男性职业足球运动员膝关节损伤的MRI分析

发布时间：2018-03-31 11:05

本文选题：膝关节　切入点：损伤　出处：《临床放射学杂志》2015年01期

【摘要】：目的探讨男性职业足球运动员膝关节损伤的MRI表现及损伤特征。方法将2011年12月至2013年4月到本院就诊的29名男性职业足球运动员共31个膝关节损伤作为实验组,运动员年龄(23.6±3.5)岁,接受专业足球训练时间(15.3±3.6)年;随机选取普通膝关节急性损伤的相同年龄段门诊患者31例作为对照组;两组均采用1.5 T MR扫描仪、膝关节标准阵列线圈成像,由2名高年资放射科医师评估膝关节软骨、半月板、韧带、肌腱、骨髓、髌下脂肪垫及关节积液等病变。采用Pearson卡方检验法及两独立样本的非参数检验法对评估结果进行统计学检验。结果实验组关节软骨、半月板、前交叉韧带、内侧副韧带、外侧副韧带、乆绳肌、肌腱或韧带损伤、多韧带或肌腱损伤,骨髓水肿,髌下脂肪垫水肿和关节腔积液受累的膝关节分别为11、16、12、17、14、6、29、19、23、25、10个,对照组分别为4、11、14、13、5、1、19、8、14、19、10个。其中两组间关节软骨、外侧副韧带、肌腱或韧带损伤、多韧带或肌腱损伤、骨髓水肿发病率差异有统计学意义(P0.05),而半月板损伤、前交叉韧带损伤、内侧副韧带损伤、髌下脂肪垫水肿、关节积液的发病率差异无统计学意义。实验组关节软骨、半月板、韧带、肌腱损伤及骨髓水肿病灶数分别为28、34、50、15及57。对照组分别为7、15、41、3、32。其中,关节软骨、半月板及骨髓水肿病灶数量两组间差异有统计学意义(P0.05)。实验组关节软骨1级、2级、3级、4级病灶分别为12、9、3、4处;半月板1级、2级、3级病变分别为11、12、11处;韧带或肌腱1级、2级病变分别为52、13处。对照组分别为2、3、2、0;3、3、9;35、9。其关节软骨与半月板的病灶两组间的差异有统计学意义(P均=0.000)。结论 MRI显示男性职业足球运动员膝关节损伤常累及韧带或肌腱,多为多韧带或肌腱损伤,关节软骨、半月板病灶较常见且较严重,骨髓水肿亦较常见于足球运动损伤中。
[Abstract]:Objective to investigate the MRI manifestation and characteristics of knee joint injury of male professional football players. Methods 31 male professional footballers who visited our hospital from December 2011 to April 2013 were selected as experimental group. The athletes were 23. 6 卤3. 5 years old and received professional football training for 15. 3 卤3. 6 years. 31 outpatients of the same age with acute knee joint injury were randomly selected as control group. Both groups were treated with 1.5 T Mr scanner and standard array coil imaging of knee joint. The cartilage, meniscus, ligaments, tendons, bone marrow of knee joint were evaluated by two radiologists. Subpatellar fat pad and joint effusion were detected by Pearson chi-square test and non-parametric test of two independent samples. Results Articular cartilage, meniscus, anterior cruciate ligament and medial collateral ligament were measured in experimental group. The number of lateral collateral ligaments, injury of cord muscle, tendon or ligament, multiple ligaments or tendon injury, bone marrow edema, subpatellar fat pad edema and joint cavity effusion were 1116 / 1217 / 14629919 / 232525 and 10 in the control group respectively, 10 of which were interarticular cartilage. There were significant differences in the incidence of bone marrow edema between lateral collateral ligament, tendon or ligament injury, multiple ligaments or tendon injury, while meniscus injury, anterior cruciate ligament injury, medial collateral ligament injury, infrapatellar fat pad edema, injury of meniscus, injury of anterior cruciate ligament, injury of medial collateral ligament, edema of infrapatellar fat pad. There was no significant difference in the incidence of joint effusion. The number of focal lesions of articular cartilage, meniscus, ligaments, tendon injury and bone marrow edema in the experimental group were 28 ~ 344 ~ 5015 and 57. There were significant differences in the number of meniscus and bone marrow edema between the two groups (P 0.05). The number of grade 1 and grade 2 lesions of ligaments or tendons were 52 ~ (13), respectively, and those of control group were 2). The difference of articular cartilage and meniscus lesions between the two groups was statistically significant (P < 0. 000). Conclusion MRI shows knee joint damage of male professional footballers. Injuries often involve ligaments or tendons, Most of them were multiple ligament or tendon injury, articular cartilage, meniscus lesions were more common and serious, bone marrow edema was also more common in football injury.
【作者单位】：南方医科大学第三附属医院影像中心
【基金】：南方医科大学第三附属医院院长基金(编号:C200901)
【分类号】：R873;R445.2

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