多层螺旋CT技术在篮球运动员膝关节损伤诊断中的应用

doi:10.7517/issn.1674-0475.221101

影像科学与光化学 ›› 2023, Vol. 41 ›› Issue (1): 159-163.DOI: 10.7517/issn.1674-0475.221101

多层螺旋CT技术在篮球运动员膝关节损伤诊断中的应用

吕媛媛¹, 焦苗苗², 马献伟³

1. 商丘师范学院体育学院, 河南商丘 476000;
2. 南京体育学院, 江苏南京 210014;
3. 陆军第八十三集团军医院骨科, 河南新乡 453003

收稿日期:2022-11-02 出版日期:2023-01-23 发布日期:2023-01-31
通讯作者: 焦苗苗

Application of Multi-slice Spiral CT in the Diagnosis of Knee Joint Injuries of Basketball Players

LU Yuanyuan¹, JIAO Miaomiao², MA Xianwei³

1. School of Physical Education, Shangqiu Normal University, Shangqiu 476000, Henan, P. R. China;
2. Nanjing Sport Institute, Nanjing 210014, Jiangsu, P. R. China;
3. Department of Orthopedics, Army Eighty-three Army Hospital, Xinxiang 453003, Henan, P. R. China

Received:2022-11-02 Online:2023-01-23 Published:2023-01-31

摘要/Abstract

摘要： 本文探讨MSCT影像技术在篮球运动员膝关节损伤中的诊断价值。回顾性收集118例膝关节损伤篮球运动员临床资料，均行MSCT检查。结果显示，MSCT膝关节损伤诊断结果与关节镜结果一致性Kappa值为0.837（95% CI：0.704～0.969）；篮球运动员患膝后交叉韧带角、后交叉韧带指数小于健膝，外侧胫骨平台倾斜角大于健膝（P<0.05）；篮球运动员患膝完全撕裂后交叉韧带角、后交叉韧带指数均小于部分撕裂、正常，外侧胫骨平台斜角大于部分撕裂、正常（P<0.05）。膝关节损伤撕裂程度与后交叉韧带角、后交叉韧带指数呈负相关，与外侧胫骨平台倾斜角呈正相关（P<0.05）；三者联合诊断篮球运动员膝关节韧带损伤价值的AUC优于单一诊断。可见MSCT影像技术在篮球运动员膝关节损伤诊断中具有独特优势，可指导临床治疗。

关键词: 篮球运动员, 膝关节损伤, 多层螺旋CT, 关节镜检查

Abstract: This paper investigated the diagnostic value of MSCT imaging technology in basketball players with knee injuries. The clinical data of 118 cases of basketball players with knee injury were retrospectively collected, and all of them were examined by MSCT. The results showed that the Kappa value of concordance between MSCT knee injury diagnosis and arthroscopic findings was 0.837 (95%CI:0.704-0.969). The posterior cruciate ligament angle and posterior cruciate ligament index of the affected knee were smaller than those of the healthy knee and the lateral tibial plateau tilt angle was larger than that of the healthy knee in basketball players (P<0.05). In basketball players with complete tears of the affected knee the posterior cruciate ligament angle and posterior cruciate ligament index were smaller than partial tears and normal, and the lateral tibial plateau oblique angle was larger than partial tears and normal (P<0.05). The degree of knee injury tear was negatively correlated with posterior cruciate ligament angle and posterior cruciate ligament index, and positively correlated with lateral tibial plateau tilt angle (P<0.05). The AUC of the combined value of the three diagnoses of knee ligament injuries in basketball players was superior to that of the single diagnosis. It can be seen that MSCT imaging technology has unique advantages in the diagnosis of knee injuries in basketball players and can guide clinical treatment.

Key words: basketball players, knee injury, MSCT, arthroscopy

吕媛媛, 焦苗苗, 马献伟. 多层螺旋CT技术在篮球运动员膝关节损伤诊断中的应用[J]. 影像科学与光化学, 2023, 41(1): 159-163.

LU Yuanyuan, JIAO Miaomiao, MA Xianwei. Application of Multi-slice Spiral CT in the Diagnosis of Knee Joint Injuries of Basketball Players[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2023, 41(1): 159-163.

