지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 115 - 123 (9page)
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초록· 키워드
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Purpose: The purpose of this study is to determine structural bony abnormalities predisposing for femoroacetabular impingement by comparison of patients with and without mechanical symptoms.
Materials and Methods: We conducted this comparative study on 151 patients (151 hips; mean age 44.8 years; range 16-73 years) with mechanical symptoms with results of multi-detector computed tomography (MDCT) arthrography (the symptomatic group). Each patient was matched with a control who underwent MDCT due to ureter stone (the asymptomatic group) in terms of age, gender, site (right or left), and time at diagnosis. Acetabular evaluations, which included cranial and central anteversion and anterior and lateral center edge angles and femoral measurements, were performed. In addition, we evaluated the prevalence and characteristics of structural bone abnormalities between the two groups.
Results: The prevalence for patients who had at least one structural bony abnormality in the symptomatic and asymptomatic groups was 80.1% (121/151) and 54.3% (82/151), respectively (odds ratio: 3.39, 95% confidence interval: 2.30-5.66; P<0.001). The most common osseous abnormality was the isolated Pincer type in both groups:89 (73.6%) of 121 hips with an osseous abnormality in the symptomatic group and 57 (69.5%) of 82 hips with an osseous abnormality in the asymptomatic group. By analysis of CT arthrography in symptomatic patients, a labral tear was found in 107 hips (70.9%), and 86 (80%) of these hips had a structural bony abnormality.
Conclusion: A significantly greater prevalence rate of structural bony abnormality was observed for the symptomatic group than for the asymptomatic group. These findings are helpful for development of appropriate treatment plans.
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참고문헌 (25)
참고문헌 신청
Yamamoto Y / 2007 / Usefulness of radial contrast-enhanced computed tomography for the diagnosis of acetabular labrum injury / Arthroscopy 23:1290~1294
Arai N / 2007 / Difference between 2 measurement methods of version angles of the acetabular component / J Arthroplasty 22 : 715 ~ 720
Beaule PE / 2005 / Three-dimensional computed tomography of the hip in the assessment of femoroacetabular impingement / J Orthop Res 23 : 1286 ~ 1292
Beck M / 2005 / Hip morphology influences the pattern of damage to the acetabular cartilage : femoroacetabular impingement as a cause of early osteoarthritis of the hip / J B
Clohisy JC / 2009 / Radiographic evaluation of the hip has limited reliability / Clin Orthop Relat Res 467 : 666 ~ 675
Arai N / 2007 / Difference between 2 measurement methods of version angles of the acetabular component / J Arthroplasty 22 : 715 ~ 720
Beaule PE / 2005 / Three-dimensional computed tomography of the hip in the assessment of femoroacetabular impingement / J Orthop Res 23 : 1286 ~ 1292
Beck M / 2005 / Hip morphology influences the pattern of damage to the acetabular cartilage : femoroacetabular impingement as a cause of early osteoarthritis of the hip / J B
Clohisy JC / 2009 / Radiographic evaluation of the hip has limited reliability / Clin Orthop Relat Res 467 : 666 ~ 675
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