距骨后三角骨的存在和大小对踇长屈肌腱病变有影响吗？
Is there any effect of presence and size of os trigonum on flexor hallucis longus tendon lesions?
机构信息
Department of Orthopaedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey.
Department of Orthopaedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey.
出版信息
Foot Ankle Surg. 2020 Jun;26(4):469-472. doi: 10.1016/j.fas.2019.05.018. Epub 2019 Jun 5.
BACKGROUND
It was hypnotized that presence and larger size of os trigonum (OT) can affect flexor hallucis longus tendon (FHL), so tenosynovitis, degeneration and partial tear can be developed.
METHODS
A total of 98 (Study group: 50, Control: 48) subjects included to study and compered status of FHL lesions. Sagittal length and axial width of OT were measured on MRI to determine effect of OT on FHL lesions and correlated with arthroscopic findings.
RESULTS
FHL tenosynovitis (p: 0,025), degeneration (p: 0,01) and partial tear (p: 0.008) was identified statistically high in study group. Statistical analysis revealed that as length of OT increased, frequency of degeneration (p: 0.03) and partial tear (p: 0.00) of FHL increased.
CONCLUSION
Analyzes were showed that the presence of os trigonum had an important role on the FHL pathologies. Additional finding of study was to demonstrate that possibility of FHL lesion increased as length of OT extended.
LEVELS OF EVIDENCE
Level 3.
背景
有人认为，存在和较大的 Os trigonum（OT）可能会影响到屈趾长肌腱（FHL），从而导致腱鞘炎、变性和部分撕裂。
方法
共有 98 名受试者（研究组：50 名，对照组：48 名）纳入研究，并比较 FHL 病变的情况。通过 MRI 测量 OT 的矢状长度和轴向宽度，以确定 OT 对 FHL 病变的影响，并与关节镜检查结果相关联。
结果
研究组中 FHL 腱鞘炎（p：0.025）、变性（p：0.01）和部分撕裂（p：0.008）的发生率明显较高。统计分析表明，随着 OT 长度的增加，FHL 变性（p：0.03）和部分撕裂（p：0.00）的发生率也增加。
结论
分析表明，Os trigonum 的存在对 FHL 病变有重要作用。研究的另一个发现是，随着 OT 长度的增加，FHL 损伤的可能性增加。
证据等级
3 级。
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