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内侧半月板后根部撕裂发生后短期非负重隧道位 X 线评估的有用性：一项回顾性研究。

Evaluation of the usefulness of non-weight-bearing tunnel view using X-ray in the short term after medial meniscus posterior root tear onset: a retrospective study.

机构信息

Department of Orthopedic Surgery, Nihon Koukan Hospital, 1-2-1 Koukandori, Kawasaki-ku, Kanagawa, 210-0852, Japan.

Department of Orthopedic Surgery, Showa University School of Medicine, Tokyo, Japan.

出版信息

BMC Musculoskelet Disord. 2024 Aug 6;25(1):628. doi: 10.1186/s12891-024-07751-0.

DOI:10.1186/s12891-024-07751-0
PMID:39107775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11304616/
Abstract

BACKGROUND

This study aimed to examine whether the non-weight-bearing tunnel view X-ray is effective for short-term evaluation of medial meniscus posterior root tear (MMPRT) by assessing the X-ray characteristics at the initial and follow-up visits.

METHODS

This was a retrospective longitudinal study of 26 enrolled knees diagnosed with MMPRT on magnetic resonance imaging. The distance between the medial tibial eminence and medial femoral condyle (MTE-MFC distance) and medial tibiofemoral joint (MTFJ) width were measured by obtaining non-weight-bearing tunnel view and frontal view X-ray radiographs. The initial and follow-up values at a median interval of 17 days were compared. Additionally, the correlations between the MTE-MFC distance increase rate and body mass index (BMI), age, femorotibial angle (FTA), and posterior tibial slope (PTS) were evaluated using linear regression analysis.

RESULTS

The tunnel view images of the initial and follow-up X-rays showed a significant increase in the MTE-MFC distance and a significant decrease in the MTFJ width. Furthermore, a moderate correlation was observed between the change in the MTE-MFC distance and the time interval between X-rays. However, no substantial correlation was observed for the change in the MTFJ width over time. Moreover, no significant correlation was observed between the change in the MTE-MFC distance in the non-weight-bearing tunnel view and BMI, age, FTA, and PTS.

CONCLUSIONS

The non-weight-bearing tunnel view is highly beneficial for evaluating MMPRT progression in the short term.

摘要

背景

本研究旨在通过评估初始和随访时 X 射线特征，探讨非负重位隧道位 X 射线检查对内侧半月板后根撕裂（MMPRT）短期评估的有效性。

方法

这是一项回顾性纵向研究，共纳入 26 例经磁共振成像诊断为 MMPRT 的膝关节。通过获取非负重位隧道位和正位 X 射线片，测量胫骨内侧嵴与股骨内侧髁（MTE-MFC 距离）和内侧胫股关节（MTFJ）宽度。比较中位间隔 17 天的初始值和随访值。此外，采用线性回归分析评估 MTE-MFC 距离增加率与体重指数（BMI）、年龄、股胫角（FTA）和后胫骨倾斜角（PTS）之间的相关性。

结果

初始和随访 X 射线的隧道位图像显示 MTE-MFC 距离显著增加，MTFJ 宽度显著减小。此外，MTE-MFC 距离变化与 X 射线间隔时间之间存在中度相关性。然而，MTFJ 宽度随时间的变化无显著相关性。此外，非负重位隧道位 X 射线的 MTE-MFC 距离变化与 BMI、年龄、FTA 和 PTS 之间无显著相关性。

结论

非负重位隧道位 X 射线对 MMPRT 的短期进展评估非常有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f81/11304616/f44bd2a7afb1/12891_2024_7751_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f81/11304616/0c10828a5bf5/12891_2024_7751_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f81/11304616/02ee7c0ac2f1/12891_2024_7751_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f81/11304616/4580f0875b1a/12891_2024_7751_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f81/11304616/d94ffd72bb6c/12891_2024_7751_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f81/11304616/f44bd2a7afb1/12891_2024_7751_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f81/11304616/0c10828a5bf5/12891_2024_7751_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f81/11304616/02ee7c0ac2f1/12891_2024_7751_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f81/11304616/4580f0875b1a/12891_2024_7751_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f81/11304616/d94ffd72bb6c/12891_2024_7751_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f81/11304616/f44bd2a7afb1/12891_2024_7751_Fig5_HTML.jpg

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本文引用的文献

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Diagnostics (Basel). 2023 Nov 26;13(23):3532. doi: 10.3390/diagnostics13233532.
2
Nonoperative Management of Degenerative Medial Meniscus Posterior Root Tears: Poor Outcomes at a Minimum 10-Year Follow-up.退行性内侧半月板后根撕裂的非手术治疗：至少 10 年随访结果不佳。
Am J Sports Med. 2023 Aug;51(10):2603-2607. doi: 10.1177/03635465231185132. Epub 2023 Jul 12.
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Development and Analysis of Mouse Medial Meniscus Posterior Root Tear Model.
小鼠内侧半月板后根撕裂模型的建立与分析
Calcif Tissue Int. 2023 Jan;112(1):55-65. doi: 10.1007/s00223-022-01028-1. Epub 2022 Oct 15.
4
Quantitative MRI evaluation of articular cartilage in patients with meniscus tear.定量 MRI 评估半月板撕裂患者的关节软骨。
Front Endocrinol (Lausanne). 2022 Jul 29;13:911893. doi: 10.3389/fendo.2022.911893. eCollection 2022.
5
Medial Tibial Osteophyte Width Strongly Reflects Medial Meniscus Extrusion Distance and Medial Joint Space Width Moderately Reflects Cartilage Thickness in Knee Radiographs.膝关节 X 线片中，胫骨内侧骨赘宽度强烈反映内侧半月板挤出距离，而内侧关节间隙宽度适度反映软骨厚度。
J Magn Reson Imaging. 2022 Sep;56(3):824-834. doi: 10.1002/jmri.28079. Epub 2022 Jan 27.
6
Potential of the non-weight-bearing tunnel view in diagnosing medial meniscus posterior root tear: a pilot study of X-ray characteristics.非负重隧道位视图在诊断内侧半月板后根撕裂中的潜力：X线特征的初步研究
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