孟加拉国某三级医院70例成人膝关节损伤患者的磁共振成像患病率及结构异常表现研究

M. Shirin, S. Azad, F. Alam, M. Islam
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摘要

背景:磁共振成像是一种非常有用的诊断工具,用于检测损伤膝关节的异常。目的:观察成年患者膝关节损伤的MRI异常表现。方法:本横断面研究于2021年1月至6月在孟加拉国达卡的Bangabandhu Sheikh Mujib医科大学(BSSMU)放射学和成像系进行,为期6个月。选取在达卡BSMMU骨科就诊并有膝关节损伤史并行MRI检查的年龄在18岁及以上的男性和女性患者作为研究人群。分析膝关节MRI表现是否存在损伤膝关节半月板、软骨、骨髓、肌腱和韧带结构的信号改变或不同程度的病变。结果:共对65例膝关节进行了分析。研究人群年龄SD平均值为35.34±13.371。左膝(60.0%)高于右膝(40.0%)。股骨和胫骨病变分别为10例(15.4%)和8例(12.3%)。65个膝关节中有41个发现前交叉韧带撕裂。前交叉韧带完全撕裂26例(40.0%),间隙撕裂15例(23.1%)。24例(36.9%)膝关节前交叉韧带正常。内侧半月板(36.9%)比外侧半月板(18.5%)受累更多。结论:青壮年男性左膝关节多见于前交叉韧带完全撕裂及内侧半月板受累。现代与先进医学研究杂志,2021;8(2):80-84
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Prevalence and Structural Abnormal Findings of Injured Knee Joint among Adult Patients detected by Magnetic Resonance Imaging Study of 70 Cases in a tertiary hospital of Bangladesh
Background: Magnetic resonance imaging is a very useful diagnostic tool for the detection of abnormalities of injured knee joint. Objective: This present study was performed to see the different abnormalities of injured knee joint detected by MRI among adult patients. Methodology: This cross-sectional study was conducted in the Department of Radiology and Imaging at Bangabandhu Sheikh Mujib Medical University (BSSMU), Dhaka, Bangladesh from January to June 2021 for a period of six months. The patients in the age group of equal or more than 18 years with both male and female who were visiting Department of Orthopaedics at BSMMU, Dhaka with history of knee injuries were subjected to MRI were selected as study population. MRI findings of the knee joint were analyzed for the presence of any signal changes or lesions of varying severity for the structures of menisci, cartilage, bone marrow, tendons and ligaments of injured knee joint. Results: A total number of 65 cases of knee joints were analyzed. The mean with the SD of age of the study population was 35.34±13.371. The left knee (60.0%) was more involved than right knee (40.0%). The lesion in femur and tibia were found in 10(15.4%) cases and 8(12.3%) cases respectively. Out of 65 knee joints there were 41 joints were found the tear of anterior cruciate ligament. The complete, interstial tear in the anterior cruciate ligaments were 26(40.0%) and 15(23.1%) knee joints respectively. However, anterior cruciate ligaments of 24(36.9%) knee joints were found normal. Medial meniscus (36.9%) was more involved than lateral meniscus (18.5%). Conclusion: In conclusion young adult male are more commonly affected their left knee joint with the tearing of complete tear of anterior cruciate ligaments and involvement of medial meniscus. Journal of Current and Advance Medical Research, July 2021;8(2):80-84
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