• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

膝关节骨关节炎与半月板病变之间关系的评估。

Evaluation of the relationship between Knee Osteoarthritis and Meniscus Pathologies.

作者信息

Atik Irfan, Gul Enes, Atik Seda

机构信息

Sivas Cumhuriyet University Faculty of Medicine, Radiology, Sivas, Turkey.

Sivas Cumhuriyet University Faculty of Medicine, Physical Medicine And Rehabilitation Division of Rheumatology, Sivas, Turkey.

出版信息

Malawi Med J. 2024 Mar 20;36(1):48-52. doi: 10.4314/mmj.v36i1.8. eCollection 2024 Mar.

DOI:10.4314/mmj.v36i1.8
PMID:39086369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11287814/
Abstract

BACKGROUND

Knee osteoarthritis is a common, degenerative joint disease that causes chronic pain that affects daily life. Our study aims to evaluate geriatric patients aged 65 and over with knee pain in terms of osteoarthritis with radiography and magnetic resonance imaging and to investigate its relationship with meniscal pathologies.

METHODS

Radiography and magnetic resonance imaging of patients aged 65-88 years with knee pain were evaluated in terms of knee osteoarthritis and staging was performed. Meniscal pathologies were evaluated in magnetic resonance imaging, and the prevalence of different meniscal lesion types was calculated. In addition, the relationship between knee osteoarthritis and meniscal pathologies was analyzed.

RESULTS

Radiographic evidence of knee osteoarthritis was found in 182 (84.2%) of the 216 cases in our study group. A strong correlation was found between the degrees of knee osteoarthritis on magnetic resonance imaging and radiography. At least one meniscus pathology was observed in all 182 radiography cases with knee osteoarthritis findings. At least one meniscus pathology was observed in 29 (85.3%) of those without osteoarthritis signs. It was determined that meniscus degeneration, tear, and extrusion were observed more frequently in patients with knee osteoarthritis than in patients without osteoarthritis. Meniscal extrusion and complex and horizontaltype tears were the most common lesions.

CONCLUSIONS

Osteoarthritis was found to be common in geriatric patients with knee pain. A correlation was found between radiography and magnetic resonance imaging regarding knee osteoarthritis. It was observed that meniscal pathologies were detected more frequently in patients with knee osteoarthritis.

摘要

背景

膝关节骨关节炎是一种常见的退行性关节疾病，会导致影响日常生活的慢性疼痛。我们的研究旨在通过X线摄影和磁共振成像评估65岁及以上有膝关节疼痛的老年患者的骨关节炎情况，并研究其与半月板病变的关系。

方法

对65 - 88岁有膝关节疼痛的患者进行X线摄影和磁共振成像检查，评估膝关节骨关节炎情况并进行分期。在磁共振成像中评估半月板病变，计算不同类型半月板损伤的患病率。此外，分析膝关节骨关节炎与半月板病变之间的关系。

结果

在我们的研究组216例病例中，182例（84.2%）有膝关节骨关节炎的X线证据。磁共振成像和X线摄影显示的膝关节骨关节炎程度之间存在很强的相关性。在所有182例有膝关节骨关节炎X线表现的病例中均观察到至少一种半月板病变。在无骨关节炎体征的患者中，29例（85.3%）观察到至少一种半月板病变。确定膝关节骨关节炎患者比无骨关节炎患者更频繁地观察到半月板退变、撕裂和挤压。半月板挤压以及复杂型和水平型撕裂是最常见的病变。

结论

发现骨关节炎在有膝关节疼痛的老年患者中很常见。X线摄影和磁共振成像在膝关节骨关节炎方面存在相关性。观察到膝关节骨关节炎患者更频繁地检测到半月板病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1cc/11287814/57c4ef4f7b92/MMJ3601-0048Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1cc/11287814/9960eccd9501/MMJ3601-0048Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1cc/11287814/57c4ef4f7b92/MMJ3601-0048Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1cc/11287814/9960eccd9501/MMJ3601-0048Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1cc/11287814/57c4ef4f7b92/MMJ3601-0048Fig2.jpg

