《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (11): 1063-1064.

• 临床研究 • 上一篇    下一篇

髌股关节对合关系的CT测量

刘四海1,2;刘克敏1,2;王安庆1,2;唐涛1,2;王飞1,2;崔志刚1,2   

  1. 1.首都医科大学康复医学院，北京市 100068;2.中国康复研究中心北京博爱医院骨科，北京市 100068
  • 收稿日期:2009-07-10 出版日期:2009-11-01 发布日期:2009-11-01

CT Parameter for Patellofemoral Alignment

LIU Si-hai,LIU Ke-min,WANG An-qing,et al   

  1. Department of Orthopaedics, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2009-07-10 Published:2009-11-01 Online:2009-11-01

PDF (PC)

被引次数

9

摘要： 目的 筛选诊断髌股关节对合异常的CT检查敏感参数。方法 对22例膝前痛患者42侧膝（症状组）及12例无症状者24侧膝（对照组）在屈膝0°、15°、30°、60°时分别对髌股关节行CT扫描，测量每个屈曲角度下的股骨滑车角、外侧髌股角、髌骨倾斜角、和谐角、髌股指数。结果 症状组髌股关节的和谐角、髌股指数明显大于对照组（P<0.01），其余参数无显著性差异（P>0.05）。结论 CT扫描是检出髌股关节异常对合的有效方法，其中和谐角、髌股指数对评价髌股关节异常对合更为敏感

关键词: 髌股关节, 对合关系, 膝前痛, 计算机断层（CT）, 诊断

Abstract: Objective To screen the parameter of CT scan for distinguishing patellofemoral malalignment. Methods 22 patients (42 knees) with patellofemoral pain and 12 asymptomatic volunteers (24 knees) were studied. The patellofemoral joints were examined with CT scan at 0°, 15°, 30° and 60° flexion. The parameters including femoral trochlear angle, lateral patellofemoral angle, patellar tilt angle, congruent angle and patellofemoral index were compared. Results Congruent angle and patellofemoral index in symptomatic group were bigger than those in asymptomatic group (P<0.01), but others were not different significantly between two groups (P>0.05). Conclusion CT scans is useful in diagnosis of patellofemoral malalignment. Congruent angle and patellofemoral index are more susceptible parameters for it.

Key words: patellofemoral joint, alignment, anterior knee pain, computed tomography (CT), diagnosis