骨性关节炎患者下肢力线改变与疼痛部位的关系影像学评价.docVIP

骨性关节炎患者下肢力线改变与疼痛部位的关系：影像学评价 林汉文1，温俊茂1，黄超原1，周 驰2，唐宏宇2 (1广州中医药大学，广东省广州市 510405；2广州中医药大学第一附属医院三骨科，广东省广州市 510405) 引用本文：林汉文，温俊茂，黄超原，周 驰，唐宏宇. 骨性关节炎患者下肢力线改变与疼痛部位的关系：影像学评价[J].中国组织工程研究，2017，21():1110-1114. DOI:10.3969/j.issn.2095-4344.2017.07.023 ORCID: 0000-0002-1998-4631(林汉文) 文章快速阅读： 文题释义： 下肢力线的概念：下肢力线(膝内翻角)[Lower limbs lines of force]：即股骨机械轴与胫骨机械轴的夹角，理想的角度为0°5°，国人参考值为：男性2.2±2.7)°，女性2.2±2.5)°。股骨机械轴为股骨头圆心与股骨髁间窝顶点的连线，胫骨机械轴为胫骨髁间嵴中点与踝关节中心的连线踝关节中心取内外踝的中点。从生物力学来说，下肢力线就是双腿的重力线。从解剖学来看，下肢力线就是下肢各器官的结构学连接线。通俗来讲，下肢力线就是双腿的线条。 下肢力线体表测量法：下肢力线的体表测量目前有3种方法：①自股骨头中心至踝关节中心拉一直线，髌骨中点位于此直线上；②自髂前上棘与踝关节拉一直线，该直线通过髌骨中心至髌骨外缘之间，髌骨中点位于其内侧；③自髂前上棘至第1、2趾间拉一直线，髌骨中点位于或接近此直线。 Correlation between the changes in lower limb power line and pain area in the knee osteoarthritis patients: imaging evaluation Lin Han-wen1, Wen Jun-mao1, Huang Chao-yuan1, Zhou Chi2, Tang Hong-yu2 (1Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China; 2Third Department of Orthopedics, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China) Abstract BACKGROUND: The change of the axial angle of the lower limb is related to the occurrence and development of osteoarthritis. OBJECTIVE: To analyze the correlation between the change of lower limb power line and pain area in the knee osteoarthritis patients. METHODS: Totally 65 knee osteoarthritis patients were selected as pain group and 30 healthy people were selected as control group. All the participants took anteroposterior and lateral knee radiographs through PACS imaging systems to collect six imaging indexes, including install index, the degree of tibiofemoral joint subluxation, tibiofemoral inside and outside joint clearance ratio, femoral angle, tibial angle and tibiofemoral angle. Knee osteoarthritis patients in pain group were divided into two common clinical pain areas which were proparea and medial area. RESULTS AND CONCLUSION: (1) The insall index, the degree of tibiofe