相似文献

1
Evaluation of the relationship between Knee Osteoarthritis and Meniscus Pathologies.膝关节骨关节炎与半月板病变之间关系的评估。
Malawi Med J. 2024 Mar 20;36(1):48-52. doi: 10.4314/mmj.v36i1.8. eCollection 2024 Mar.
2
The mediating role of synovitis in meniscus pathology and knee osteoarthritis radiographic progression.滑膜炎症在半月板病理和膝关节骨关节炎放射学进展中的中介作用。
Sci Rep. 2024 May 29;14(1):12335. doi: 10.1038/s41598-024-63291-6.
3
Meniscus morphology: Does tear type matter? A narrative review with focus on relevance for osteoarthritis research.半月板形态：撕裂类型重要吗？一项侧重于骨关节炎研究相关性的叙述性综述。
Semin Arthritis Rheum. 2017 Apr;46(5):552-561. doi: 10.1016/j.semarthrit.2016.11.005. Epub 2016 Nov 24.
4
The relationship between meniscal pathology and osteoarthritis depends on the type of meniscal damage visible on magnetic resonance images: data from the Osteoarthritis Initiative.半月板病变与骨关节炎之间的关系取决于磁共振成像上可见的半月板损伤类型：来自骨关节炎倡议组织的数据。
Osteoarthritis Cartilage. 2017 Jan;25(1):76-84. doi: 10.1016/j.joca.2016.08.004. Epub 2016 Aug 15.
5
The clinical importance of meniscal tears demonstrated by magnetic resonance imaging in osteoarthritis of the knee.磁共振成像显示的半月板撕裂在膝关节骨关节炎中的临床重要性。
J Bone Joint Surg Am. 2003 Jan;85(1):4-9. doi: 10.2106/00004623-200301000-00002.
6
Tear gap and severity of osteoarthritis are associated with meniscal extrusion in degenerative medial meniscus posterior root tears.半月板后根撕裂中，撕裂间隙和骨关节炎严重程度与半月板外突有关。
Orthop Traumatol Surg Res. 2019 Nov;105(7):1395-1399. doi: 10.1016/j.otsr.2019.09.015. Epub 2019 Sep 28.
7
Meniscal Root Tears and Extrusion Are Significantly Associated with the Development of Accelerated Knee Osteoarthritis: Data from the Osteoarthritis Initiative.半月板根撕裂和挤出与加速膝关节骨关节炎的发展显著相关：来自骨关节炎倡议的数据。
Cartilage. 2021 Dec;13(1_suppl):239S-248S. doi: 10.1177/1947603520934525. Epub 2020 Jun 21.
8
Medial meniscal extrusion: Detection, evaluation and clinical implications.内侧半月板挤压：检测、评估与临床意义。
Eur J Radiol. 2018 May;102:115-124. doi: 10.1016/j.ejrad.2018.03.007. Epub 2018 Mar 6.
9
Incidental meniscal findings on knee MRI in middle-aged and elderly persons.中老年人群膝关节磁共振成像中半月板的偶然发现。
N Engl J Med. 2008 Sep 11;359(11):1108-15. doi: 10.1056/NEJMoa0800777.
10
Evidence that meniscus damage may be a component of osteoarthritis: the Framingham study.半月板损伤可能是骨关节炎的一个组成部分的证据：弗雷明汉姆研究。
Osteoarthritis Cartilage. 2016 Feb;24(2):270-3. doi: 10.1016/j.joca.2015.08.005. Epub 2015 Aug 28.

