Bozan Ahmet, Erhan Belgin
Department of Physical Medicine and Rehabilitation, İpekyolu Hospital, Mardin,Turkey.
Department of Physical Medicine and Rehabilitation, Medeniyet University, Faculty of Medicine, Istanbul, Turkey.
J Frailty Sarcopenia Falls. 2023 Sep 1;8(3):155-162. doi: 10.22540/JFSF-08-155. eCollection 2023 Sep.
In this study, we aimed to investigate the relationship between quadriceps muscle thickness and femoral cartilage thickness measured by ultrasonography (US) in knee osteoarthritis (OA), to correlate this relationship with radiographic stage and clinical parameters, and to compare these values with those in healthy young adults.
A total of 71 patients with knee osteoarthritis and 31 healthy young adults were included in the study. Patients with knee osteoarthritis (Group 1) and healthy young adults (Group 2) were divided into two groups. Muscle thickness measurements of the quadriceps femoris muscle (M. vastus intermedius + M. rectus femoris) were performed by US.
Bilateral quadriceps muscle thickness and bilateral femoral cartilage thickness values were significantly lower in Group 1 than in Group 2. The 10-metre walk test score and Time Up and Go (TUG) test score were significantly higher in Group 1 than in Group 2. A strong positive correlation was found between bilateral quadriceps (RF+VI) muscle thickness and bilateral femoral cartilage thickness (medial, intercondylar, lateral) in Group 1.
This study showed a strong positive correlation between quadriceps thickness and femoral cartilage thickness. According to these results, we conclude that US may have a place in the diagnosis of knee osteoarthritis.
在本研究中,我们旨在探讨超声(US)测量的股四头肌厚度与膝关节骨关节炎(OA)中股骨软骨厚度之间的关系,将这种关系与放射学分期和临床参数相关联,并将这些值与健康年轻成年人的值进行比较。
本研究共纳入71例膝关节骨关节炎患者和31名健康年轻成年人。膝关节骨关节炎患者(第1组)和健康年轻成年人(第2组)分为两组。通过超声测量股四头肌(股中间肌 + 股直肌)的肌肉厚度。
第1组的双侧股四头肌厚度和双侧股骨软骨厚度值显著低于第2组。第1组的10米步行试验评分和起立行走(TUG)试验评分显著高于第2组。在第1组中,双侧股四头肌(RF + VI)肌肉厚度与双侧股骨软骨厚度(内侧、髁间、外侧)之间发现强正相关。
本研究显示股四头肌厚度与股骨软骨厚度之间存在强正相关。根据这些结果,我们得出结论,超声可能在膝关节骨关节炎的诊断中占有一席之地。