目的 探讨解剖分层磁共振（MRI）对训练后膝前痛的诊断价值。方法 回顾性分析2023-01至2024-10解放军96605部队医院收治的152例训练后膝前痛患者的临床及MRI资料。根据解剖分层（浅层皮下脂肪和滑囊、伸肌系统及髌骨稳定功能层、关节外滑膜层、关节内层）对MRI结果进行损伤分类,采用韦恩图分析相关数据。结果 152例中,主要损伤为伸肌系统及髌骨稳定功能层（121例,79.61%）;髌下脂肪垫撞击综合征（89例,58.55%）是关节外滑膜层最常见损伤。韦恩图显示其中合并累及“包含脂肪垫的关节外滑膜层”与“伸肌系统和负责髌骨稳定的功能层”患者最多,重叠例数为38例。结论 解剖分层MRI结果可精准诊断训练后膝前痛,为制定个性化治疗方案提供可靠依据。
Abstract
Objective To explore the diagnostic value of anatomical layered magnetic resonance imaging (MRI) for anterior knee pain after training. Methods A retrospective analysis was conducted on the clinical and MRI data of 152 patients with post-training anterior knee pain admitted to No. 96605 Troop hospital of the PLA from January 2023 to October 2024. The MRI results were classified based on anatomical layers, including superficial subcutaneous fat and bursae, extensor system and functional layer for patellar stability, extra-articular synovial layer, and intra-articular layer, and the relevant data were analyzed using Venn diagrams. Results Among the 152 cases, the main injuries were the extensor system and functional layer for patellar stability (121 cases, 79.61%). Infrapatellar fat pad impingement syndrome (Hoffa Syndrome) (89 cases, 58.55%) was most commonly observed in the extra-articular synovial layer.The Venn diagram showed that most patients had combined injuries in the "extra-articular synovial layer including the fat pad" and the "extensor system and functional layer for patellar stability" (38 cases). Conclusions The results of anatomical layered MRI can accurately diagnose post-training anterior knee pain, providing a reliable basis for formulating personalized treatment plans.
关键词
膝关节 /
膝前痛 /
髌股关节疼痛 /
MRI /
训练伤 /
鉴别诊断
Key words
knee joint /
anterior knee pain /
patellofemoral joint pain /
magnetic resonance imaging /
training injury /
differential diagnosis
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