Gender differences in the incidence and prevalence of patellofemoral pain syndrome.

Gender differences in the incidence and prevalence of patellofemoral pain syndrome.
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DOI:
10.1111/j.1600-0838.2009.00996.x
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发表时间:
2010-10
影响因子:
4.1
通讯作者:
Beutler A
Beutler A
中科院分区:
医学2区
文献类型:
--
作者:
Boling M;Padua D;Marshall S;Guskiewicz K;Pyne S;Beutler A

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本调查的目的是确定性别与髌股疼痛综合征 (PFP​​S) 患病率和发病率之间的关系。对来自美国海军学院 (USNA) 的 1525 名参与者进行了长达 2.5 年的 PFPS 开发跟踪。医生和经过认证的运动教练记录了 PFPS 的病例。 PFPS 被定义为在至少两种以下活动期间出现髌后疼痛:上/下楼梯、跳跃/慢跑、长时间坐着、跪下和蹲下,膝关节韧带、半月板、滑囊和滑膜皱襞检查呈阴性结果,以及触诊髌骨小面或股骨髁时疼痛。进行泊松回归和逻辑回归以确定性别与 PFPS 发病率和患病率之间的关联。 PFPS 的发病率为 22/1000 人年。与男性相比,女性患 PFPS 的可能性高 2.23 倍(95% CI:1.19,4.20)。虽然在统计上不显着,但研究入组时 PFPS 的患病率女性 (15%) 往往高于男性 (12%) (P50.09)。 USNA 的女性比男性更容易患 PFPS。此外,在进入学院时,PFPS 的患病率在性别之间没有显着差异。
The purpose of this investigation was to determine the association between gender and the prevalence and incidence of patellofemoral pain syndrome (PFPS). One thousand five hundred and twenty-five participants from the United States Naval Academy (USNA) were followed for up to 2.5 years for the development of PFPS. Physicians and certified athletic trainers documented the cases of PFPS. PFPS was defined as retropatellar pain during at least two of the following activities: ascending/descending stairs, hopping/jogging, prolonged sitting, kneeling, and squatting, negative findings on examination of knee ligament, menisci, bursa, and synovial plica, and pain on palpation of either the patellar facets or femoral condyles. Poisson and logistic regressions were performed to determine the association between gender and the incidence and prevalence of PFPS, respectively. The incidence rate for PFPS was 22/1000 person-years. Females were 2.23 times (95% CI: 1.19, 4.20) more likely to develop PFPS compared with males. While not statistically significant, the prevalence of PFPS at study enrollment tended to be higher in females (15%) than in males (12%) (P50.09). Females at the USNA are significantly more likely to develop PFPS than males. Additionally, at the time of admission to the academy, the prevalence of PFPS was not significantly different between genders.
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