| 腓肠豆发生与膝关节后外侧疼痛和腓总神经损伤相关性研究 |
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投稿时间：2020-02-19
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| 作者 | Author | 单位 | Address | E-Mail |
| 徐琳 |
XU Lin |
西安交通大学3201医院, 陕西 汉中 723000 |
Department of Joint Surgery, No. 3201 Hospital of Xi'an Jiaotong University, Hanzhong 723000, Shaanxi, China |
hzxulin000@163.com |
| 卫永鲲 |
WEI Yong-kun |
西安交通大学3201医院, 陕西 汉中 723000 |
Department of Joint Surgery, No. 3201 Hospital of Xi'an Jiaotong University, Hanzhong 723000, Shaanxi, China |
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| 焦海斌 |
JIAO Hai-bin |
西安交通大学3201医院, 陕西 汉中 723000 |
Department of Joint Surgery, No. 3201 Hospital of Xi'an Jiaotong University, Hanzhong 723000, Shaanxi, China |
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| 宋永才 |
SONG Yong-cai |
西安交通大学3201医院, 陕西 汉中 723000 |
Department of Joint Surgery, No. 3201 Hospital of Xi'an Jiaotong University, Hanzhong 723000, Shaanxi, China |
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| 期刊信息：《中国骨伤》2020年，第33卷，第11期，第1071-1075页 |
| DOI：10.12200/j.issn.1003-0034.2020.11.017 |
| 基金项目: |
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| 中文摘要:目的：分析中国人群中膝关节腓肠豆的发生率、特点及其与膝关节后外侧区域疼痛、腓总神经麻痹等症状之间的相关性。方法：选取自2015年9月至2019年7月就诊行单侧或双侧膝关节MRI检查的732例患者，男405例（450膝），女327例（383膝），进行回顾性评估。所有患者的基本信息来自于医院HIS系统提取，电话随访或HIS系统查看患者病历并记录出现膝关节后外侧区域疼痛、腓总神经麻痹等症状患者的例数。结果：对833膝关节进行统计分析，腓肠豆出现的整体流行率为48.38%，男性中出现率为23.53%，女性中出现率为24.85%，两者之间差异无统计学意义（P>0，05）。将所有研究对象细分为5个年龄组，不同年龄组之间腓肠豆的流行率存在明显差异：≤ 20岁6.6%，21~34岁33.8%，35~44岁53.5%，45~59岁57.5%以及≥ 60岁73.9%，各组差异有统计学意义（P<0.001）。腓肠豆的流行率与其患者年龄具有明显相关性，随着患者年龄的增加，膝关节腓肠豆的流行率也呈现明显的上升趋势（P<0.001）。按膝关节是否存在腓肠豆对全部资料进行分组，发现当腓肠豆存在时共232例膝关节患者感疼痛，占腓肠豆存在患者的57.57%，占全部资料的27.85%（P<0.01），对其进行相关性分析R=1.546，P<0.01；当膝关节存在腓肠豆时，共有44例膝关节出现腓总神经麻痹的症状，占全部膝关节的5.28%，而当膝关节无腓肠豆出现时有29例出现腓总神经麻痹的症状，占全部膝关节的3.48%（P<0.05），对其进行相关性分析R=1.695，P<0.05。。结论：腓肠豆在中国人群中的流行率为48.38%，腓肠豆的发生率与性别之间没有关系，但是腓肠豆的发生率却与年龄、膝关节后外侧区域的疼痛及腓总神经症状的出现具有正相关性。 |
| 【关键词】腓肠豆 籽骨 骨性关节炎 |
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| Relationship between fabella and posterolateral knee pain and common peroneal nerve injury |
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| ABSTRACT Objective: To analyze the incidence and characteristics of fabella in the Chinese population and its correlation with pain in the posterolateral region of the knee joint and common peroneal nerve palsy. Methods: Total 732 patients including 405 males(450 knees) and 327 females(383 knees) who underwent unilateral or bilateral knee MR imaging from September 2015 to July 2019 were retrospectively evaluated. The basic information of all patients was extracted from the hospital's his system. The patient's medical records were checked by telephone follow-up or his system,and the number of patients with posterolateral knee pain and common peroneal nerve paralysis were recorded. Results: The overall prevalence of fabella was 48.38%,23.53% in men and 24.85% in women,there was no significant difference between them(P>0.05). All the subjects were divided into five age groups. The prevalence of fabella was significantly different among different age groups:6.6% in 20-year-old group,33.8% in 21 to 34-year-old group,53.5% in 35 to 44-year-old group,57.5% in 45 to 59-year-old group and 73.9% in ≥ 60 year-old group,the difference was statistically significant(P<0.001). There was a significant correlation between the prevalence of fabella and the age of patients. With the increase of patients' age,the prevalence of fabella in knee joint also showed an obvious upward trend (P<0.001). According to the presence of fabella in the knee joint,232 cases of knee joint pain were found,accounting for 57.57% of the patients with fabella,accounting for 27.85% of the total data(P<0.01). The correlation score analysis was R=1.546,P<0.01;when the presence of fabella in the knee joint,a total of 44 cases of common peroneal nerve paralysis occurred in the knee joint,accounting for all knees 28% of the total knee joint,and 29 cases of common peroneal nerve palsy (3.48% of the total knee joint) were found when there was no fabella in the knee joint(P<0.05). The correlation score analysis was performed with R=1.695,P<0.05. Conclusion: The prevalence of fabella us in Chinese population is 48.38%. There is no relationship between the incidence of gastrocnemius and gender,but the incidence of fabella is positively correlated with age,pain in the posterolateral region of the knee joint and the occurrence of common peroneal nerve symptoms. |
| KEY WORDS Fabella Sesamoid bone Osteoarthritis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 徐琳,卫永鲲,焦海斌,宋永才.腓肠豆发生与膝关节后外侧疼痛和腓总神经损伤相关性研究[J].中国骨伤,2020,33(11):1071~1075 |
| 英文格式: | XU Lin,WEI Yong-kun,JIAO Hai-bin,SONG Yong-cai.Relationship between fabella and posterolateral knee pain and common peroneal nerve injury[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(11):1071~1075 |
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