胫骨平台解剖变异与前交叉韧带损伤的关系△

Relationship between anatomical variation of tibial plateau and ACL injury

摘要:

前交叉韧带(anterior cruciate ligament, ACL)损伤是膝关节损伤中最常见的韧带损伤，预防 ACL 损伤和鉴别与 ACL 损伤相关的危险因素成为近年来的研究热点。研究表明膝关节解剖变异是非接触性 ACL 损伤的主要危险因素，包括股骨和胫骨的解剖变异。先前的研究大多将重点放在股骨解剖变异上，而对胫骨平台相关的解剖变异甚少涉及，且大多数研究的目的和结论仅基于胫骨平台某一具体形态学参数，以此来分析 MRI 或 X 线图像中胫骨平台解剖形态的差异。因此，本文就胫骨平台的解剖变异与 ACL 损伤的关系进行综述，为临床医师提供参考。

Abstract:

Anterior cruciate ligament (ACL) is the most common involved ligament in knee injury. Prevention of ACL injury and identi- fication of risk factors related to ACL injury have become research hotspots in recent years. Studies have shown that knee anatomical varia- tion are the main risk factors for non-contact ACL injury, including anatomical variations of femur and tibia. Previous studies have mostly focused on the anatomical differences of the femur, while the anatomical variations related to the tibial plateau are rarely involved. The re- sult and conclusion of most studies are based on some specific morphological parameters of the tibial plateau measured on MRI or X-ray images. Therefore, this article reviews the relationship between anatomical variations of tibial plateau and ACL injury to provide a reference for clinicains.