髌股关节病中髌骨外侧骨赘形成的相关危险因素分析

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1645 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the risk factors of osteophyte formation in patellofemoral joint disease.Methods The clinical data of 75 patients underwent patellofemoral arthropathy and met the inclusion and exclusion criteria were retrospectively analyzed.The patients were operated by the same doctor in Peking University Third Hospital from December 2015 to December 2019.There were 21 males and 54 females，with an average BMI of (25.3±2.9) and an average age of(55.1±12.2) years old ranging from 28 to 78 years old.Independent sample t test，chi-square test and rank sum test were used for single factor analysis of risk factors，including age，course of disease，sex，BMI，patellar cartilage injury grade，medial and lateral compartment injury grade and patellar tilting angle(PTA).In this study，patellar cartilage injury grade and medial or lateral compartment injury grade were evaluated by outer-bridge grade，and patellar alignment abnormality was evaluated by PTA.In this study，the related risk factors of P≤0.1 were included in the multivariate analysis，and logistic regression was used for multifactor analysis. Results In univariate analysis，there were statistically significant differences in age(t＝－2.026，P＝0.046)，patellar cartilage injury(Z＝－2.651，P＝0.008) and medial compartment injury degree(Z＝－2.110，P＝0.035) between the osteophyte group and the non-osteophyte group.In multivariate analysis，patellar cartilage injury was a possible independent risk factor for osteophytes on the lateral edge of the patella(OR=2.093，95%CI：1.188~3.687，P＝0.011).Conclusion The patients with osteophytes at the lateral margin of patella are older，and the injury degree of patella cartilage and medial compartment is more serious.The injury of patella cartilage is a possible independent risk factor for osteophytes at the lateral margin of patella.

Key words： patellofemoral arthropathy osteophyte X-ray risk factors

Corresponding Authors: Yang Yuping

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Cao Jianfu
	Cai Yuqi
	Liu Ying
	Cui Guoqing
	Yang Yuping

Cite this article:

Cao Jianfu,Cai Yuqi,Liu Ying, et al. Risk Factors of Lateral Patellar Osteophyte Formation in Patellofemoral Arthropathy[J]. sygkzz, 2023, 29(7): 588-.

