髌内侧滑膜皱襞与对应股骨内侧髁软骨损伤关系的探讨.docVIP

髌内侧滑膜皱襞与对应股骨内侧髁软骨损伤关系的探讨 髌内侧滑膜皱襞与对应股骨内侧髁软骨损伤关系的探讨 作者：李健辉　,冯世庆, 李建伟, 俞汝霞, 李 伟　周先虎 作者单位：1.天津医科大学总医院骨科，天津 300052;2.迁安市燕山医院骨科，河北 迁安 064400;3.秦皇岛市第二医院骨科，河北 昌黎 066600;4.郑州骨科医院，河南 郑州 450052 【摘要】 [目的]探讨髌内侧滑膜皱襞的存在、分型与对应股骨内侧髁关节软骨损伤之间的关系。[方法]回顾性分析2004年1月-2008年7月所行的膝关节镜探查手术录像资料，共收集到有髌内侧滑膜皱襞者76膝作为研究组，记录它们的改良Sakakibara分型与对应股骨内侧髁软骨损伤的有无及Outerbridge分级，并按年龄、性别比例相近随机选取80膝无髌内侧滑膜皱襞者作为对照组，研究髌内侧滑膜皱襞与对应股骨内侧髁软骨损伤之间的关系。[结果]研究组和对照组相比，股骨内侧髁软骨损伤发生率分别为89.5%和61.3%，差异有统计学意义(P=0.001);在研究组中BCD型较A型软骨损伤发生率高，分别为95.2%和64.3%，差异有统计学意义(P=0.004);股骨内侧髁软骨损伤程度与髌内侧滑膜皱襞炎症程度呈正相关(r=0.611， P=0.000)，并与患者年龄相关(r=0.271，P=0.019)。[结论]髌内侧滑膜皱襞的存在增加了对应股骨内侧髁软骨损伤的危险性;髌内侧滑膜皱襞的棚架样外观也是股骨内侧髁关节软骨损伤的一个危险因素;股骨内侧髁关节软骨损伤程度与髌内侧滑膜皱襞病变的严重程度呈正相关。 【关键词】 膝关节; 内侧; 滑膜皱襞; 关节软骨; 损伤 Relationship between mediopatellar plica and chondral injury of medial femoral condyle∥LI Jianhui,FENG Shiqing,LI Jianwei,et al.Department of Orthopaedics,The General Hospital of Tianjin Medical University,Tianjin 300052,China 　　Abstract：[Objective]To study the relationship between the existence and types of mediopatellar plica versus the chondral injury of the medial femoral condyle.[Method]Data were collected retrospectively from the photographic recording of arthroscopies performed from January 2004 to July 2008.Seventysix knees were found with mediopatellar plica as the study group.Modified Sakakibara classification and the chondral injury (using the Outerbridge classification) of medial femoral condyle were recorded.Eighty knees without mediopatellar plica were randomly collected as controls.The correlation of mediopatellar plica and the cartilage injury on the surface of the medial femoral condyle was investigated.[Result]Patients with mediopatellar plica had a significantly higher incidence rate (89.5%) of medial femoral condyle cartilage lesion,in comparison with patients without mediopatellar plica (61.3% ) (P=0.001).In the study group,a 64.3% proportion of the group with Sakakibara A mediopatellar plica was found t