CAJ | 학술논문

背景:膝关节参数如合适角异常对于膝前疼痛有统计学意义已在 CT 测量下证实,但是没有在临床手术实践中证实.目的:通过对膝前疼痛患者髌骨 X 射线轴位片上的合适角、髌股指数、外侧髌股角、倾斜角等参数的测量,分析这些参数对膝前疼痛的诊断价值.方法:纳入不同程度髌股关节软骨损伤的膝前痛患者50例患者的50个膝关节,测量髌骨 X 射线轴位片上合适角、髌股指数、外侧髌股角、倾斜角参数,同时与50例无膝前痛仅存在半月板损伤的50个膝关节进行比较.结果与结论:髌骨 X 射线轴位片的合适角及髌股指数、倾斜角对于膝前疼痛有显著性差异,外侧髌股角无显著性差异.髌骨 X 射线轴位片的合适角、髌股指数对由髌股关节紊乱导致的膝前疼痛患者有重要的诊断治疗价值,是对髌股关节紊乱具有临床意义的有效参数.
배경:슬관절삼수여합괄각이상대우슬전동통유통계학의의이재 CT 측량하증실,단시몰유재림상수술실천중증실.목적:통과대슬전동통환자빈골 X 사선축위편상적합괄각、빈고지수、외측빈고각、경사각등삼수적측량,분석저사삼수대슬전동통적진단개치.방법:납입불동정도빈고관절연골손상적슬전통환자50례환자적50개슬관절,측량빈골 X 사선축위편상합괄각、빈고지수、외측빈고각、경사각삼수,동시여50례무슬전통부존재반월판손상적50개슬관절진행비교.결과여결론:빈골 X 사선축위편적합괄각급빈고지수、경사각대우슬전동통유현저성차이,외측빈고각무현저성차이.빈골 X 사선축위편적합괄각、빈고지수대유빈고관절문란도치적슬전동통환자유중요적진단치료개치,시대빈고관절문란구유림상의의적유효삼수.
BACKGROUND: The abnormality of some parameters such as congruence angle has statistical significance on anterior knee pain has been confirmed under CT measurement, but has not been confirmed through clinical operations. OBJECTIVE: To analyzes the relationship between the parameter of knee joint and anterior knee pain through measuring the parameters such as congruence angle, patel ofemoral index, lateral patel ofemoral angle and tilt angle. METHODS: Fifty patients with anterior knee pain caused by varying degrees of atel ofemoral cartilage damage were included, and the parameters such as congruence angle, patel ofemoral index, lateral patel ofemoral angle and tilt angle were measured on the patel ar X-ray axial film. The parameters were compared with those of the other 50 patients without anterior knee pain and only with meniscus injury. RESULTS AND CONCLUSION: There were significant differences in congruence angle, patel ofemoral index and tilt angle on the patel ar X-ray axial film, and there was no significant difference in lateral patel ofemoral angle. The congruence angle and patel ofemoral index have important diagnosis value for the patients with anterior knee pain caused by patel ofemoral joint disorders and are considered as the most effective parameters which has clinical efficacy for the patients with patel ofemoral joint disorders.