髌股疼痛患者与健康对照超声表现的比较

IF 1.6 4区医学 Q3 ORTHOPEDICS

Knee Pub Date : 2025-04-01 DOI:10.1016/j.knee.2025.03.003

Derya Karacif , Onur Karacif , Ayla Cagliyan Turk , Handan Elif Nur Bayraktar

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引用次数: 0

摘要

本研究的目的是比较髌骨股骨痛（PFP）患者和健康对照者的膝关节超声检查结果。方法采用横断面研究纳入54名受试者，27名PFP患者和27名健康对照。PFP组采用视觉模拟评分法（Visual Analogue Scale， VAS, 0-10 cm）评估静息和活动时疼痛强度，采用Kujala髌股疼痛评分系统评估功能状态。采用SF-36量表评估两组患者的生活质量。结果两组患者在年龄、性别、体质指数（BMI）、婚姻状况、文化程度、优势肢体等方面基本一致。PFP组内外侧支持带厚度、髌股内侧距离均显著增高(平均差值[MD]:1.08；95%置信区间[CI]: 0.87-1.28, MD:0.80；马里兰州95%置信区间:0.59—-1.01:5.65;95%CI分别为4.68 ~ 6.61)，而内侧和外侧软骨厚度明显低于对照组(MD:1.32；马里兰州95%置信区间:1.0—-1.64:-1.56;分别为95% ci: -1.86—1.26)。两组髌骨外侧距离差异无统计学意义（p = 0.752）。超声测量结果与PFP组患者年龄、BMI、疼痛持续时间、Kujala评分、静止和活动时VAS评分及SF-36亚组评分无统计学意义相关。结论在我们的研究中，PFP组与对照组相比，内侧支持带厚度、外侧支持带厚度和髌股内侧距离均有统计学意义上的升高，滑车内侧和外侧软骨厚度均有统计学意义上的降低。

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Comparison of ultrasonography findings of patients with patellofemoral pain and healthy controls

Background

The aim of this study was to compare knee ultrasonography findings in patients with Patellofemoral Pain (PFP) and healthy controls.

Methods

Our cross-sectional study included 54 participants, 27 patients with PFP and 27 healthy controls. Medial and lateral retinaculum thickness, trochlear cartilage thickness and patellofemoral distances were measured by ultrasonography In the PFP group, pain intensity at rest and during activity was assessed by Visual Analogue Scale (VAS, 0–10 cm), functional status was assessed by Kujala Patellofemoral Pain Scoring system. The quality of life of both groups was evaluated with the Short Form-36 (SF-36).

Results

The groups were similar in terms of age, gender, body mass index (BMI), marital status, educational level and dominant extremity. In the PFP group, medial and lateral retinaculum thickness, medial patellofemoral distance were found to be significantly higher (mean difference [MD]:1.08; 95% confidence interval [CI]:0.87–1.28, MD:0.80; 95%CI:0.59–1.01, MD:5.65; 95%CI:4.68–6.61, respectively), while medial and lateral cartilage thickness were found to be significantly lower than the control group (MD:1.32; 95%CI:1.0–1.64, MD:-1.56; 95%CI:-1.86--1.26, respectively). There was no significant difference in lateral patellofemoral distance between the two groups (p = 0.752). No statistically significant correlation was found between ultrasonography measurements and age, BMI, pain duration, Kujala score, VAS scores at rest and during activity and SF-36 subgroup scores in the PFP group.

Conclusion

In our study, medial retinaculum thickness, lateral retinaculum thickness and medial patellofemoral distance were statistically significantly higher and medial and lateral trochlear cartilage thickness were lower in the PFP group compared to the control group.

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.