基于MRI对交叉韧带松紧度与半月板损伤的相关性研究

doi:10.13418/j.issn.1001-165x.2017.06.007

Abstract

Abstract:

Objective　This study was aimed to explore the correlation between tightness of cruciate ligaments and meniscus injuries anatomically. 　Methods　260 knee-joint MRI were collected from Southern Medical University, Zhujiang hospital during January 2014 to December 2016. Then, the critical data according to MRI containing a[length of anterior cruciate ligament(ACL)], p [length of posterior cruciate ligament(PCL)], la (attachment distance of ACL) and lp (attachment distance of PCL)were measured to figure out the tightness coefficient R=(a+p)/(la+lp). t-Test and spearman correlation analysis were used to study these samples.　Results　t-Test presented significant difference between patients with and without meniscus injuries (P<0.05). Spearman correlation analysis showed the relatively strong correlation between R and meniscus injuries in non-osteoarthritis patients (rs=0.620) and weak correlation in osteoarthritis patients (rs=0.313). Conclusion The tightness of cruciate ligaments hasevident impact on the suffering of meniscus injury especially for youth without osteoarthritis. Nevertheless, it is probably not a major determinant resulting in meniscus injury for the elderly with osteoarthritis.

Key words: Meniscus injury, 　Cruciate ligaments, 　Osteoarthritis, 　Magnetic resonance imaging

References

[1] Makris EA, Hadidi P, Athanasiou KA. The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration[J]. Biomaterials, 2011, 32(30):7411-31.
[2] Greis PE, Bardana DD, Holmstrom MC, et al. Meniscal injury: I. Basic science and evaluation[J]. J Am Acad Orthop Surg, 2002, 10(3):168-176.
[3] Hede A, Jensen DB, Blyme P, et al. Epidemiology of meniscal lesions in the knee. 1,215 open operations in Copenhagen 1982-84 [J]. Acta Orthop Scand, 1990, 61(5):435-437.
[4] Baker BE, Peckham AC, Pupparo F, et al. Review of meniscal injury and associated sports[J]. Am J Sports Med, 1985, 13(1):1-4.
[5] Rai MF, Patra D, Sandell LJ, et al. Transcriptome analysis of injured human meniscus reveals a distinct phenotype of meniscus degeneration with aging[J]. Arthritis Rheum, 2013, 65(8):2090-2101.
[6] Mitsou A, Vallianatos P. Meniscal injuries associated with rupture of the anterior cruciate ligament: a retrospective study[J]. Injury, 1988, 19(6):429-431.
[7] Hayes GM, Langley-Hobbs SJ, Jeffery ND. Risk factors for medial meniscal injury in association with cranial cruciate ligament rupture[J]. J Small Anim Pract, 2010, 51(12):630-634.
[8] Ruthrauff CM, Glerum LE, Gottfried SD. Incidence of meniscal injury in cats with cranial cruciate ligament ruptures[J]. Can Vet J, 2011, 52(10):1106-1110.
[9] Quinn SF, Muus C, Sara A, et al. Meniscal tears: pathologic correlation with MR imaging[J]. Radiology, 1988, 166(2):580-581.
[10] 吴增平, 陈剑, 蒋忞. 膝关节骨关节炎的诊断与治疗进展[J]. 中国药业, 2013, 22(20):112-112.
[11] Menkes CJ. Radiographic criteria for classification of osteoarthritis[J]. J Rheumatol Suppl, 1991, 27(supplement 27):13-15.
[12] 王晓宇, 杨柳, 陈伟,等. 膝关节前交叉韧带解剖测量和MRI测量对照分析[J]. 重庆医学, 2006, 35(13):1171-1173.
[13] Jonsson T, Althoff B, Peterson L, et al. Clinical diagnosis of ruptures of the anterior cruciate ligament: a comparative study of the Lachman test and the anterior drawer sign[J]. Am J Sports Med, 1982, 10(2):100-102.
[14] Witt AN, Jäger M, Refior HJ, et al. The unstable knee joint - Aspects in basic research, diagnosis and therapy[J]. Arch Orthop Unfallchir，1977, 88(1):49-63.
[15] 陶学顺. 膝后交叉韧带解剖测量与MRI测量的试验研究[D]. 蚌埠医学院, 2008.
[16] 王红坡, 葛英辉, 李玉侠, 等. 正常髌韧带和前交叉韧带的MRI测量与分析[J]. 中国运动医学杂志, 2009, 28(3):248-250.

