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人口统计学特征对膝关节形态学变量的影响:20 至 40 岁土耳其人群样本。

Effect of demographic features on morphometric variables of the knee joint: Sample of a 20 to 40-year-old Turkish population.

机构信息

Department of Orthopedics and Traumatology, Konya City Hospital, Konya, Turkey.

Department of Radiology, Konya City Hospital, Konya, Turkey.

出版信息

Medicine (Baltimore). 2023 Mar 17;102(11):e33253. doi: 10.1097/MD.0000000000033253.

Abstract

This study aimed to investigate the relationship between body mass index (BMI), age, and sex and morphological risk factors that may cause internal knee injuries. The magnetic resonance images of 728 participants who met the inclusion criteria and had a mean age of 34.4 ± 6.8 years were analyzed retrospectively. Demographic differences were analyzed by measuring 17 morphological parameters known to be associated with internal knee injuries. Men had a higher anterior cruciate ligament length (ACLL), anterior cruciate ligament width, (ACLW) lateral femoral condylar width (LFCW), medial femoral condylar width (MFCW), lateral femoral condylar depth (LFCD), distal femoral width (DFW), and intercondylar femoral width (IFW) than women (P < .05). By contrast, the medial meniscus bone angle (MMBA) was lower in men than in women (P < .05). Women aged 31 to 40 years had a lower Insall-Salvati index (ISI) and lateral tibial posterior slope (LTPS) than those aged 21 to 30 years (P < .05), whereas men aged 31 to 40 years had a lower ISI than those aged 21 to 30 years (P < .05). Women with BMI ≥ 30 had a higher LFCW and MFCW but a lower ISI than those with BMI < 30 (P < .05). Men with BMI ≥ 30 had a higher LFCW, MFCW, DFW, and MMBA than those with BMI < 30 (P < .05). The use of value ranges structured according to demographic characteristics, rather than a single value range for all patient groups, may contribute to the evaluation and treatment of the morphological features that are thought to be effective in the development of internal knee injuries. These values may also shed light on future radiological risk scoring systems and artificial intelligence applications in medicine.

摘要

本研究旨在探讨体重指数(BMI)、年龄和性别与可能导致内侧膝关节损伤的形态学危险因素之间的关系。回顾性分析了 728 名符合纳入标准且平均年龄为 34.4±6.8 岁的参与者的磁共振图像。通过测量已知与内侧膝关节损伤相关的 17 个形态学参数,分析了人口统计学差异。男性的前交叉韧带长度(ACLL)、前交叉韧带宽度(ACLW)、外侧股骨髁宽度(LFCW)、内侧股骨髁宽度(MFCW)、外侧股骨髁深度(LFCD)、股骨远端宽度(DFW)和髁间股骨宽度(IFW)均高于女性(P<.05)。相比之下,男性的内侧半月板骨角(MMBA)低于女性(P<.05)。31 至 40 岁的女性的 Insall-Salvati 指数(ISI)和胫骨后外侧倾斜角(LTPS)低于 21 至 30 岁的女性(P<.05),而 31 至 40 岁的男性的 ISI 低于 21 至 30 岁的男性(P<.05)。BMI≥30 的女性的 LFCW 和 MFCW 较高,ISI 较低,但 BMI<30 的女性(P<.05)。BMI≥30 的男性的 LFCW、MFCW、DFW 和 MMBA 高于 BMI<30 的男性(P<.05)。根据人口统计学特征构建的数值范围而非适用于所有患者群体的单一数值范围的使用,可能有助于评估和治疗内侧膝关节损伤相关的形态特征。这些数值还可能为未来的影像学风险评分系统和医学人工智能应用提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c03/10019148/91d7c058ad0e/medi-102-e33253-g001.jpg

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