Diz Morfolojik Ölçümleri ile Ön Çapraz Bağ Yaralanmaları ve Menisküs Yaralanmaları Arasındaki İlişkinin Değerlendirilmesi

Yıl 2025, Cilt: 20 Sayı: 3, 199 - 210

Begüm İncedemir Ündey Ayfer Metin Tellioğlu , Elif Aydın , Yasemin Durum Polat

https://doi.org/10.17517/ksutfd.1590151

Öz

Aim: This study aims to compare the morphological measurements and structural differences in the bony structures of the knee joint among cases with isolated anterior cruciate ligament (ACL) injury, cases with both ACL and meniscus injury, and healthy individuals.

Material and Methods: In our study, knee magnetic resonance imaging records of 200 individuals diagnosed with a ligamentum cruciatum anterius injury and 110 individuals reported as having a normal knee (a total of 310 individuals) were analyzed. The images were also examined in terms of meniscus injury; they were divided into two groups: isolated ligamentum cruciatum anterius injury and combined injury groups involving the anterior cruciate ligament and meniscus. Measurements of bone structures that were presumed to be risk factors for ligamentum cruciatum anterius and meniscus injury were evaluated. These measurements were compared statistically between the two study groups with the control group.

Results: In our study, condylus medialis width, condylus lateralis width, bicondylae width, eminentia intercondylaris width, tibia width, patellar length, ligamentum patellae length, patella facies articularis angle, and sulcus trochlearis angle values were significantly higher in both isolated ligamentum cruciatum anterius injuries and combined injury of ligamentum cruciatum anterius and meniscus. Furthermore, the fossa intercondylaris shape index, the fossa intercondylaris index, the tibial medial slope, the sulcus trochlearis depth, the trochlear facet asymmetry, the sulcus trochlearis and tuberositas tibia distance, and the patellar tilt values were significantly lower in both isolated ligamentum cruciatum anterius injuries and combined injury of ligamentum cruciatum anterius and meniscus.

Conclusion: We think that by evaluating these measurements in daily clinical practice, it can be determined whether the patient is at risk for ligamentum cruciatum anterius and meniscus injuries.

Anahtar Kelimeler

Diz eklemi , Diz yaralanmaları , lig. cruciatum anterius yaralanmaları , menisküs , manyetik rezonans görüntüleme

Evaluation of the Relationship between Morphological Measurements of the Knee and Anterior Cruciate Ligament Injuries along with Meniscus Injuries

Öz

Amaç: Bu çalışma, izole lig. cruciatum anterius yaralanmalı olgular, lig. cruciatum anterius ve menisküs yaralanmasının birlikte olduğu olgular ve sağlıklı bireylerde diz ekleminin kemik yapılarındaki morfolojik ölçümleri ve yapısal farklılıkları karşılaştırmayı amaçlamaktadır.
Gereç ve Yöntemler: Çalışmada, lig. cruciatum anterius yaralanması tanısı almış 200 bireyin ve 110 sağlıklı olgunun manyetik rezonans görüntüleri değerlendirilmiştir. Görüntüler menisküs yaralanması açısından da değerlendirilmiş ve bireyler, lig. cruciatum anterius’un izole ve menisküs ile birlikte yaralandığı iki gruba ayrılmıştır. Lig. cruciatum anterius ve menisküs yaralanması için risk faktörü olduğu düşünülen kemik yapı ölçümleri değerlendirilmiş ve bu ölçümler çalışma grupları ile kontrol grubu arasında istatistiksel olarak karşılaştırılmıştır.
Bulgular: Çalışmada, lig. cruciatum anterius’un izole ve menisküs ile birlikte yaralandığı gruplarda; condylus medialis genişliği, condylus lateralis genişliği, bikondiler genişlik, eminentia intercondylaris genişliği, tibia genişliği, patella uzunluğu, ligamentum patellae uzunluğu, patella facies articularis ve sulcus trochlearis açıları anlamlı olarak daha fazla bulunmuştur. Bununla birlikte; fossa intercondylaris şekil indeksi, fossa intercondylaris indeksi, tibial medial eğim, sulcus trochlearis derinliği, trochlear faset asimetrisi, sulcus trochlearis-tuberositas tibia mesafesi ve patellar tilt değerleri bu gruplarda anlamlı olarak daha düşük tespit edilmiştir.
Sonuç: Diz eklemine ait morfometrik ölçümleri klinik uygulamalarda değerlendirmenin, hastanın lig. cruciatum anterius ve menisküs yaralanma riskinin belirlenmesine katkı sağlayacağını düşünmekteyiz

Anahtar Kelimeler

knee joint , knee injuries , anterior cruciate ligament injuries , meniscus , magnetic resonans imaging

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