Study on the correlation between the tightness of cruciate ligament and meniscus injury based on MRI measurement

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0

[1]	Liu Zhan, Tao Shengzhong, Lu Huipeng, Wang Zaibin, Sui Yubo, Niu Guangming. The differences of neurovascular compression in patients with or without primary trigeminal neuralgia by three-dimensional observation [J]. Chinese Journal of Clinical Anatomy, 2023, 41(6): 667-674.
[2]	Xia Zhenyuan, Lan Lan, Mo Xinxin, Yang Chen, Yu Xiaoping, Li Min. Assessment of anterior cruciate ligament degenerative injury by diffusion kurtosis imaging [J]. Chinese Journal of Clinical Anatomy, 2023, 41(5): 527-530.
[3]	Li Ming, Jia Bingshen, Jiao Tuo, Zhang Ying, Fu Kun. Effect of non-whole time tourniquet application on perioperative outcomes of arthroscopic combined high tibial osteotomy [J]. Chinese Journal of Clinical Anatomy, 2023, 41(4): 475-480.
[4]	Li Jun, Liang Shuai, Wang Jian. Application of simulated surgery combined with 3D printing patient-specific instrumentation in high tibial osteotomy [J]. Chinese Journal of Clinical Anatomy, 2023, 41(3): 354-359.
[5]	Zhao Zhiheng, Wu Yue, Zhang Jing, Yang Zitao, Zhang Qinyong, Wang Qingwei, Cheng Jingliang , Che Yingyu. Comparative study of anatomical structure and functional characteristics of pelvic floor in normal young men and women by static and dynamic magnetic resonance imaging [J]. Chinese Journal of Clinical Anatomy, 2023, 41(2): 143-149.
[6]	Li Shujing, Meng Chen, Gao Yingying, Wei Enhua, Qu Songlin, Guo Yinghui. Advances in imaging based brain pathology of PMS/PMDD [J]. Chinese Journal of Clinical Anatomy, 2022, 40(3): 372-375.
[7]	Zhou Yongwei, Zhang Caihua, Li Xiaofei, Cai Xunzi. The repair effect of novel mechanical sensing ion channels Piezo1 and TRPV4 protein siRNA double silencing on osteoarthritis rat model [J]. Chinese Journal of Clinical Anatomy, 2021, 39(6): 692-699.
[8]	Wang Changqing, Yang Rongli, Fu Shengqi. Diffusion tensor imaging observation in the postoperative and follow-up of anterior cruciate ligament reconstruction [J]. Chinese Journal of Clinical Anatomy, 2021, 39(5): 552-556.
[9]	Wang Changqing, Yang Rongli, Fu Shengqi. Diffusion tensor tractography imaging observation and clinical application of the anterior cruciate ligament [J]. Chinese Journal of Clinical Anatomy, 2021, 39(4): 405-409.
[10]	Mao Guanglan, Li Pei, Yang Rongli, Fu Shengqi, Wang Qingzhi. Diffusion tensor imaging observation of the anterior cruciate ligament injury of knee joint [J]. Chinese Journal of Clinical Anatomy, 2021, 39(1): 26-30.
[11]	YING Jian-bin, LI Ke-lei, WANG Shou-sen. The imaging anatomical basis of meningioma in the superior sagittal sinus [J]. Chinese Journal of Clinical Anatomy, 2020, 38(5): 500-505.
[12]	LI Ke-lei, WEI Liang-feng, TAO Wei-wei, LI Jun, XIAN Liang, WANG Shou-sen. MRI study on the relationship between dural sinus arachnoid granulation and age [J]. Chinese Journal of Clinical Anatomy, 2020, 38(5): 518-522.
[13]	QIAN Lei, WANG Yi-ning, LIANG Wen-jie, FENG Zheng-kuan, MA Dong, OUYANG Jun. Accuracy of ischiofemoral space as a diagnostic index for ischiofemoral impingement syndrome: a meta-analysis [J]. Chinese Journal of Clinical Anatomy, 2020, 38(1): 97-101.
[14]	YUAN Jian-xiang, PENG Guo-yi, LIU Yong-jian, ZHENG Han-yi, KE-Qi, FANG Ting-song. Kinesiology analysis of distal radioulnar joint rotation by utilizing magnetic resonance imaging [J]. Chinese Journal of Clinical Anatomy, 2019, 37(6): 633-637.
[15]	LIANG Jie,ZHUANG Ning, HUANG Shi-jia, WEN Si-ni, HE Xiao-en, LU Wei-zhi, LIU Cheng-long. Exploring the clinical correlation between tightness of cruciate ligaments and injury of patellofemoral joint surfaces through MRI [J]. Chinese Journal Of Clinical Anatomy, 2018, 36(5): 500-506.