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评估外侧肱骨上髁炎与维生素 D 之间的关系。

Evaluation of the relationship between lateral epicondylitis and vitamin D.

机构信息

Konya Şehir Hastanesi Ortopedi ve Travmatoloji Kliniği, 42020 Karatay, Konya, Türkiye.

出版信息

Jt Dis Relat Surg. 2022;33(2):414-418. doi: 10.52312/jdrs.2022.686. Epub 2022 Jul 6.

Abstract

OBJECTIVES

This study aims to examine the relationship between low vitamin D levels and lateral epicondylitis (LE).

PATIENTS AND METHODS

Between January 2016 and January 2018, a total of 40 patients (17 males, 23 females; mean age: 38.6±10.7 years; range, 18 to 59 years) diagnosed with LE were included as the study group, while 66 patients (33 males, 33 females; mean age: 33.6±12.5 years; range, 18 to 58 years) who did not have any elbow complaints and met the study criteria were included as the control group. Both groups were compared in terms of vitamin D levels, of which levels of >30 ng/mL were considered normal, levels between 20-30 ng/mL were accepted as vitamin D insufficiency, and levels <20 ng/mL were categorized as vitamin D deficiency.

RESULTS

Vitamin D levels of the LE group were significantly lower than the control group (p<0.001). The mean vitamin D level was 16.47±8.22 (range, 8.32 to 39.55) ng/mL in the LE group, and 23.64±8.4 (range, 11.6 to 49) ng/mL in the control group. While 31 of the patients (77.5%) diagnosed with LE had vitamin D deficiency, four (10%) had vitamin D insufficiency, and five (12.5%) had normal vitamin D levels. In the control group, 29 (43.9%) patients had vitamin D deficiency, 20 (30.3%) had vitamin D insufficiency, and 17 (25.8%) had normal vitamin D levels.

CONCLUSION

Although the etiology of LE has not been fully understood yet, vitamin D levels were significantly lower in LE patients in our study. This finding supports that low vitamin D may be one of the factors in the etiology of LE.

摘要

目的

本研究旨在探讨维生素 D 水平低下与外侧肱骨上髁炎(LE)之间的关系。

患者与方法

在 2016 年 1 月至 2018 年 1 月期间,共有 40 名被诊断为 LE 的患者(男 17 名,女 23 名;平均年龄:38.6±10.7 岁;年龄范围:18 至 59 岁)被纳入研究组,同时纳入 66 名(男 33 名,女 33 名;平均年龄:33.6±12.5 岁;年龄范围:18 至 58 岁)无肘部不适且符合研究标准的患者作为对照组。比较两组维生素 D 水平,其中>30ng/ml 被认为是正常水平,20-30ng/ml 被认为是维生素 D 不足,<20ng/ml 被归类为维生素 D 缺乏。

结果

LE 组的维生素 D 水平明显低于对照组(p<0.001)。LE 组的平均维生素 D 水平为 16.47±8.22(范围:8.32 至 39.55)ng/ml,对照组为 23.64±8.4(范围:11.6 至 49)ng/ml。在被诊断为 LE 的 31 名患者中(77.5%),有 31 名患者(77.5%)患有维生素 D 缺乏症,4 名(10%)患有维生素 D 不足症,5 名(12.5%)维生素 D 水平正常。在对照组中,29 名(43.9%)患者患有维生素 D 缺乏症,20 名(30.3%)患有维生素 D 不足症,17 名(25.8%)维生素 D 水平正常。

结论

尽管 LE 的病因尚未完全阐明,但在我们的研究中,LE 患者的维生素 D 水平明显较低。这一发现支持低维生素 D 可能是 LE 病因之一的观点。

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