Medial meniscus extrusion is directly correlated with medial tibial osteophyte in patients received reconstruction surgery for anterior cruciate ligament injury: A longitudinal study.
Medial meniscus extrusion is directly correlated with medial tibial osteophyte in patients received reconstruction surgery for anterior cruciate ligament injury: A longitudinal study.
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DOI：
10.1016/j.ocarto.2022.100320
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发表时间：
2022-12
期刊：
影响因子：
--
通讯作者：
Ishijima, Muneaki
中科院分区：
文献类型：
--
作者：
Hada, Shinnosuke;Kaneko, Haruka;Liu, Lizu;Aoki, Takako;Takamura, Tomohiro;Kinoshita, Mayuko;Arita, Hitoshi;Shiozawa, Jun;Negishi, Yoshifumi;Momoeda, Masahiro;Kubota, Mitsuaki;Aoki, Shigeki;Okada, Yasunori;Ishijima, Muneaki
前交叉韧带 (ACL) 损伤是创伤后膝骨关节炎 (OA) 的原因之一，据报道 ACL 重建手术无法预防 OA 的发展。在早期膝关节骨关节炎中，内侧半月板挤压（MME）与胫骨内侧骨赘宽度密切相关，胫骨内侧骨赘宽度由骨和软骨部分组成。然而，ACL 损伤患者中 MME 和骨赘之间的关系仍然难以捉摸。我们检查了 ACL 损伤患者手术前后的 MME 和骨赘及其关系。 30 名接受手术的 ACL 损伤患者（平均 30.7 岁）被纳入研究。分析了手术前后（间隔 7.6 个月）磁共振成像 (MRI) 检测到的 OA 变化与 MME 之间的相关性。术前和术后分别有 16.7% 和 26.7% 的患者存在 MME (>3 mm)，术后 MME (2.4 ± 1.3 mm) 较术前 (1.9 ± 1.2 mm) 显着增加 (p < 0.0001)。通过 T2 映射 MRI 测量的全长胫骨骨赘宽度术后 (1.9 ± 0.7 mm) 比术前 (1.4 ± 0.6 mm) 显着增加 (p < 0.0001)。在OA结构变化中，只有胫骨内侧骨赘宽度与手术前(β = 0.962) (p < 0.001)和手术后(β = 0.928) (p = 0.001)直接相关。所有MME患者术前术后均出现胫骨内侧骨赘。手术前后 MME 的变化与胫骨内侧骨赘宽度的变化之间存在直接相关性 (r = 0.63) (p < 0.0001)。术后MME和胫骨内侧骨赘同时增多。除了MME与胫骨内侧骨赘宽度密切相关外，手术前后MME与胫骨内侧骨赘宽度的变化也直接相关。
Anterior cruciate ligament (ACL) injury is one of the causes for post-traumatic knee osteoarthritis (OA), and ACL reconstruction surgery is reportedly unable to prevent OA development. In early-stage knee OA, medial meniscus extrusion (MME) is closely correlated with tibial medial osteophyte width, which consists of bone and cartilage -parts. However, the relationship between MME and osteophyte in ACL-injured patients remains elusive. We examined MME and osteophyte and their relationship in ACL-injured patients before and after surgery. Thirty ACL-injured patients who underwent surgery (30.7 years old, on average) were enrolled. Correlations between magnetic resonance imaging (MRI)-detected OA changes and MME before and after surgery (7.6 months interval) were analyzed. MME (>3 mm) was present in 16.7% and 26.7% of the patients before and after surgery, respectively, and MME was significantly increased after surgery (2.4 ± 1.3 mm) than before surgery (1.9 ± 1.2 mm) (p < 0.0001). Full-length tibial osteophyte width measured by T2 mapping MRI was significantly increased after surgery (1.9 ± 0.7 mm) than before surgery (1.4 ± 0.6 mm) (p < 0.0001). Among OA structural changes, only medial tibial osteophyte width directly correlated with MME before surgery (β = 0.962) (p < 0.001) and after surgery (β = 0.928) (p = 0.001). All the patients with MME had medial tibial osteophyte before and after surgery. A direct correlation was observed between changes of MME and those of medial tibial osteophyte width before and after surgery (r = 0.63) (p < 0.0001). MME and medial tibial osteophyte were simultaneously increased after surgery. In addition to close correlation between MME and medial tibial osteophyte width, changes of MME and medial tibial osteophyte width before and after surgery were directly correlated.
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影响因子：
4.9
作者：
Hada S;Ishijima M;Kaneko H;Kinoshita M;Liu L;Sadatsuki R;Futami I;Yusup A;Takamura T;Arita H;Shiozawa J;Aoki T;Takazawa Y;Ikeda H;Aoki S;Kurosawa H;Okada Y;Kaneko K
通讯作者：
Kaneko K
影响因子：
4.8
作者：
Bhatia, Sanjeev;LaPrade, Christopher M.;LaPrade, Robert F.
通讯作者：
LaPrade, Robert F.
影响因子：
3.8
作者：
Kaplan, Daniel J.;Alaia, Erin F.;Alaia, Michael J.
通讯作者：
Alaia, Michael J.
影响因子：
4.8
作者：
Hanypsiak, Bryan T.;Spindler, Kurt P.;Parker, Richard D.
通讯作者：
Parker, Richard D.
影响因子：
19.7
作者：
Crema, Michel D.;Roemer, Frank W.;Guermazi, Ali
通讯作者：
Guermazi, Ali