Ultrasonographic Measurements of Femoral Cartilage Thickness in Women With Symptomatic Joint Hypermobility: A Controlled Study

IF 2.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Clinical Practice Pub Date : 2025-03-24 DOI:10.1155/ijcp/9615146

Tuğçe Yavuz Mollavelioğlu, Nurdan Paker, İlhan Karacan, Levent Özçakar

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引用次数: 0

Abstract

Objective: The goal of this study was to measure femoral cartilage thickness in patients with symptomatic joint hypermobility (SJH) using ultrasound (US) imaging.

Methods: This cross-sectional study comprised 42 female patients diagnosed with SJH (Beighton score > 3) and 42 age-matched healthy controls. Ultrasonographic measurements of bilateral femoral cartilage thickness were conducted in three areas: medial, intercondylar, and lateral, while the patients were in a supine position with their knees fully flexed. The Numeric Pain Rating Scale and the Turkish version of the Knee Injury and Osteoarthritis Outcome Score were used to evaluate pain and functional status in the SJH group.

Results: The mean age was 28.0 ± 7.1 years in the study group and 28.5 ± 7.2 years in the control group. The right medial, left medial, left intercondylar, and left lateral femoral cartilage thicknesses of patients in the SJH group were significantly thinner than those of patients in the control group (p < 0.05). There was no significant difference in femoral cartilage thickness, pain, and functional scores between patients with and without knee hypermobility within the SJH group (p > 0.05). A negative correlation was observed between femoral cartilage thickness and age, which was identified as an independent predictor of femoral cartilage thickness in SJH (p < 0.05).

Conclusion: Femoral cartilage thickness was significantly reduced on the right/left medial, left intercondylar, and left lateral sides in women with SJH compared to healthy subjects. Furthermore, age appears to be an important determinant of femoral cartilage thickness.

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研究目的本研究旨在利用超声波（US）成像技术测量症状性关节活动过度症（SJH）患者的股骨头软骨厚度。方法：横断面研究这项横断面研究由 42 名确诊为 SJH（Beighton 评分 3）的女性患者和 42 名年龄匹配的健康对照者组成。患者取仰卧位，膝关节完全屈曲，在内侧、髁间和外侧三个区域对双侧股骨头软骨厚度进行超声波测量。数字疼痛评分量表和土耳其版膝关节损伤和骨关节炎结果评分用于评估 SJH 组的疼痛和功能状态。结果：研究组的平均年龄为（28.0 ± 7.1）岁，对照组的平均年龄为（28.5 ± 7.2）岁。SJH组患者的右内侧、左内侧、左髁间和左外侧股骨头软骨厚度明显薄于对照组（P <0.05）。在 SJH 组中，膝关节活动过度症患者与非膝关节活动过度症患者在股骨头软骨厚度、疼痛和功能评分方面无明显差异（p > 0.05）。股骨头软骨厚度与年龄之间呈负相关，年龄是预测 SJH 股骨头软骨厚度的独立因素（p < 0.05）。结论与健康人相比，SJH 女性患者右/左内侧、左髁间和左外侧的股骨头软骨厚度明显减少。此外，年龄似乎是决定股骨头软骨厚度的重要因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Clinical Practice 医学-医学：内科

CiteScore

5.30

自引率

0.00%

发文量

274

审稿时长

3-8 weeks

期刊介绍： IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.