膝关节骨关节炎患者与健康受试者膝关节肌腱病灶的肌肉骨骼超声成像差异
[Difference of musculoskeletal ultrasound imaging of focus of knee joint tendon between patients with knee osteoarthritis and healthy subjects].
作者信息
Dong Bao-Qiang, Lin Xing-Xing, Wang Lei-Chao, Wang Qian, Hong Lin-Wei, Fu Yu, Shi Yue
机构信息
College of Acupuncture-Moxibustion and Tuina, Liaoning University of TCM, Shenyang 110847, China.
出版信息
Zhongguo Zhen Jiu. 2021 Mar 12;41(3):303-6. doi: 10.13703/j.0255-2930.20200317-k0001.
OBJECTIVE
To observe the imaging features of focus of knee joint tendon in patients with knee osteoarthritis (KOA) by musculoskeletal ultrasound (MSUS) technique.
METHODS
One hundred KOA patients and 100 healthy subjects were included. All the KOA patients were palpated by the sequence of foot meridian, foot meridian, foot meridian and foot three -meridians, and the focus of knee tendon and its frequency were recorded by MSUS technique. The top-5 focus of knee tendon of KOA patients and the corresponding focus of knee tendon of healthy subjects were selected as the observation sites to compare the differences of thickness of ligament and tendon soft tissue in the extension and flexion positions of the knee joint.
RESULTS
The top-5 focus of knee tendon of KOA patients were located in medial inferior patella, medial tibial condyle, inferior patella, Zusanlici and Hedingci. The thickness of ligaments and tendons in extension and flexion positions in KOA patients were thicker than that in healthy subjects (<0.05).
CONCLUSION
The focus of knee joint tendon in KOA patients shows significantly thickened musculoskeletal imaging features.
目的
采用肌肉骨骼超声（MSUS）技术观察膝关节骨关节炎（KOA）患者膝关节肌腱病灶的影像学特征。
方法
纳入100例KOA患者和100例健康受试者。对所有KOA患者按足阳明经、足少阳经、足太阳经及足三阴经顺序进行触诊，采用MSUS技术记录膝关节肌腱病灶及其出现频率。选取KOA患者膝关节肌腱病灶排名前5位的部位及健康受试者相应的膝关节肌腱部位作为观察点，比较膝关节屈伸位时韧带及肌腱软组织厚度的差异。
结果
KOA患者膝关节肌腱病灶排名前5位的部位分别位于髌下内侧、胫骨内侧髁、髌下、足三里和鹤顶。KOA患者膝关节屈伸位时韧带及肌腱厚度均大于健康受试者（P<0.05）。
结论
KOA患者膝关节肌腱病灶呈现出明显增厚的肌肉骨骼影像学特征。
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