Ön Çapraz Bağ Yaralanmalı Erkek Hastalarda Femoral Çentik Morfolojisinin Değerlendirilmesi: MRI Çalışması

Yıl 2022, , 225 - 230, 31.12.2022

Ayşe Serap Akgün , Aybars Tekcan

https://doi.org/10.30565/medalanya.1069144

Öz

Amaç: Bu çalışmanın amacı, sporcu olmayan, erkek, ön çapraz bağ (ÖÇB) yaralanmalı hastalarda femoral çentik tipi, çentik genişlik indeksi (NWI), çentik açısı (NA) ve α açısını manyetik rezonans görüntüleme (MRI) kullanarak değerlendirmek ve karşılaştırmaktır.

Yöntemler: Komplet ÖÇB yırtığı olan 79 hastanın ve 80 hastalık kontrol grubunun (19-43 yaş arası) diz MRI görüntüleri değerlendirildi. NWI, NA ölçümleri ve çentik şekli, eksenel yağa doymuş proton ağırlıklı sekanslar üzerinden değerlendirildi. Femoral çentik şekli A, U ve W tipleri olarak sınıflandırıldı.

Bulgular: Çentik tipi, NWI, NA ve ACL yaralanması arasında istatistiksel olarak anlamlı bir ilişki bulundu (p<0,001). ÖÇB yaralanmalı grupta; A tipi çentik (%79.75), kontrol grubundan (%24) önemli ölçüde daha yüksekti. ÖÇB hasarlı grupta NWI kontrol grubuna göre daha düşüktü (0.249 ± 0.020 vs 0.281 ± 0.022). Çentik açısı ÖÇB hasarlı grupta kontrol grubuna göre daha düşüktü (47.15 º ± 5.63 º vs 50.73 º ± 5.44º). Stenotik çentik tipi A ile NWI arasında anlamlı bir ilişki mevcut idi (p <0,001). ÖÇB yaralanmalı hastalarda α açısı kontrol grubuna göre daha düşüktü ancak istatistiksel olarak fark yoktu (41.9 º ±2.79 ºvs 42.06 º ±2.53 º; p= 0.978).

Sonuç: Bu çalışma, düşük NWI, NA değerlerinin ÖÇB yaralanması için bir risk faktörü gibi görünse de, en güçlü prediktif faktörün stenotik femoral çentik tip A olduğunu göstermiştir. α açısı ÖÇB yaralanmasında anlamlı bir korelasyon göstermemiştir.

Anahtar Kelimeler

Ön çapraz bağ, femoral çentik tipi, interkondiler çentik açısı, manyetik rezonans görüntüleme

Destekleyen Kurum

yok

Assessment of femoral notch morphology in male patients with anterior cruciate ligament injury: an MRI study

Öz

Aim: The objective of the present study was to evaluate the femoral notch type, notch width index (NWI), notch angle (NA) and α angle in patients with ACL injury and compare with nonathletic male population, using magnetic resonance imaging (MRI).

Methods: 79 patients with complete ACL tear and 80 patients as control group (aged 19-43 years) who had knee MRI were evaluated. NWI, NA measurements and notch shape were evaluated on axial fat-saturated proton-weighted sequences. Femoral notch shape was classified as A, U and W types.

Results: A statistically significant association was found between notch type, NWI, NA and ACL injury (p<0,001). Type A notch in the ACL-injured group (79.75 %) was significantly higher than the control group (24%). NWI was lower in patients with ACL-injured group than in control group (0.249 ± 0.020 vs 0.281 ± 0.022) Notch angle was lower in patients with ACL-injured group than in control group (47.15 º ± 5.63 º vs 50.73 º ± 5.44º). A significant association between stenotic notch type A and NWI (p <0,001). The α angle was lower in patients with ACL-injured group than in control group but it was not statistically different (41.9 º ±2.79 ºvs 42.06 º ±2.53 º; p= 0.978).

Conclusion: This study showed that however low NWI, NA values are a risk factor for ACL injury, the strongest predictive factor was stenotic femoral notch type A. α angle had no significant correlation in ACL injury.

Anahtar Kelimeler

Anterior cruciate ligament, femoral notch type, intercondylar notch angle, magnetic resonance imaging

Kaynakça

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