确定与前交叉韧带损伤患者生活质量相关的临床和 MRI 特征：长期预后的预测因素。
Identifying Clinical and MRI Characteristics Associated with Quality of Life in Patients with Anterior Cruciate Ligament Injury: Prognostic Factors for Long-Term.
机构信息
Musculoskeletal Pain and Motor Control Research Group, Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain.
Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain.
出版信息
Int J Environ Res Public Health. 2021 Dec 6;18(23):12845. doi: 10.3390/ijerph182312845.
BACKGROUND
Associated lesions in the diagnostic MRI may be related to worse long-term subjective outcomes. There is a lack of conclusive information about the long-term outcomes of associated injuries in anterior cruciate ligament (ACL) tears. The purpose of this study is to assess the long-term effects of associated injuries in ACL tears measured by means of a quality of life (QOL) assessment.
METHODS
A retrospective cohort study of 225 consecutive patients admitted for physical therapy with ACL injury (42 ± 12 years, 28.2% female) were conducted. All demographic and clinical variables were used to measure a QOL. Univariate and multivariable analyses were completed.
RESULTS
The mean follow-up period was 8.4 ± 2.6 years. In univariate analysis, male gender, and sports as the cause of the ACL lesion were factors significantly associated with improved International Knee Documentation Committee (IKDC) scores at the end of follow-up (all < 0.002). In multivariable analysis, the occurrence of bone contusion was positively associated with injury (OR = 2.12) and negatively associated with sports injury (OR = 0.44) and medial collateral ligament (MCL) injury (OR = 0.48).
CONCLUSIONS
After ACL injury, male gender and sports injury were associated with better clinical outcomes.
背景
诊断性 MRI 中的相关病变可能与长期主观结局较差有关。对于前交叉韧带（ACL）撕裂相关损伤的长期结局，目前尚无明确的信息。本研究的目的是通过生活质量（QOL）评估来评估 ACL 撕裂相关损伤的长期影响。
方法
对 225 例连续接受 ACL 损伤物理治疗的患者（42±12 岁，28.2%为女性）进行回顾性队列研究。所有人口统计学和临床变量均用于测量 QOL。完成了单变量和多变量分析。
结果
平均随访时间为 8.4±2.6 年。在单变量分析中，男性和运动是 ACL 损伤的原因，是与随访结束时国际膝关节文献委员会（IKDC）评分改善显著相关的因素（均<0.002）。在多变量分析中，骨挫伤的发生与损伤呈正相关（OR=2.12），与运动损伤（OR=0.44）和内侧副韧带（MCL）损伤（OR=0.48）呈负相关。
结论
ACL 损伤后，男性和运动损伤与更好的临床结局相关。
Zotero 插件