects with ACL rupture, and the difference was statistically significant (P<0.001). Results also showed a statistically significant difference in the AA on the ipsilateral (54.84o [SD=6.17]) and contralateral (49.48o [SD=7.04]) hips of the case subjects (P<0.001). The logistic regression analysis indicated a statistically significant difference in AA between the case and control groups and between hips of the same subject with an OR of 1.12 (P=0.041) and 1.2 (P=0.000), respectively. Conclusion: Alterations in proximal femur morphology should be considered a potential risk factor for ACL injury, and AA can be a significant predictor of ACL injury. We recommend that young athletes actively participating in sports have their hip AA measured so those with higher AA can follow special prevention programs.
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来源期刊
International Journal of Biomedicine
International Journal of Biomedicine MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
0.60
自引率
33.30%
发文量
90
审稿时长
8 weeks
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