参考文献

[1] Omi Y, Sugimoto D, Kuriyama S, et al. Effect of hip-focused injury prevention training for anterior cruciate ligament injury reduction in female basketball players:A 12-year prospective intervention study[J]. The American Journal of Sports Medicine, 2018, 46(4):852-861.
[2] Geeslin A G, Lemos D F, Geeslin M G. Knee ligament imaging:Preoperative and postoperative evaluation[J]. Clinics in Sports Medicine, 2021, 40(4):657-675.
[3] Sauer S, Clatworthy M. Editorial commentary:The ratio of Tibial Slope and Meniscal Bone Angle is a Strong Predictor for anterior cruciate ligament Injury:A steep hill and a shallow speed bump are a hazardous combination[J]. Arthroscopy, 2021, 37(5):1610-1611.
[4] 丘武应, 姚文虹, 钟丽珍, 等. MSCT三维重建与MRI在膝关节隐匿性骨折中的诊断价值[J]. 海南医学, 2020, 31(8):1021-1024.
[5] 曲冰, 姜晔, 赵旭, 等. 磁共振成像、多层螺旋CT检查对成人外伤性膝关节损伤的诊断价值分析[J]. 中国CT和MRI杂志, 2021, 19(5):151-153.
[6] 李文华, 卢东霞, 杨金花, 等. 膝关节韧带损伤的CT与MRI影像表现及诊断价值[J]. 中国CT和MRI杂志, 2016, 14(8):121-123.
[7] Ektas N, Scholes C, Kulaga S, et al. Recovery of knee extension and incidence of extension deficits following anterior cruciate ligament injury and treatment:A systematic review protocol[J]. Journal of Orthopaedic Surgery and Research, 2019, 14(1):88.
[8] D'souza J J. Letters to the editor:Lateral collateral ligament injury about the knee:Anatomy, evaluation, and manage-ment[J]. The Journal of the American Academy of Orthopaedic Surgeons, 2020, 28(9):e386.
[9] Kohn L, Rembeck E, Rauch A. Anterior cruciate ligament injury in adults:Diagnostics and treatment[J]. Der Orthopade, 2020, 49(11):1013-1028.
[10] Stone A V, Marx S, Conley C W, et al. Management of partial tears of the anterior cruciate ligament:A review of the anatomy, diagnosis, and treatment[J]. The Journal of the American Academy of Orthopaedic Surgeons, 2021, 29(2):60-70.
[11] Sundemo D, Senorski E H, Samuelsson K, et al. Editorial commentary:Diagnosis and Treatment of Generalized Joint Hypermobility in patients with anterior cruciate ligament injury[J]. Arthroscopy:the Journal of Arthroscopic & Related Surgery, 2021, 37(7):2348-2350.
[12] 郑士慧. CT和MRI在膝关节韧带损伤中的影像学表现和诊断价值[J]. 中国实用医药, 2020, 15(13):91-93.
[13] 彭钰, 仲建全, 冯浩, 等. 膝关节损伤MSCT、MRI表现及诊断效能差异分析[J]. 中国CT和MRI杂志, 2022, 20(2):172-174.
[14] 张辉, 杨远, 陈斐, 等. MRI检查在前交叉韧带损伤诊断中的应用[J]. 国际骨科学杂志, 2020, 41(5):280-284.
[15] 徐玉琴, 张来顺, 余燕青, 等. X线片、MSCT三维成像与MRI在后交叉韧带胫骨止点骨折诊断中的价值[J]. 中国骨与关节损伤杂志, 2022, 37(2):215-217.
[16] 孙小煜, 宋璐, 张雪峰, 等. 应用MRI、MSCT检查在外伤性膝关节交叉韧带损伤诊治中临床价值研究[J]. 中国CT和MRI杂志, 2021, 19(9):180-182.
[17] 李渊. 膝关节前交叉韧带损伤的MRI诊断及多征象分析[D]. 太原:山西医科大学, 2009.
[18] 徐亦鹏, 李冕, 闫石, 等. 前交叉韧带损伤与胫骨平台后侧骨损伤的相关性分析[J]. 骨科, 2020, 11(3):229-233.
[19] 刘超, 于爱红, 王玲, 等. 负重位与平卧位磁共振成像对前交叉韧带损伤患者胫骨前移程度的对比研究[J]. 中国骨与关节杂志, 2020, 9(12):927-930.
[20] 孙英华, 任金亭, 王莉, 等. 年龄相关胫骨平台后倾角变化规律及与前交叉韧带损伤的关系[J]. 大连医科大学学报, 2021, 43(3):214-218.

多层螺旋CT技术在篮球运动员膝关节损伤诊断中的应用

Application of Multi-slice Spiral CT in the Diagnosis of Knee Joint Injuries of Basketball Players

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