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体力要求高职业的年轻男性前交叉韧带累积性损伤的危险因素。

Risk factors of young males with physically demanding occupations having accumulated damage of anterior cruciate ligament.

机构信息

Department of Orthopaedics, General Hospital of Shengyang Military Area Command of Chinese PLA, Shenyang, China.

Department of Orthopaedics, the Fourth medical center of Chinese PLA General Hospital, Beijing, China.

出版信息

Orthop Surg. 2022 Jun;14(6):1109-1114. doi: 10.1111/os.13276. Epub 2022 Apr 27.

DOI:10.1111/os.13276
PMID:35478322
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9163968/
Abstract

OBJECTIVE

To present the clinical characteristics of accumulated anterior cruciate ligament (ACL) damage among young male patients undergoing routine exercise, and to evaluate the related risk factors.

METHODS

A retrospective study involving ACL-accumulated damage from June 2015 to December 2019 was conducted. Baseline characteristics, such as age, body mass index (BMI), training parameters, and clinical signs, were recorded. The results of the radiologic examinations and related standardized tests were obtained to evaluate the research outcomes. These results were compared using Student's t-test or Chi-square test, and the impact of risk factors on the patient's injury were analyzed.

RESULTS

A total of 86 men with accumulated ACL damage were included in this study. Exercise pain (86 [100%]), synovitis (80 [93.0%]), and intra-articular effusion (79 [91.9%]) were the most common clinical symptoms. Loosening of ligaments, decreased tension, mild hyperplasia, and intercondylar fossa effusion were observed using radiography, magnetic resonance imaging, and arthroscopy. Age, BMI, training intensity, length of training, and knee hyperextension were identified as risk factors for accumulated ACL damage.

CONCLUSION

This study suggests that accumulated ACL damage has differentiated clinical symptoms, imaging features, and risk factors compared to common ACL injuries.

摘要

目的

介绍年轻男性患者在日常运动中累积性前交叉韧带(ACL)损伤的临床特征,并评估相关的危险因素。

方法

回顾性研究了 2015 年 6 月至 2019 年 12 月期间累积性 ACL 损伤的病例。记录了基线特征,如年龄、体重指数(BMI)、训练参数和临床体征。获取放射学检查和相关标准化测试的结果,以评估研究结果。使用 Student's t 检验或卡方检验进行比较,并分析危险因素对患者损伤的影响。

结果

本研究共纳入 86 例累积性 ACL 损伤的男性患者。运动时疼痛(86 [100%])、滑膜炎(80 [93.0%])和关节内积液(79 [91.9%])是最常见的临床症状。通过 X 线、磁共振成像和关节镜检查观察到韧带松弛、张力降低、轻度增生和髁间窝积液。年龄、BMI、训练强度、训练时间和膝关节过伸被确定为累积性 ACL 损伤的危险因素。

结论

与常见的 ACL 损伤相比,本研究表明累积性 ACL 损伤具有不同的临床症状、影像学特征和危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d7d/9163968/3a4719d4ed27/OS-14-1109-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d7d/9163968/5dc91f844d35/OS-14-1109-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d7d/9163968/66dd7daa8c03/OS-14-1109-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d7d/9163968/f2ceaed5d0a2/OS-14-1109-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d7d/9163968/1aaffdf2aace/OS-14-1109-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d7d/9163968/3a4719d4ed27/OS-14-1109-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d7d/9163968/5dc91f844d35/OS-14-1109-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d7d/9163968/66dd7daa8c03/OS-14-1109-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d7d/9163968/f2ceaed5d0a2/OS-14-1109-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d7d/9163968/1aaffdf2aace/OS-14-1109-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d7d/9163968/3a4719d4ed27/OS-14-1109-g001.jpg

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