磁共振成像评估胫骨结节-滑车沟距离：男性和女性的正常值。
Magnetic resonance imaging assessment of tibial tuberosity-trochlear groove distance: normal values for males and females.
机构信息
Orthopaedic Surgery, Taranaki Base Hospital, New Plymouth, New Zealand.
出版信息
Int Orthop. 2011 Dec;35(12):1799-803. doi: 10.1007/s00264-011-1240-8. Epub 2011 Mar 11.
Abstract
PURPOSE
The aim of this study was to report normal values of the tibial tuberosity-trochlear groove distance (TTTG) in males and females and assess the reliability of MRI in measuring TTTG.
METHODS
Patients presenting with a suspected meniscus injury without any patellofemoral or ligamentous instability, and arthroscopically normal cruciate ligaments and patellofemoral joints were included in the study. K-PACS© was used for MRI analysis and was performed by three observers blinded to each others' measurements.
RESULTS
One hundred patients (57 males, 43 females) were recruited from 2006-2010. The mean TTTG in males was 9.91 mm (95% CI 8.9-10.8 mm) and in females 10.04 mm (95% CI 8.9-11.1). The coefficient of variation was <10% for both intra and inter-observer analysis.
CONCLUSIONS
The normal TTTG distance is 10 ± 1 mm with MRI being a reliable method of measurement. Literature supports a high degree of variability in reporting TTTG. This study establishes normal TTTG values, which will help in the assessment and treatment of patellofemoral disorders.
摘要
目的
本研究旨在报告男性和女性胫骨结节-滑车沟距离（TTTG）的正常值，并评估 MRI 测量 TTTG 的可靠性。
方法
本研究纳入了 2006 年至 2010 年间因疑似半月板损伤而就诊，但髌股关节或韧带无不稳定且前后交叉韧带及髌股关节镜检查正常的患者。使用 K-PACS© 进行 MRI 分析，由 3 名观察者进行，彼此之间的测量结果均为盲法。
结果
共纳入 100 名患者（57 名男性，43 名女性）。男性 TTTG 的平均值为 9.91mm（95%CI 8.9-10.8mm），女性为 10.04mm（95%CI 8.9-11.1）。内、观察者间的变异系数均<10%。
结论
MRI 是一种可靠的测量方法，正常 TTTG 距离为 10±1mm。文献支持 TTTG 报告存在高度变异性。本研究确立了正常 TTTG 值，这将有助于髌股关节疾病的评估和治疗。
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2
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3
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4
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J Bone Joint Surg Br. 2008 Feb;90(2):180-5. doi: 10.1302/0301-620X.90B2.20017.
5
Surgical biomechanics of the patellofemoral joint.髌股关节的手术生物力学
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6
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7
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8
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9
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10
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