膝关节软骨下BMLs与软骨下骨承受应力改变关系的研究

doi:10.12117/jccmi.2018.11.012

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Abstract Objective: To explore the contribution of the stabilizing structures of the knee and other stress factors to the subchondral bone marrow edema-like lesions(BMLs) of the knee by evaluating the relationship between stabilizer failure of the subchondral bone and the BMLs of the knee. Methods: The stabilizer failure group with 281 cases and the normal structure group with 26 cases were tested by MR. MR images were graded by WORMS, including the cartilage, the meniscus, the ligaments(the anterior and posterior cruciate ligament, the medial and lateral collateral ligament), bone marrow edema. The presence of subchondral BMLs between the stabilizing structures defect and normal in the stabilizer failure group were compared and analyzed. The relationship between the meniscus tear or extrusion and the BMLs were tested by Rank correlation. The abnormality of the stabilizing structures and possible risk factors affected the size of subchondral BMLs were tested by logistic regression method. Results: The presence of BMLs was significantly higher in patients with stress changed group than normal structure group. The presence of BMLs was significantly higher in patients with cartilage defect than normal. The presence of BMLs was significantly higher in patients with the stabilizer ligaments tear than normal. The range of MFC BMLs is mainly affected by the anterior horn of the medial meniscus extrusion, and followed by the anterior horn of the medial meniscus tear, MFC cartilage defect and age. The range of MT BMLs is mainly affected by MT cartilage defect, and followed by the anterior horn of the medial meniscus tear and age. The range of LFC BMLs is mainly affected by LFC cartilage defect, and followed by the age. The range of LT BMLs is mainly affected by LT cartilage defect, and followed by the anterior horn of the lateral meniscus tear. The range of the gross BMLs is mainly affected by cartilage defect, and followed by the meniscus abnormality and age. Conclusion: Articular stabilizer structure defect would induce the formation of subchondral BMLs, and the main actor was the cartilage defect.

Key words： Knee joint Cartilage diseases Magnetic resonance imaging

Received: 11 December 2017

PACS:	Ｒ681.3
	Ｒ445.2

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	Articles by authors
	WANG Jing1
	CUI Jian-ling2
	ZHAO Jian2
	REN Jin-jun3
	WANG Wei-xiu1

Cite this article:

WANG Jing1,CUI Jian-ling2,ZHAO Jian2, et al. The association between BMLs of the subchondral bone and stabilizer failure in knee joint[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2018, 29(11): 818-821.

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http://www.jccmi.com.cn/EN/10.12117/jccmi.2018.11.012 OR http://www.jccmi.com.cn/EN/Y2018/V29/I11/818

[1]崔建岭，任进军，孙英彩，等. 膝关节软骨下骨局灶性病变与应力改变的相关性研究[J]. 临床放射学杂志，2009，28（4）：540-544. [2]任进军，崔建岭. 膝关节自发性骨坏死的研究现状[J]. 国外医学：临床放射学分册，2006，29（4）：401-404. [3]崔建岭，任进军，孙英彩，等. 膝关节自发性骨坏死的MRI诊断（附15例报告）[J]. 实用放射学杂志，2008，24（7）：940-942. [4]Peterfy CG, Uermazi A, Aim S, et al. Whole-organ magnetic resonance imaging score(WORMS) of the knee in osteoarthritis[J]. Osteoarthr Cartil, 2004, 12(3): 177-190. [5]Hunter DJ, Zhang YQ, Niu JB, et al. Association of meniscal pathologic changes with cartilage loss in symptomatic knee osteoarthritis[J]. Arthr Rheum, 2006, 54(3): 795-801. [6]Madan-Sharma R, Kloppenburg M, Kornaat PR, et al. Do MRI features at baseline predict radiographic joint space narrowing in the medial compartment of the osteoarthritic knee 2 years later?[J]. Skelet Radiol, 2008, 37(9): 805-811. [7]Kazakia GJ, Kuo D, Schoiller J, et al． Bone and cartilage demonstrate changes localized to bone marrow edema-like lesions within osteoarthritis knees[J]． Osteoarth Cartil, 2013, 21(1): 94-101. [8]方舒，邢伟. T2弛豫时间图在膝关节软骨下骨髓水肿与软骨损伤相关性研究中的应用[J]. 中国中西医结合影像学杂志，2015，13（4）：367-369. [9]王建军. 膝关节骨关节炎软骨下骨髓水肿与膝关节内外侧骨密度的相关性[J]. 中国现代医生，2014，52（9）：65-67. [10]苏凯，吴家林，庞慧芳，等．膝关节骨关节炎MRI表现[J]. 医学影像学杂志，2011，21（7）：1072-1075. [11]李西海，梁文娜. 软骨下骨重塑与骨关节炎的关系[J]. 国际骨科学杂志，2007，28（1）：35-37. [12]李敏，梁翼，吴晓惠，等．伴骨髓水肿的膝骨关节炎患者白细胞介素1β白细胞介素6肿瘤坏死因子α的相关性研究[J]．中华风湿病学杂志，2012，16（2）：107-110. [13]Papageorgiou CD, Gil JE, Kanamori A, et al. The biomechanical interdependence between the anterior cruciate ligament replace-ment graft and the medial meniscus[J]. Am J Sport Med, 2001, 29(2): 226-231. [14]李康华，罗令，雷光华，等. 前交叉韧带不同断裂程度对内侧半月板后角生物力学特性的影响[J]. 现代生物医学进展，2008，8（8）：1488-1491.