引用本文的文献

1
The Impact of Aging on Meniscal Tears and Chondral Lesions in Men: Insights from First-Time Arthroscopic Knee Evaluation.衰老对男性半月板撕裂和软骨损伤的影响：首次膝关节关节镜评估的见解
Life (Basel). 2025 Aug 17;15(8):1305. doi: 10.3390/life15081305.
2
Correlation analysis between the mDIXON-quant fat quantification parameters of the infrapatellar fat pad and the severity of knee osteoarthritis.髌下脂肪垫的mDIXON定量脂肪定量参数与膝关节骨关节炎严重程度的相关性分析。
J Orthop Surg Res. 2025 Mar 17;20(1):288. doi: 10.1186/s13018-025-05687-2.
3
[Relationship between knee meniscus and posterior tibial slope in healthy adults and patients with anteromedial osteoarthritis in Heilongjiang province].

本文引用的文献

1
Meniscus Tear: Pathology, Incidence, and Management.半月板撕裂：病理学、发病率及治疗
Cureus. 2022 May 18;14(5):e25121. doi: 10.7759/cureus.25121. eCollection 2022 May.
2
Recent Updates of Diagnosis, Pathophysiology, and Treatment on Osteoarthritis of the Knee.膝关节骨关节炎的诊断、病理生理学和治疗的最新进展。
Int J Mol Sci. 2021 Mar 5;22(5):2619. doi: 10.3390/ijms22052619.
3
The heritability of doctor-diagnosed traumatic and degenerative meniscus tears.医生诊断的创伤性和退变性半月板撕裂的遗传度。
[黑龙江省健康成年人及前内侧骨关节炎患者膝关节半月板与胫骨后倾坡度的关系]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2025 Jan 15;39(1):32-39. doi: 10.7507/1002-1892.202410045.
Osteoarthritis Cartilage. 2021 Jul;29(7):979-985. doi: 10.1016/j.joca.2021.03.005. Epub 2021 Mar 17.
4
Meniscal Lesions in Geriatric Population: Prevalence and Association with Knee Osteoarthritis.老年人群中的半月板损伤：患病率及其与膝关节骨关节炎的关联
Curr Aging Sci. 2019;12(1):67-73. doi: 10.2174/1874609812666190628112103.
5
Structural abnormalities detected by knee magnetic resonance imaging are common in middle-aged subjects with and without risk factors for osteoarthritis.膝关节磁共振成像检测到的结构异常在有和无骨关节炎危险因素的中年人群中很常见。
Acta Orthop. 2018 Oct;89(5):535-540. doi: 10.1080/17453674.2018.1495164. Epub 2018 Jul 17.
6
Association of medial meniscal extrusion with medial tibial osteophyte distance detected by T2 mapping MRI in patients with early-stage knee osteoarthritis.T2 映射 MRI 检测到的早期膝关节骨关节炎患者内侧半月板挤出与内侧胫骨骨赘距离的相关性。
Arthritis Res Ther. 2017 Sep 12;19(1):201. doi: 10.1186/s13075-017-1411-0.
7
Role of Ultrasonography in Knee Osteoarthritis.超声检查在膝关节骨关节炎中的作用
J Clin Rheumatol. 2016 Sep;22(6):324-9. doi: 10.1097/RHU.0000000000000436.
8
Loaded versus unloaded magnetic resonance imaging (MRI) of the knee: Effect on meniscus extrusion in healthy volunteers and patients with osteoarthritis.膝关节负重与非负重磁共振成像（MRI）：对健康志愿者和骨关节炎患者半月板挤出的影响
Eur J Radiol Open. 2016 May 20;3:100-7. doi: 10.1016/j.ejro.2016.05.002. eCollection 2016.
9
Change in knee structure and change in tibiofemoral joint space width: a five year longitudinal population-based study.膝关节结构变化与胫股关节间隙宽度变化：一项基于人群的五年纵向研究。
BMC Musculoskelet Disord. 2016 Jan 14;17:25. doi: 10.1186/s12891-016-0879-0.
10
Meniscal extrusion promotes knee osteoarthritis structural progression: protective effect of strontium ranelate treatment in a phase III clinical trial.半月板挤出促进膝关节骨关节炎的结构进展：雷奈酸锶治疗在一项III期临床试验中的保护作用。
Arthritis Res Ther. 2015 Mar 23;17(1):82. doi: 10.1186/s13075-015-0579-4.