Relationship between bone bruise volume and the presence of meniscal tears in acute anterior cruciate ligament rupture
Relationship between bone bruise volume and the presence of meniscal tears in acute anterior cruciate ligament rupture
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DOI：
10.1007/s00167-013-2657-y
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发表时间：
2014-09-01
影响因子：
3.8
通讯作者：
Fu, Freddie H.
中科院分区：
文献类型：
--
作者：
Illingworth, Kenneth D.;Hensler, Daniel;Fu, Freddie H.
为了确定急性前交叉韧带（ACL）断裂后骨挫伤体积的大小与内侧和外侧间室中存在韧带撕裂之间是否存在关系，在机构审查委员会批准后，确定了50例急性ACL断裂患者，并在损伤后30天内进行了MRI成像。两名肌肉骨骼放射科医生评价了外侧和内侧半月板，并将其分级为以下之一：无半月板撕裂、一侧半月板撕裂（内侧或外侧）或两侧半月板撕裂（内侧和外侧）。使用SSTT2脂肪抑制图像计算骨挫伤体积。计算骨挫伤体积与半月板撕裂之间的关系，43例（86%）患者有骨挫伤，16例（32%）患者无撕裂，7例（14%）患者有外侧半月板撕裂，13例（26%）患者有内侧撕裂，14例（28%）患者有内侧和外侧撕裂。有一个统计学上的显着差异，在股骨挫伤体积比较时，无踝关节撕裂内侧和外侧撕裂，以及当比较内侧或外侧撕裂内侧和外侧tears.There是一个统计学上的显着关系之间的股骨挫伤体积和踝关节撕裂的ACL损伤，特别是在设置内侧和外侧pathology.Retrospective队列研究，III级。
To determine whether there is a relationship between the size of the bone bruise volume after an acute anterior cruciate ligament (ACL) rupture and the presence of meniscal tears in the medial and lateral compartment.Following Institutional Review Board approval, 50 patients with an acute ACL rupture and MRI imaging within 30 days of injury were identified. Two musculoskeletal radiologists evaluated the lateral and medial menisci and graded them as one of the following: no meniscal tear, tear of one meniscus (medial or lateral) or tear of both menisci (medial and lateral). Sagittal T2 fat-suppressed images were used to calculate bone bruise volume. The relationship between bone bruise volume and the presence of a meniscus tear was calculated.Forty-three (86 %) patients had a bone bruise, 16 (32 %) patients had no tear, 7 (14 %) patients had lateral meniscus tear, 13 (26 %) patients had medial tear and 14 (28 %) patients had medial and lateral tears. There was a statistically significant difference in femoral bone bruise volume when comparing no meniscal tear to medial and lateral tears as well as when comparing medial or lateral tears to medial and lateral tears.There is a statistically significant relationship between femoral bone bruise volume and the presence of meniscal tears in ACL injury, especially in the setting of medial and lateral pathology.Retrospective cohort study, Level III.