青壮年人群非接触性前交叉韧带损伤与功能性踝关节不稳的关系研究

Non-contact anterior cruciate ligament injury and functional ankle instability:a correlation study in young adults

目的探究功能性踝关节不稳(FAI)在膝关节前交叉韧带(ACL)损伤青壮年患者中的患病率及两者的关系。方法回顾性分析中山大学孙逸仙纪念医院骨外科自2017年1月至2020年3月因非接触性ACL损伤住院治疗的102例患者资料。将102例患者设为ACL损伤组,其中男61例,女41例;年龄(31.9±6.1)岁;Tegner运动能力评分为(6.1±1.9)分。招募同期市内102名无膝关节ACL损伤的市民作为对照组,其中男56例,女46例;年龄(30.3±7.2)岁;Tegner运动能力评分为(6.0±2.1)分。采用Cumberland踝关节不稳问卷(CAIT)和踝关节功能评估量表(AJFAT)评估受试者是否存在自觉FAI,并对所得数据进行分析。结果两组研究对象一般资料比较差异均无统计学意义(P>0.05),具有可比性。采用CAIT评分,ACL损伤组的FAI患病率52.9%(54/102)显著高于对照组的32.4%(33/102);采用AJFAT评分,ACL损伤组患者的FAI患病率59.8%(61/102)显著高于对照组的39.2%(40/102);以上比较差异均有统计学意义(P<0.05)。采用CAIT评分、AJFAT评分分别判定,FAI与ACL损伤呈负相关(r=-0.159,P=0.023;r=-0.215,P=0.002)。结论ACL损伤患者中FAI患病率较高,ACL损伤与FAI存在一定相关性,FAI可能易引发ACL损伤。

Objective To study the correlation between non-contact anterior cruciate ligament(ACL)injury and functional ankle instability(FAI)in young patients.Methods A retrospective analysis was conducted of the 102 patients with non-contact ACL injury[61 males and 41 females,with an age of(31.9±6.1)years and a Tegner activity score of(6.1±1.9)points]who had been treated at Department of Orthopedics,Sun Yat-sen Memorial Hospital from January 2017 to March 2020(injury group).Another 102 citizens without ACL injury from Guangzhou[56 males and 46 females,with an age of(30.3±7.2)years and a Tegner activity score of(6.0±2.1)points]were recruited as a control group.The Cumberland ankle instability tool(CAIT)and the Ankle Joint Functional Assessment Tool(AJFAT)were used to assess whether the subjects had self-conscious FAI or not.A correlation analysis was conducted using the data collected.Results The 2 groups were comparable because there were no significant differences between them in general data(P>0.05).By the CAIT score,the incidence of FAI in the injury group[52.9%(54/102)]was significantly higher than that in the control group[32.4%(33/102)](P<0.05);by the AJFAT score,the incidence of FAI in the injury group[59.8%(61/102)]was significantly higher than that in the control group[39.2%(40/102)](P<0.05).Pearson correlation analysis showed that diagnoses of FAI by CAIT and by AJFAT were respectively correlated with ACL injury(r=-0.159,P=0.023;r=-0.215,P=0.002).Conclusions The incidence of FAI may be high in patients with ACL injury and there is a correlation between FAI and ACL injury.