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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Magnetic Resonance Imaging and Intra-articular Findings After Anterior Cruciate Ligament Injuries in Ice Hockey Versus Other Sports
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Magnetic Resonance Imaging and Intra-articular Findings After Anterior Cruciate Ligament Injuries in Ice Hockey Versus Other Sports

机译：冰球和其他运动项目中前十字韧带损伤后的磁共振成像和关节内发现

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Background: The prevalence of comorbid knee pathology has been examined for sports-related anterior cruciate ligament (ACL) injuries, but it has not been examined in ice hockey players. Purpose: To compare concomitant bone bruising, collateral ligament injuries, and intra-articular injuries in ACL injuries suffered during ice hockey versus other sports. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 20 patients with ACL injuries sustained during ice hockey were identified from a prospective registry, of which 95% were male and 90% had a contact mechanism of injury (MOI). Thirteen cases and 46 controls who sustained ACL injuries from ice hockey and other sports, respectively, were included. Inclusion criteria for cases and controls were male sex, contact MOI, no prior knee surgery, magnetic resonance imaging (MRI) within 6 weeks of injury, and surgery within 3 months of injury. Age, body mass index (BMI), MRI findings (bone bruising, medial and lateral collateral ligament [MCL, LCL] injuries), and arthroscopic findings (meniscus tears, chondral injuries) were compared for cases versus controls using t tests or exact chi-square tests. Results: Age (22.9 ± 8.8 vs 23.4 ± 10.4 years, P = .88) and BMI ≥25 kg/m~(2)(50% vs 65.9%, P = .66) did not differ between cases and controls. Cases had less lateral bone bruising (lateral femoral condyle: 54.6% vs 93%, P = .01; lateral tibial plateau: 72.7% vs 93%, P = .09) and no medial bone bruising (medial femoral condyle: 0% vs 7%, P = .06; medial tibial plateau: 0% vs 32.6%, P = .05) compared with controls. Cases had less frequent lateral meniscus tears than controls (23.1% vs 58.5%, P = .05). There were no significant differences in MCL (40% vs 31.2%, P = .77), LCL (0% vs 3.9%, P > .999), medial meniscus tears (7.7% vs 37%, P = .08), and chondral injuries (10% vs 9.4%, P > .999) for cases versus controls. Conclusion: Male ice hockey players with ACL injuries had less lateral femoral condyle and medial tibial plateau bone bruising compared with other sports injuries. They also had fewer lateral meniscus tears, and there was a trend toward fewer medial meniscus tears. These differences may reflect different MOIs, or the ability to dissipate energy, for contact ACL injuries that occur during ice hockey versus other sports.
机译：背景：已经检查了与运动相关的前交叉韧带（ACL）损伤的合并膝关节病理学的患病率，但尚未在冰球运动员中进行检查。目的：比较在冰球和其他运动中遭受的ACL损伤中伴随的骨挫伤，副韧带损伤和关节内损伤。研究设计：横断面研究;证据等级，3。方法：从前瞻性注册表中识别出总共20例在冰球期间遭受ACL损伤的患者，其中95％是男性，而90％则具有接触损伤机制（MOI）。其中包括分别因冰球和其他运动遭受ACL损伤的13例病例和46名对照者。病例和对照的纳入标准为男性，接触MOI，无膝关节手术，受伤后6周内进行磁共振成像（MRI）和受伤后3个月内进行手术。使用t检验或精确对照比较了病例组和对照组的年龄，体重指数（BMI），MRI结果（骨青紫，内侧和外侧副韧带[MCL，LCL]损伤）和关节镜检查结果（半月板撕裂，软骨损伤）。方测试。结果：年龄（22.9±8.8 vs 23.4±10.4岁，P = .88）和BMI≥25kg / m〜（2）（50％vs 65.9％，P = .66）在病例和对照组之间没有差异。病例的外侧骨淤伤较少（股骨lateral外侧：54.6％vs 93％，P = .01;胫骨平台高：72.7％vs 93％，P = .09），无内侧骨瘀伤（内侧股骨al：0％vs。 7％，P = 0.06;内侧胫骨平台：0％比32.6％，P = 0.05）。病例的半月板外侧撕裂发生率低于对照组（23.1％vs 58.5％，P = 0.05）。 MCL（40％vs 31.2％，P = .77），LCL（0％vs 3.9％，P> .999），半月板内侧撕裂（7.7％vs 37％，P = .08）无显着差异，与对照组相比，软骨损伤和软骨损伤（10％比9.4％，P> .999）。结论：ACL损伤的男性冰球运动员与其他运动损伤相比，股骨外侧lateral和胫骨平台内侧骨淤伤较少。他们的半月板外侧撕裂也更少，并且内侧半月板撕裂的趋势也越来越少。这些差异可能反映了冰球与其他运动期间发生的接触性ACL损伤的不同MOI或耗散能量的能力。

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