Department of Radiology, Division of Musculoskeletal Radiology, NewYork-Presbyterian Hospital Columbia University Medical Center, 622 West 168th Street, MC-28, New York, NY, 10032, USA.
Department of Radiology, Division of Musculoskeletal Imaging, University of North Carolina at Chapel Hill, 101 Manning Dr. Chapel Hill, Chapell Hill, NC, 27514, USA.
Skeletal Radiol. 2020 Aug;49(8):1249-1258. doi: 10.1007/s00256-020-03405-z. Epub 2020 Mar 6.
To determine the prevalence of athletic pubalgia imaging findings on MRI in patients with femoroacetabular impingement and assess for correlative risk factors.
A retrospective search identified 156 hips with femoroacetabular impingement and a control group of 113 without femoroacetabular impingement that had an MRI performed between January 1, 2015, and January 1, 2018. Two fellowship-trained musculoskeletal radiologists reviewed studies for the presence of acute osteitis pubis, chronic osteitis pubis, adductor tendinosis, and tendon tear; rectus abdominis tendinosis and tendon tear; and aponeurotic plate tear. Findings were correlated with various clinical and imaging risk factors. Univariate and multivariate statistical analyses were performed.
Imaging findings of adductor tendinosis (p = 0.02) and chronic osteitis pubis (p = 0.01) were more prevalent in FAI patients than controls. Univariate analyses in FAI patients showed that an alpha angle ≥ 60° had a higher prevalence of aponeurotic plate tears (p = 0.02) and adductor tendinosis (p = 0.049). Multivariate analyses showed that an alpha angle ≥ 60° had a higher prevalence of chronic osteitis pubis (OR = 2.27, p = 0.031), sports participation had a higher prevalence of adductor tendon tears (OR = 4.69, p = 0.013) and chronic osteitis pubis (OR = 2.61, p = 0.0058), and males had a higher prevalence of acute osteitis pubis (OR = 5.17, p = 0.032).
Sports participation, alpha angle ≥ 60°, and male sex predict a higher prevalence of athletic pubalgia imaging findings in patients with femoroacetabular impingement.
确定髋关节撞击综合征患者的 MRI 影像学检查中运动性耻骨炎的发生率，并评估相关的危险因素。
回顾性搜索 2015 年 1 月 1 日至 2018 年 1 月 1 日期间进行 MRI 检查的 156 髋髋关节撞击综合征患者和 113 髋对照组，由 2 位 fellowship培训的肌肉骨骼放射科医生对研究进行急性耻骨炎、慢性耻骨炎、内收肌腱病和肌腱撕裂；腹直肌肌腱病和肌腱撕裂；和腱膜板撕裂的存在。将发现与各种临床和影像学危险因素相关联。进行了单变量和多变量统计分析。
与对照组相比，髋关节撞击综合征患者的内收肌腱病（p=0.02）和慢性耻骨炎（p=0.01）影像学表现更为常见。在髋关节撞击综合征患者中进行的单变量分析显示，α角≥60°的患者腱膜板撕裂（p=0.02）和内收肌腱病（p=0.049）的患病率更高。多变量分析显示，α角≥60°的患者慢性耻骨炎（OR=2.27，p=0.031）、运动参与内收肌腱撕裂（OR=4.69，p=0.013）和慢性耻骨炎（OR=2.61，p=0.0058）的患病率更高，男性急性耻骨炎（OR=5.17，p=0.032）的患病率更高。
运动参与、α角≥60°和男性性别预测髋关节撞击综合征患者运动性耻骨炎影像学表现的患病率更高。
