股骨髁间角与前交叉韧带损伤的相关性分析

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摘要目的探讨股骨髁间角以及胫骨平台倾角与前交叉韧带(anterior cruciate ligament，ACL)损伤的相关性。方法回顾性分析2014年1月至2015年6月在我院就诊的ACL损伤患者(病例组)与ACL完整患者(对照组)各34例。于MRI图像上测量两组患者的股骨髁间角(femoral intercondylar angle，FIA)、内侧胫骨平台倾角(medial tibial plateau slope，MTPS)以及外侧胫骨平台倾角(lateral tibial plateau slope，LTPS)，比较不同性别病例组与对照组的测量结果，Logist回归分析确定各解剖因素与ACL损伤的相关性。结果男性与女性的平均FIA、MTPS、LTPS差异无统计学意义。病例组FIA显著小于对照组(P＝0.021)，病例组MTPS与对照组差异无统计学意义(P＝0.638)，病例组LTPS显著大于对照组(P＝0.004)。FIA、LTPS与ACL损伤差异具有统计学意义(P＝0.025，P＝0.002)。采用合并概率的Logist回归模型计算出AUC＝0.764。结论股骨髁间角和外侧胫骨平台倾角是ACL损伤的危险因素，联合二者可更准确预测ACL的损伤。

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关键词 ：前交叉韧带, 股骨髁间角, 胫骨平台, Blumensaat线, MRI图像

Abstract：Objective To determine relationships of the femoral intercondylar angle and tibial plateau slope with anterior cruciate ligament injury.Methods From January 2014 to June 2015，thirty-four patients with ACL-injured (case group) and ACL-intact (control group) in each group were researched retrospectively.The medial tibial plateau slope (MTPS)，lateral tibial plateau slope (LTPS)，and femoral intercondylar angle (FIA) was measured on MR images.The data were compared between different genders and groups.Logistic regression analysis was performed to determine the influence of the anatomic factors on ACL status (injured or intact).Results No significant differences in the mean values of FIA，MTPS and LTPS were found between male and female patients.The FIA in the case group was significantly smaller than that in control group (P＝0.021).LTPS in the case group was significantly higher than the control (P＝0.004).There were significant different in FIA，LTPS and ACL (P＝0.025，P＝0.002).Logist regression model of merging probability showed that AUC＝0.764.Conclusion The femoral intercondylar angle and the lateral tibial plateau slope are risk factors of ACL injury.It can be more accurate to predict the ACL injury by united FIA and LTPS.

Key words： anterior cruciate ligament femoral intercondylar angle tibial plateau Blumensaat line MRI images

作者简介: 黄梦全(1983－ )，男，主治医师，中国人民解放军第458医院骨科，510000。

引用本文:

黄梦全，郭乃铭，彭俊，廖春来，徐海涛，李裕标，罗筱玮. 股骨髁间角与前交叉韧带损伤的相关性分析[J]. 实用骨科杂志, 2018, 24(11): 998-1001.
Huang Mengquan，Guo Naiming，Peng Jun，et al. Relationship of the Femoral Intercondylar Angle with Anterior Cruciate Ligament Injury. sygkzz, 2018, 24(11): 998-1001.

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http://www.sygkzz.com/CN/ 或 http://www.sygkzz.com/CN/Y2018/V24/I11/998

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