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Acetabular Cartilage Delamination in Femoroacetabular Impingement: The Underdiagnosis on MRA Risk Factors and Radiologic Factors

机译:髋臼前髋臼软骨脱层:MRA危险因素和放射学因素的不足诊断

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摘要

Objectives:Cartilage delamination (CD) is reported to be a very common (31.5%-75%) pathology in patients undergoing surgery for femoroacetabular impingement (FAI). Treatment options vary depending on size and location of the CD and are very limited in patients with advanced CD. Therefore, it is necessary to diagnose CD pre-operatively to plan for surgical treatment. Magnetic resonance arthrography (MRA) is cited in the literature as the standard diagnostic tool of this pathology, but there are discrepancies in the literature as to the effectiveness of this diagnostic tool, with a variety of reported sensitivities and specificities. The objective of this study is to [1] to assess the frequency, size and location of acetabular CD in our FAI population, [2] to assess the sensitivity, specificity, negative prognostic value (NPV), and positive prognostic value (PPV) of the MRA, and [3] to determine risk factors and radiologic predictors for CD.
机译:目的:据报道,在接受股骨髋臼撞击(FAI)手术的患者中,软骨分层(CD)是一种非常普遍的病理(31.5%-75%)。治疗选择取决于CD的大小和位置,并且对于晚期CD患者非常有限。因此,有必要在术前诊断CD以计划手术治疗。文献中引用了磁共振关节造影(MRA)作为该病理学的标准诊断工具,但是在文献中,关于这种诊断工具的有效性存在差异,并报道了多种敏感性和特异性。这项研究的目的是[1]评估FAI人群中髋臼CD的频率,大小和位置,[2]评估敏感性,特异性,阴性预后值(NPV)和阳性预后值(PPV) [3]确定CD的危险因素和放射学预测因子。

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