Objective: To explore the evaluation indicators of X-ray radiographs for femoroacetabular impingement (FAI) syndrome, and to propose therapeutic plans for FAI syndrome by using X-ray radiographs. Methods: From June 2016 to May 2018, patients who were diagnosed as FAI syndrome by hip joint anteroposterior radiographs in Second Yinzhou District Hospital were selected as research objects. After screening, the surgical treatment group included 52 cases, totally. Another 30 healthy adults who received X-ray radiography were included as the control group. Each included patient underwent minimally invasive surgery under hip arthroscopy. The efficacy indicators were evaluated, and the data were statistically analyzed. Results: By analyzing the basic data of the subjects, it was found that there was no significant difference in gender and body mass index between the healthy people and FAI patients (P > 0.05), but the VAS and Harris scores of 7d, 30d, 90d, and 180d after surgery were significantly higher than those before the operation, and with the prolongation of the treatment time, the scores increased continuously, the difference had statistical significance (P < 0.05). By analyzing patients' knee joint mobility, it was found that after therapy, the flexion, pronation, abduction, and extension of knee joint at 30d, 90d, and 180d were distinctly increased compared with those before therapy. Also, the difference had statistical significance (P < 0.05) with the treatment time increasing; the X-ray films of hip joint of the subjects were observed, and it was found that there were healthy people, clamp type FAI, and cam type FAI three typical kinds. There were significant differences in the angle, eccentricity, depth of acetabulum, coverage rate of acetabulum, and CE angle among cam type patients, clamp type patients, and healthy people (P < 0.05). Conclusion: The research in this study found that when using the X-ray radiographs to determine the FAI syndrome, the differences between the classification of FAI symptoms and the healthy adults were obvious. In addition, the knee joint gradually recovered significantly in the range of movement (RM) after treatments, thereby providing experimental basis for diagnosing and treating the FAI syndrome in the later clinical stage.
Objective. Rotator cuff tear (RCT) accounts for 50% of shoulder injuries, leading to chronic pain and disability in the upper extremity. The study is conducted to investigate the association between resonance imaging (MRI) classifications of patients with RCT and different shoulder outcome scores. Methods. From September 2018 to October 2019, 112 patients underwent shoulder MRI at our institution and selected as eligible study subjects according to inclusion and exclusion criteria. Among these 112 patients, 69 cases had confirmed history of shoulder trauma and 43 cases were due to chronic shoulder joint pain. The shoulder function of patients was evaluated by University of California Los Angeles Shoulder (UCLA) score, Constant-Murley score, Shoulder Pain and Disability Index (SPADI), and simple shoulder test (SST). Results. Among the 112 patients, there were 34 cases, 58 cases, and 20 cases with MRI classifications at grades I, II, and III, respectively. There was no significant difference in the injured tendons in patients with different MRI classifications ( P > 0.05 ). The injury at the supraspinatus was more common. The scores of UCLA, Constant-Murley, and SST in patients with MRI grading at grade I were significantly higher than those at grades II and III ( P < 0.05 ), which were significantly higher in patients at grade II than those at grade III ( P < 0.05 ). SPADI score in patients with MRI grading at grade I was significantly lower than that at grades II and III ( P < 0.05 ), while there was no significant difference in SPADI score between patients at grades II and III ( P > 0.05 ). MRI classifications were negatively correlated with scores of UCLA, Constant-Murley, and SST ( P > 0.05 ). There was no significant correlation between MRI grade and SPADI scores ( P > 0.05 ). Conclusion. The supraspinatus tendon injury is more common in patients with RCT. MRI classifications were negatively correlated with scores of UCLA, Constant-Murley, and SST.
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