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2023/V29/I7/588

［1］孔庆波，李宝林，陈福来，等.X线片测量髌骨外倾角在髌股关节病诊断中的应用［J］.中华关节外科杂志(电子版)，2018，12(3)：421-423.
［2］Sherman SL，Plackis AC，Nuelle CW.Patellofemoral anatomy and biomechanics［J］.Clin Sports Med，2014，33(3)：389-401.
［3］Chang CB，Seong SC，Kim TK.Evaluations of radiographic joint space—do they adequately predict cartilage conditions in the patellofemoral joint of the patients undergoing total knee arthroplasty for advanced knee osteoarthritis?［J］.Osteoarthritis Cartilage，2008，16(10)：1160-1166.
［4］Huang W，Ong TY，Fu SC，et al.Prevalence of patellofemoral joint osteoarthritis after anterior cruciate ligament injury and associated risk factors：A systematic review［J］.J Orthop Translat，2019(22)：14-25.
［5］Pengas I，Nash W，Assiotis A，et al.The effects of knee meniscectomy on the development of osteoarthritis in the patellofemoral joint 40years following meniscectomy［J］.Eur J Orthop Surg Traumatol，2019，29(8)：1705-1708.
［6］Boegard T，Rudling O，Petersson IF，et al.Correlation between radiographically diagnosed osteophytes and magnetic resonance detected cartilage defects in the patellofemoral joint［J］.Ann Rheum Dis，1998，57(7)：395-400.
［7］Wang CL，Chen JB，Li T.Outcome and experience of arthroscopic lateral retinacular release combined with lateral patelloplasty in the management of excessive lateral pressure syndrome［J］.J Orthop Surg Res，2021，16(1)：80.
［8］Qiu Y，Lin C，Liu Q，et al.Imaging features in incident radiographic patellofemoral osteoarthritis：the Beijing Shunyi osteoarthritis(BJS) study［J］.BMC Musculoskelet Disord，2019，20(1)：359.
［9］Haj-Mirzaian A，Guermazi A，Pishgar F，et al.Association of patella alta with worsening of patellofemoral osteoarthritis-related structural damage：data from the osteoarthritis initiative［J］.Osteoarthritis Cartilage，2019，27(2)：278-285.
［10］Fones L，Jimenez AE，Cheng C，et al.Trochlear dysplasia as shown by increased sulcus angle is associated with osteochondral damage in patients with patellar instability［J］.Arthroscopy，2021，37(12)：3469-3476.
［11］Altman RD，Gold GE.Atlas of individual radiographic features in osteoarthritis，revised［J］.Osteoarthritis Cartilage，2007，15(Suppl A)：A1-56.
［12］Nagaosa Y，Mateus M，Hassan B，et al.Development of a logically devised line drawing atlas for grading of knee osteoarthritis［J］.Ann Rheum Dis，2000，59(8)：587-595.
［13］Gursoy M，Mete B D，Dag F，et al.The distribution of loose bodies determined on knee magnetic resonance imaging：joint compartments，recesses and bursae including arthroscopic blind spots［J］.Acta Radiol，2019，60(10)：1286-1293.
［14］Slattery C，Kweon CY.Classifications in brief：outerbridge classification of chondral lesions［J］.Clin Orthop Relat Res，2018，476(10)：2101-2104.
［15］杨渝平，陈泓宇，赵静文，等.两种外侧支持带松解法治疗髌骨外侧过度挤压综合征的回顾性对照研究［J］.中华外科杂志，2021，59(9)：757-763.
［16］Ferrari MB，Sanchez G，Chahla J，et al.Arthroscopic patellar lateral facetectomy［J］.Arthrosc Tech，2017，6(2)：e357-e362.
［17］Zhao C，Gao X，Liu Q，et al.Associations of trochlea morphology and patellofemoral alignment with prevalent radiographic patellofemoral osteoarthritis［J］.Osteoarthritis Cartilage，2020，28(6)：824-830.
［18］HafeziNejad N，Demehri S，Guermazi A，et al.Osteoarthritis year in review 2017：updates on imaging advancements［J］.Osteoarthritis Cartilage，2018，26(3)：341-349.
［19］Yang YP，Ling YD，Pang CN，etc.Novel method for diagnosing lateral patellar compression syndrome using X-ray：a retrospective case-control study［J］.Ann Transl Med，2021，9(6)：445.
［20］Nagaosa Y，Lanyon P，Doherty M.Characterisation of size and direction of osteophyte in knee osteoarthritis：a radiographic stud［J］.Ann Rheum Dis，2002，61(4)：319324.
［21］Li Z，Liu Q，Zhao C，et al.High prevalence of patellofemoral osteoarthritis in China：a multi-center population-based osteoarthritis study［J］.Clin Rheumatol，2020，39(12)：3615-3623.
［22］Landsmeer M，Vos BCD，Plas PVD，et al.Effect of weight change on progression of knee OA structural features assessed by MRI in overweight and obese women［J］.Osteoarthritis Cartilage，2018，26(12)：1666-1674.
［23］Gersing AS，Schwaiger BJ，Nevitt MC，et al.Is weight loss associated with less progression of Changes in knee articular cartilage among obese and overweight patients as assessed with MR imaging over 48 months? data from the osteoarthritis initiative［J］.Radiology，2017，284(2)：508-520.
［24］Montserrat F，AlentornGeli E，León V，et al.Treatment of isolated patellofemoral osteoarthritis with lateral facetectomy plus insall’s realignment procedure：Long-term followup［J］.Knee Surg Sports Traumatol Arthrosc，2013，21(11)：2572-2577.
［25］Van Middelkoop M，Bennell KL，Callaghan MJ，et al.International patellofemoral osteoarthritis consortium：Consensus statement on the diagnosis，burden，outcome measures，prognosis，risk factors and treatment［J］.Semin Arthritis Rheum，2018，47(5)：666-675.
［26］Kumm J，Turkiewicz A，Zhang F，et al.Structural abnormalities detected by knee magnetic resonance imaging are common in middle-aged subjects with and without risk factors for osteoarthritis［J］.Acta Orthop，2018，89(5)：535-540.
［27］陈后煌，邵翔，马玉环，等.骨关节炎骨赘形成的机制探讨［J］.风湿病与关节炎，2016，5(5)：36-38.
［28］Cheng C，Gao S，Lei G.Association of osteopontin with osteoarthritis［J］.Rheumatol Int，2014，34(12)：1627-1631.
［29］Retraction.Effects of osteopontin on expression of IL-6 and IL-8 inflammatory factors in human knee osteoarthritis chondrocytes［J］.Cell Biochem Biophys，2014，70(1)：703.

[1]	. [J]. sygkzz, 2023, 29(5): 447-.