解剖因素对非接触性前交叉韧带损伤影响的性别差异：一项磁共振研究。
Gender differences in the impact of anatomical factors on non-contact anterior cruciate ligament injuries: a magnetic resonance study.
机构信息
Department of Orthopedics, The Second Affiliated Hospital, Soochow University, 1055 Sanxiang Road, Suzhou, Jiangsu, 215004, P.R. China.
出版信息
BMC Musculoskelet Disord. 2024 Apr 4;25(1):264. doi: 10.1186/s12891-024-07390-5.
PURPOSE
To identify MRI-detected anatomical risk factors for non-contact anterior cruciate ligament (ACL) injuries across genders.
METHODS
A retrospective analysis was performed on 141 ACL-reconstructed patients (35 females, 106 males) and 142 controls (37 females, 105 males) from January 2020 to April 2022. Inclusion criteria were primary non-contact ACL injuries. The tibial plateau slope, lateral femoral condyle index, Insall-Salvati index, and patellar tendon angle were measured, using binary logistic regression for gender-specific risk evaluation.
RESULTS
Increased lateral tibial plateau slope, reduced intercondylar notch width index, lateral femoral condyle index, and patellar tendon angle correlated with ACL injuries in both genders. The Insall-Salvati index was a significant risk factor in females but not in males.
CONCLUSION
This study identifies the lateral tibial plateau slope, notch width index, lateral femoral condyle index, and patellar tendon angle at near-extension as risk factors for ACL injuries in both genders, with the Insall-Salvati index also implicated in females.
目的
确定 MRI 检测到的解剖学危险因素，以预测男女之间非接触性前交叉韧带（ACL）损伤。
方法
对 2020 年 1 月至 2022 年 4 月期间的 141 例 ACL 重建患者（35 名女性，106 名男性）和 142 名对照者（37 名女性，105 名男性）进行了回顾性分析。纳入标准为初次非接触性 ACL 损伤。使用二元逻辑回归对性别特异性风险进行评估，测量胫骨平台斜率、外侧股骨髁指数、Insall-Salvati 指数和髌腱角。
结果
外侧胫骨平台斜率增加、髁间切迹宽度指数减小、外侧股骨髁指数和髌腱角减小与男女 ACL 损伤相关。Insall-Salvati 指数是女性的一个显著危险因素，但不是男性的。
结论
本研究确定了接近伸展位时的外侧胫骨平台斜率、切迹宽度指数、外侧股骨髁指数和髌腱角是男女 ACL 损伤的危险因素，Insall-Salvati 指数也与女性有关。
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