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首页> 外文期刊>Journal of orthopaedic research >Using the Scoring Hip Osteoarthritis with Magnetic Resonance Imaging (SHOMRI) system to assess intra-articular pathology in femoroacetabular impingement
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Using the Scoring Hip Osteoarthritis with Magnetic Resonance Imaging (SHOMRI) system to assess intra-articular pathology in femoroacetabular impingement

机译：利用磁共振成像（SHOMRI）系统的评分髋关节骨关节炎，评估股骨旁撞击的关节内病理

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There is currently no widely accepted classification system of intra-articular damage in the setting of femoroacetabular impingement (FAI). The goal of this study is to correlate the Scoring Hip Osteoarthritis with Magnetic Resonance Imaging (SHOMRI) system with arthroscopic findings in symptomatic FAI patients to justify its use in this setting. Symptomatic FAI patients scheduled for hip arthroscopy were prospectively enrolled. Prior to surgery, radiographs, and an MRI were obtained of the affected hip and all patients completed the Hip disability and Osteoarthritis Outcome Score (HOOS) questionnaire. Each MRI was graded using the SHOMRI system. Intraoperatively, cartilage and labral injury grades were recorded. SHOMRI scores were then correlated with the intraoperative cartilage and labral grades as well as preoperative radiographic findings and HOOS scores. Forty-three patients were analyzed (mean age 35.7 years, 58.1% male). SHOMRI total scores correlated with intraoperative femoral cartilage grade (rho = 0.42; p = 0.002), acetabular cartilage grade (rho = 0.30; p = 0.046), and labral tear grade (rho = 0.42; p = 0.003) as well as with preoperative Tonnis grade (rho = 0.37, p = 0.013), HOOS pain score (rho = -0.33; p = 0.039), HOOS ADL score (rho = -0.39; p = 0.007), and HOOS sports score (rho = -0.30; p = 0.037). In conclusion, total scores from the SHOMRI system showed significant correlation with arthroscopic findings as well as radiographic gradings and clinical symptoms in patients with FAI. Use of this quantitative system to assess the burden of chondrolabral damage in FAI appears valid. (c) 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:3064-3070, 2018.
机译：目前没有广泛接受的股骨旁撞击（FAI）的关节内损坏的分类系统。本研究的目的是将评分髋关节骨关节炎与磁共振成像（Shomri）系统相关联，在症状FAI患者中具有关节镜检查，以证明其在此环境中的使用。症状患者预定髋关节视镜检测患者。在手术前，射线照相和MRI获得受影响的髋关节和所有患者完成髋关节残疾和骨关节炎结果评分（HOOS）问卷。每个MRI使用Shomri系统进行分级。记录术中，软骨和抗损伤等级。然后与术中软骨和术术等级相关的Shomri评分以及术前放射照相调查结果和同时分数。分析了四十三名患者（平均年龄为35.7岁，男性58.1％）。 Shomri总分与术中股骨软骨级相关（rho = 0.42; p = 0.002），髋臼软骨等级（rho = 0.30; p = 0.046），以及术术（rho = 0.42; p = 0.003）以及术前术语吨位等级（rho = 0.37，p = 0.013），hoos疼痛评分（rho = -0.33; p = 0.039），hoos ADL得分（rho = -0.39; p = 0.007），以及HOOS运动得分（Rho = -0.30; p = 0.037）。总之，Shomri系统的总分与关节镜发现的显着相关，以及FAI患者的射线照相审计和临床症状。使用这种定量系统来评估FAI中软骨起动损伤的负担似乎有效。 （c）2018年骨科研究会。由Wiley Hearyicals，Inc.J Orthop Res 36：3064-3070,2018出版。

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