髋腰椎综合征患者髋关节挛缩形成的特征

O. A. Galuzinsky, V. Zayets, T. Osadchuk, O. Sulima, V. M. Pidgayetsky, O. Kalashnikov
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引用次数: 0

摘要

重新开始由于髋关节有明显的破坏性变化,人工髋关节内假体是关节关节病手术治疗的主要方法。然而,根据瑞典和加拿大的登记,17-20%的患者在关节置换术后出现疼痛。残留疼痛的原因可能是脊柱的伴随病变,从科学和实用的角度研究与髋腰椎综合征临床特征相关的问题是有意义的。本研究目的:分析伴有脊柱病理的关节关节病患者的临床和影像学表现,探讨髋屈曲挛缩严重程度与恒角度和恒角度可变参数(骨盆角RT和腰椎前凸GLL)的依赖关系;目的:探讨腰臀综合征的临床特点。材料和方法。对150例在乌克兰国立机构“ITO NAMS”成人骨科和创伤科行髋关节置换术的III-IV期特发性关节病患者的检查结果进行了分析。在髋关节置换术前和术后3个月分别根据Harris和Womac量表评估髋关节疼痛和功能障碍。结果。对所得数据的分析表明,随着骨盆倾斜角度和屈曲挛缩的增大,骨盆偏转角各参数值增大,导致腰椎前凸角增大,具有统计学意义。PI-PT与PI-GLL的相关系数分别为0.65±0.15和0.74±0.11。结论。髋关节小挛缩患者的疼痛与腰椎骨性软骨病患者的神经营养不良综合征有关,与较大挛缩患者的脊柱关节炎有关。在骶骨垂直位置- GLL -髋关节最小,最不明显和屈曲挛缩。相反,在骶骨水平位置且前凸明显的患者中,髋关节挛缩≥10°。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
FEATURES OF FORMATION OF CONTRACTURES OF A HIP JOINT AT PATIENTS WITH A HIP-LUMBAR SYNDROME
Resume. With significant destructive changes in the hip joints, endoprosthesis is the main method of surgical treatment of coxarthrosis. However, according to the Swedish and Canadian registries, 17-20% of patients have pain after arthroplasty. The cause of residual pain may be a concomitant lesion of the spine, and the study of issues related to the clinical features of the hip-lumbar syndrome are relevant from a scientific and practical point of view. The purpose of the study: to analyze the clinical and radiological picture of patients with coxarthrosis with concomitant pathology of the spine, to investigate the dependence of the severity of flexion contracture of the hip, variable parameters (pelvic angle RT and lumbar lordosis GLL) from constant angle and angle; to study the features of the clinical course of hip-lumbar syndrome. Materials and methods. An analysis of the results of examination of 150 patients with stage III-IV idiopathic coxarthrosis who under-went hip arthroplasty in the clinic of orthopedics and traumatology of adults of the State Institution "ITO NAMS of Ukraine" was performed. Hip pain and functional impairment were assessed according Harris and Womac scales also before hip arthroplasty and 3 months after surgery. Results. Analysis of the obtained data shows that with an increase in the angle of inclination of the pelvis and flexion contracture, the values of the parameters of the angle of pelvic deviation increase, which causes a statistically significant increase in the angle of lumbar lordosis. The correlation coefficients between the parameters PI-PT and PI-GLL were 0.65±0.15 and 0.74±0.11, respectively. Conclusions. Pain in patients with small contracture of the hip joint is associated with neuro-dystrophic syndrome in osteochondrosis of the lumbar spine, in patients with larger contracture - with spondyloarthritis. In the vertical position of the sacrum - GLL - the smallest, least pro-nounced and flexion contracture of the hip joint. On the contrary, in the horizontal position of the sacrum in patients with hyperlordosis and significant, more than 10 ° contracture in the hip joints.
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