跟骨CT是识别跟腱疾病的有用工具：一项初步研究。
Calcaneal CT is a useful tool for identifying Achilles tendon disorders: a pilot study.
作者信息
Ficek Krzysztof, Filipek Jolanta, Ficek Joanna, Muzalewska Małgorzata, Humpa Filip
机构信息
The Jerzy Kukuczka Academy of Physical Education, Mikolowska 72A, 40-065, Katowice, Poland.
Galen-Orthopaedics, Jerzego 6, 43-150, Bierun, Poland.
出版信息
J Orthop Surg Res. 2017 Sep 25;12(1):139. doi: 10.1186/s13018-017-0638-4.
BACKGROUND
In various Achilles tendon disorders, little attention is paid to the bone environment at the tendon insertion sites. The aim of the present study was to assess the calcaneal bone structure in Achilles tendon disorders using computed tomography (CT).
METHODS
This study included 31 male patients diagnosed with various Achilles disorders, including episodes of tendon rupture (TR), conservatively treated tendinopathy (TP), and critical-stage Achilles TP treated with endoscopic surgery (TS). CT scans of both feet were conducted to assess the calcaneal bone structure in the TP and TS groups, which comprised 23 patients. Bone measurements were calculated, including the bone volume-to-total volume ratio (BV/TV), cross-sectional area (CSA), product moment of area (Ipm), and polar section modulus (Zpol).
RESULTS
The results demonstrated increased BV/TV, CSA, Ipm, and Zpol values in patients who underwent tendinoscopy and in patients with insertional TP.
CONCLUSIONS
CT images are useful for evaluating calcaneal trabecular structural alterations in patients with Achilles pathology and correlate with the TP type.
背景
在各种跟腱疾病中，人们很少关注肌腱附着部位的骨骼环境。本研究的目的是使用计算机断层扫描（CT）评估跟腱疾病患者的跟骨结构。
方法
本研究纳入了31名被诊断患有各种跟腱疾病的男性患者，包括肌腱断裂（TR）发作、保守治疗的肌腱病（TP）以及接受内镜手术治疗的临界期跟腱TP（TS）。对23名患者所在的TP组和TS组的双脚进行CT扫描，以评估跟骨结构。计算骨测量值，包括骨体积与总体积之比（BV/TV）、横截面积（CSA）、面积惯性矩（Ipm）和极惯性矩（Zpol）。
结果
结果显示，接受肌腱镜检查的患者以及插入性TP患者的BV/TV、CSA、Ipm和Zpol值升高。
结论
CT图像有助于评估跟腱病变患者的跟骨小梁结构改变，且与TP类型相关。
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