■骨软骨损伤(OCI)在急性髌骨外侧脱位患者中很常见,会产生短期和长期的不良影响。然而,这些伤害的模式值得进一步分析,尤其是与患者年龄有关。
■确定急性髌骨外侧脱位后伴随OCI的总体患病率以及基于位置和年龄的患病率差异。
■系统评价;证据水平,4.
■PubMed的全面搜索,Embase,WebofScience,Cochrane图书馆从成立到2022年7月20日完成。所有报道OCI患病率的文章都包括在内。样本特征,如年龄,研究设计,磁共振成像诊断数据,并提取OCI患者的数量。非随机研究方法学指数(MINORS)用于质量评估。计算了总体和每个部位的损伤率,患病率按年龄分层;组(≤16岁和>16岁)并进行比较。
■系统评价包括39项研究,涉及3354例患者。在非比较和比较研究中,MINORS得分分别为11.94±1.98和16±3.46,分别。骨挫伤和OCI的总体患病率为89.6%(95%CI,77.4%-97.7%)和48.8%(95%CI,39.0%-58.7%),分别。在总体和>16岁的患者中,股骨外侧髁(LFC)是骨挫伤最常见的部位(90.5%[95%CI,84.0%-95.6%]和91.5%[95%CI,84.3%-96.9%],分别);然而,髌骨内侧擦伤在≤16岁的患者中更为常见(89.2%[95%CI,82.9%-94.4%]).在OCI的合并部位中,内侧髌骨所占比例最大(36.9%[95%CI,28.0%-46.3%])。OCI在>16岁的患者(52.6%[95%CI,39.4%-65.6%])比在≤16岁的患者(46.6%[95%CI,33.2%-60.3%])更常见。
■LFC上的骨挫伤在总体上最普遍,在患者中>16岁,而内侧髌骨的骨瘀伤在≤16岁的患者中更为普遍。OCI常见于16岁以上的患者,最常见的部位是内侧髌骨。
UNASSIGNED: Osteochondral injuries (OCIs) are common in patients with acute lateral patellar dislocation, which can produce both short- and long-;term adverse effects. However, the pattern of these injuries warrants further analysis, especially in relation to patient age.
UNASSIGNED: To determine the overall prevalence of concomitant OCIs as well as the prevalence differences based on location and age after acute lateral patellar dislocations.
UNASSIGNED: Systematic review; Level of evidence, 4.
UNASSIGNED: A comprehensive search of PubMed, Embase, Web of Science, and Cochrane Library was completed from inception to July 20, 2022. All articles reporting the prevalence of OCI were included. The sample characteristics such as age, study design, magnetic resonance imaging diagnostic data, and the number of patients with OCI were extracted. The Methodological Index for Non-Randomized Studies (MINORS) was used for quality assessment. The overall and per-;site injury rates were calculated, and the prevalence was stratified by age-;group (≤16 and >16 years) and compared.
UNASSIGNED: The systematic review included 39 studies involving 3354 patients. MINORS scores were 11.94 ± 1.98 and 16 ± 3.46 in the noncomparative and comparative studies, respectively. The overall prevalence of bone bruises and OCI was 89.6% (95% CI, 77.4%-97.7%) and 48.8% (95% CI, 39.0%-58.7%), respectively. In both overall and >16-year-old patients, the lateral femoral condyle (LFC) was the most common site of bone bruise (90.5% [95% CI, 84.0%-95.6%] and 91.5% [95% CI, 84.3%-96.9%], respectively); however, the medial patellar bruise was more common in patients ≤16 years (89.2% [95% CI, 82.9%-94.4%]). Among the pooled sites of OCI, the medial patella accounted for the largest proportion (36.9% [95% CI, 28.0%-46.3%]). OCIs were more common in patients >16 years (52.6% [95% CI, 39.4%-65.6%]) than in patients ≤16 years (46.6% [95% CI, 33.2%-60.3%]).
UNASSIGNED: Bone bruises on the LFC were most prevalent overall and in patients >16 years, whereas bone bruises on the medial patella were more prevalent in patients ≤16 years. OCIs were frequently seen in patients >16 years, with the most common site being the medial patella.