rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2015-0-4-12-17rentrad-72Research ArticleСтатьиРентгеноморфологические изменения мыщелков бедренной и большеберцовой костей у больных деформирующим артрозом коленного суставаRadio morphological changes in the femoral and tibial condyles in patients with arthrosis deformans of the kneeДьячковаГ. В.D’yachkovaG. V.

д. м. н., профессор, заведующая лабораторией рентгеновских и ультразвуковых методов диагностики

MD, PhD, DSc, Professor, Head of Laboratory of X-ray and Ultrasonic Diagnostic Methods

СазоноваН. В.SazonovaN. V.

д. м. н., заведующая клинико-диагностическим отделением

MD, PhD, DSc, Head of Clinical and Diagnostic Department

ЛарионоваТ. А.LarionovaT. A.

к. м. н., ст. науч. сотр. лаборатории рентгеновских и ультразвуковых методов диагностики

MD, PhD, Senior Researcher of Laboratory of X-ray and Ultrasonic Diagnostic Methods

ДьячковК. А.D’yachkovK. A.

к. м. н., вед. науч. сотр. лаборатории рентгеновских и ультразвуковых методов диагностики

MD, PhD, Leading Researcher of Laboratory of X-ray and Ultrasonic Diagnostic Methods

ФГБУ «Российский научный центр ”Восстановительная травматология и ортопедия” им. академика Г.А. Илизарова» Министерства здравоохранения РФРоссияRussian Scientific Center ”G.A. Ilizarov Restorative Traumatology and Orthopaedics”, Ministry of Health of the RFRussian Federation201504032016041217Copyright © Дьячкова Г.В., Сазонова Н.В., Ларионова Т.А., Дьячков К.А., 20162016Дьячкова Г.В., Сазонова Н.В., Ларионова Т.А., Дьячков К.А.D’yachkova G.V., Sazonova N.V., Larionova T.A., D’yachkov K.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/72

Цель исследования – изучение количественных рентгенологических проявлений гонартроза у больных в различных возрастных группах.

Материал и методы

Материал и методы. Проанализированы результаты рентгенографии, компьютерной томографии и многосрезовой компьютерной томографии (МСКТ) (с 64 рядами детекторов) 86 больных деформирующим артрозом коленного сустава в возрасте от 18 до 70 лет.

Результаты

Результаты. Рентгеноанатомические изменения в коленном суставе при деформирующем артрозе сопровождаются характерной перестройкой мыщелков бедренной и большеберцовой костей. Количественные изменения плотности кости у больных деформирующим артрозом проявляются общим снижением плотности мыщелков бедренной и большеберцовой костей у больных в возрасте 18–35 лет (р<0,05) и относительным повышением плотности медиального мыщелка большеберцовой кости у больных старше 55/60 лет, особенно при наличии варусной деформации коленного сустава.

Заключение

Заключение. Рентгеноморфологические изменения костей у больных деформирующим артрозом, выявленные методом МСКТ, имеют гораздо больший спектр качественных и количественных характеристик. Данные о плотности кости в области мыщелков непосредственно зависят от выбора метода лечения. Постпроцессная обработка с применением современных визуализационных программ рабочих станций позволяет выявлять более тонкие структурные изменения кости, также имеющие значение при решении тактических вопросов консервативного и оперативного лечения.

 

 

Objective

Objective: to investigate the quantitative X-ray manifestations of gonarthrosis in patients in different age groups.

Material and methods

Material and methods. The results of radiography, computed tomography, and 64-slice multidetector computed tomography (MDCT) were analyzed in 86 patients aged 18 to 70 years with arthrosis deformans of the knee.

Results

Results. Knee radiographic anatomic changes in arthrosis deformans are  accompanied by the characteristic rearrangement of the femoral and tibial condyles. Quantitative bone density changes appear as an overall decrease in the bone  mineral density of the femoral and tibial condyles in 18–35-year-old patients with arthrosis deformans (p<0.05) and a relative increase in that of medial tibial condyles in patients older than 55/60 years, in those with genu varum in particular.

Conclusion

Conclusion. In the patients with arthrosis deformans, the bone radio morphological changes detected by MDCT have a much wider range of qualitative and quantitative characteristics. The data on condylar bone density are directly related to a treatment choice. Data postprocessing using the current visualization programs of working stations identifies minor bone structural changes that are also of importance in solving the tactical problems of medical and surgical treatments.

 

 

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The authors declare that there are no conflicts of interest present.