外侧髌旁支持带水肿和滑车切迹角与单纯内侧髌股关节间室骨关节炎相关。
Superolateral Hoffa's Fat Pad Edema and Trochlear Sulcal Angle Are Associated With Isolated Medial Patellofemoral Compartment Osteoarthritis.
机构信息
Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Orthopedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Genetics, University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
出版信息
Can Assoc Radiol J. 2018 Nov;69(4):450-457. doi: 10.1016/j.carj.2018.07.010.
PURPOSE
To evaluate whether mediopatellar plica and knee morphometric measurements obtained from magnetic resonance imaging (MRI) studies are associated with isolated medial patellofemoral osteoarthritis in young adults.
METHODS
MRI studies from 60 patients with isolated medial patellofemoral osteoarthritis and 90 control patients with normal knee MRI studies were reviewed. The presence of mediopatellar plica, the presence of edema in the superolateral aspect of Hoffa's fat pad and suprapatellar fat pad, quadriceps and patellar tendinosis, and axial and sagittal alignment of the patellar and trochlear morphology were assessed using MRI. The relationship between mediopatellar plica, alignment, or morphology and the presence of isolated medial patellofemoral osteoarthritis was evaluated using logistic regression.
RESULTS
Superolateral Hoffa's fat pad edema (odds ratio [OR] = 3.4, P = .009) and decreased trochlear sulcal angle (OR = 0.95, P = .045) were associated with increased odds of isolated medial patellofemoral osteoarthritis. Decreased lateral patellar tilt (OR = 0.93, P = .087) and patellar tendinosis (OR = 4.13, P = .103) trended toward being associated with increased odds of isolated medial patellofemoral osteoarthritis but were not statistically significant. No significant association was seen between the presence of mediopatellar plica and medial patellofemoral osteoarthritis (OR = 0.95, P = .353).
CONCLUSIONS
Medial patellofemoral osteoarthritis is associated with trochlear morphology and patellar alignment but not with mediopatellar plica.
目的
评估磁共振成像（MRI）研究中获得的中髌骨滑膜襞和膝关节形态测量值是否与年轻人的孤立性内侧髌股关节炎有关。
方法
回顾了 60 例孤立性内侧髌股关节炎患者和 90 例膝关节 MRI 正常的对照患者的 MRI 研究。使用 MRI 评估中髌骨滑膜襞、Hoffa 脂肪垫外侧上部分和髌上脂肪垫水肿、股四头肌和髌骨肌腱病以及髌骨和滑车形态的轴向和矢状排列情况。使用逻辑回归评估中髌骨滑膜襞、排列或形态与孤立性内侧髌股关节炎之间的关系。
结果
外侧 Hoffa 脂肪垫水肿（比值比[OR] = 3.4，P =.009）和滑车沟角减小（OR = 0.95，P =.045）与孤立性内侧髌股关节炎的发生几率增加相关。外侧髌骨倾斜度减小（OR = 0.93，P =.087）和髌骨肌腱病（OR = 4.13，P =.103）与孤立性内侧髌股关节炎的发生几率增加有关，但无统计学意义。中髌骨滑膜襞的存在与内侧髌股关节炎之间未见显著相关性（OR = 0.95，P =.353）。
结论
内侧髌股关节炎与滑车形态和髌骨排列有关，但与中髌骨滑膜襞无关。
Zotero 插件