{"title":"正常情况下和患有先天性下肢畸形的儿童股骨髁间窝的参数","authors":"Yevhenii Yakushkin, S. Khmyzov, Ruslan Zlatnik","doi":"10.15674/0030-59872024261-68","DOIUrl":null,"url":null,"abstract":"According to literature sources, radiography can indirectly visualize congenital insufficiency of the cruciate ligaments both in isolated form and in combination with other congenital malformations of the lower extremities. Objective. To study the parameters of the intercondylar fossa of the femur in children of different age groups with stable/unstable knee jo ints due to congenital malformations of the lower limbs using instrumental imaging methods. Methods. A prospective diagnostic study was conducted of 359 knee joints of 217 children who were treated at the pediatric orthopedics clinic from 2019to 2022 and with a retrospective control group (2010–2021). limbs, as well as with congenital malformations of the lower limbs. X-ray examinations were performed on the OPERA T90cex X-ray and fluoroscopic system. Results. 217 patients took part in the study, including 105 patients without knee jointpathology and 112 with congenital malformations of the lower limbs. Comparison of the accuracy of radiological diagnostic indicators was performed using the Studentʼs t-test with the results of computer and magnetic resonance imaging studies, which showed the absence of a statistically significant differencein the results research. A diagnostic study was also conducted to find the regularity of the development of the knee joints and to identify the parameters of the radiological norm of the development of the intercondylar fossa of the femur in children of different age categories. Conclusions. Using the resultsof instrumental studies, the parameters of the intercondylar fossa of the femur in children of different age categories with stable and unstable knee joints due to congenital malformations of the lower limbs were investigated. The results of the study should be taken into account for the diagnosis of congenital defects of the knee joint.","PeriodicalId":137495,"journal":{"name":"ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS","volume":"122 6","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"PARAMETERS OF THE INTERCONDYLAR FOSSA OF THE FEMUR IN CHILDRENIN NORMAL CONDITIONS AND WITH CONGENITAL MALFORMATIONS OF THE LOWER LIMBS\",\"authors\":\"Yevhenii Yakushkin, S. Khmyzov, Ruslan Zlatnik\",\"doi\":\"10.15674/0030-59872024261-68\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"According to literature sources, radiography can indirectly visualize congenital insufficiency of the cruciate ligaments both in isolated form and in combination with other congenital malformations of the lower extremities. Objective. To study the parameters of the intercondylar fossa of the femur in children of different age groups with stable/unstable knee jo ints due to congenital malformations of the lower limbs using instrumental imaging methods. Methods. A prospective diagnostic study was conducted of 359 knee joints of 217 children who were treated at the pediatric orthopedics clinic from 2019to 2022 and with a retrospective control group (2010–2021). limbs, as well as with congenital malformations of the lower limbs. X-ray examinations were performed on the OPERA T90cex X-ray and fluoroscopic system. Results. 217 patients took part in the study, including 105 patients without knee jointpathology and 112 with congenital malformations of the lower limbs. Comparison of the accuracy of radiological diagnostic indicators was performed using the Studentʼs t-test with the results of computer and magnetic resonance imaging studies, which showed the absence of a statistically significant differencein the results research. A diagnostic study was also conducted to find the regularity of the development of the knee joints and to identify the parameters of the radiological norm of the development of the intercondylar fossa of the femur in children of different age categories. Conclusions. Using the resultsof instrumental studies, the parameters of the intercondylar fossa of the femur in children of different age categories with stable and unstable knee joints due to congenital malformations of the lower limbs were investigated. The results of the study should be taken into account for the diagnosis of congenital defects of the knee joint.\",\"PeriodicalId\":137495,\"journal\":{\"name\":\"ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS\",\"volume\":\"122 6\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-07-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.15674/0030-59872024261-68\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15674/0030-59872024261-68","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
根据文献资料,放射摄影可间接观察到单独存在的先天性十字韧带功能不全,以及与其他先天性下肢畸形合并存在的先天性十字韧带功能不全。研究目的使用仪器成像方法研究因下肢先天性畸形导致膝关节稳定/不稳定的不同年龄组儿童的股骨髁间窝参数。方法。对2019年至2022年期间在儿科骨科诊所接受治疗的217名儿童的359个膝关节进行了前瞻性诊断研究,并与回顾性对照组(2010年至2021年)进行了对比。X 射线检查在 OPERA T90cex X 射线和透视系统上进行。研究结果217 名患者参加了研究,其中 105 名患者无膝关节病变,112 名患者患有先天性下肢畸形。采用学生 t 检验法对放射诊断指标的准确性与计算机和磁共振成像研究结果进行了比较,结果表明研究结果不存在显著的统计学差异。此外,还进行了一项诊断研究,以发现膝关节发育的规律性,并确定不同年龄段儿童股骨髁间窝发育的放射学标准参数。研究结论利用仪器研究的结果,对因下肢先天性畸形导致膝关节稳定和不稳定的不同年龄段儿童的股骨髁间窝参数进行了研究。在诊断膝关节先天性缺损时应考虑到研究结果。
PARAMETERS OF THE INTERCONDYLAR FOSSA OF THE FEMUR IN CHILDRENIN NORMAL CONDITIONS AND WITH CONGENITAL MALFORMATIONS OF THE LOWER LIMBS
According to literature sources, radiography can indirectly visualize congenital insufficiency of the cruciate ligaments both in isolated form and in combination with other congenital malformations of the lower extremities. Objective. To study the parameters of the intercondylar fossa of the femur in children of different age groups with stable/unstable knee jo ints due to congenital malformations of the lower limbs using instrumental imaging methods. Methods. A prospective diagnostic study was conducted of 359 knee joints of 217 children who were treated at the pediatric orthopedics clinic from 2019to 2022 and with a retrospective control group (2010–2021). limbs, as well as with congenital malformations of the lower limbs. X-ray examinations were performed on the OPERA T90cex X-ray and fluoroscopic system. Results. 217 patients took part in the study, including 105 patients without knee jointpathology and 112 with congenital malformations of the lower limbs. Comparison of the accuracy of radiological diagnostic indicators was performed using the Studentʼs t-test with the results of computer and magnetic resonance imaging studies, which showed the absence of a statistically significant differencein the results research. A diagnostic study was also conducted to find the regularity of the development of the knee joints and to identify the parameters of the radiological norm of the development of the intercondylar fossa of the femur in children of different age categories. Conclusions. Using the resultsof instrumental studies, the parameters of the intercondylar fossa of the femur in children of different age categories with stable and unstable knee joints due to congenital malformations of the lower limbs were investigated. The results of the study should be taken into account for the diagnosis of congenital defects of the knee joint.