[an error occurred while processing this directive]

Journal of Chinese Integrative Medicine ›› 2004, Vol. 2 ›› Issue (6): 432-434.doi: 10.3736/jcim20040609

• Original Clinical Research • Previous Articles     Next Articles

Biomechanical and morphological measurement and analysis of roentgenograph for knee osteoarthritis patients

Li-xi Chu1, Feng Wang2   

  1. 1. School of Acupuncture and Tuina, Shanghai University of Traditional Chinese Medicine, Shanghai 210203, China
    2. Department of Orthopaedics and Traumatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
  • Received:2004-07-05 Online:2004-11-20 Published:2018-10-20

Objective: To study the etiological factors of knee osteoarthritis and to provide the anatomical basis of corrective therapy for knee joint deformity by comparing the biomechanical differences of the knee joints between the osteoarthritis patients and the normal people.Methods: The sexes, ages, heights, weights, painful characters and accompanied symptoms were recorded, and the femoral angle, tibial angle, femorotibial angle, joint space angle, and the height and width of condylus medialis and lateralis were measured for 29 selected knee osteoarthritis patients. And the biomechanical data of the patients were compared with those of the 19 normal people.Results: The femoral angle of the osteoarthritis patients was smaller and the joint space angle was greater statistically than that of the normal people, and the ratios of height and width of condylus medialis and condylus lateralis of the osteoarthritis patients were greater than those of the normal people.Conclusion: In the patients, the gravity line of the lower limb inclines to the condylus medialis, so the condylus medialis is more vulnerable. And the configuration of the condylus of the patients, which is narrower and longer, is different from that of the normal people. It may be one of the etiological factors of knee osteoarthritis.

Key words: osteoarthritis, knee, X-ray, diagnosis, biomechanics, pathogeny

CLC Number: 

  • R684.3

Fig 1

Graph of knee joint F: Femoral angle; T: Tibial angle; JS: Joint space angle; FT: Femorotibial angle; H1: Height of condylus lateralis femoris; H2: Height of condylus medialis fomoris; W1: Width of condylus lateralis femoris; W2: Width of condylus medialis femoris"

Tab 1

Biomechanical data of 2 groups($\bar{x}$±s, degree )"

Measurement Normal knee joints
(n=19)
Osteoarthritis knee joints
(n=40)
Femoral angle 82.72±2.02 80.94±2.81*
Tibial angle 92.55±1.36 92.33±3.61
Joint space angle 0.88±1.07 1.75±1.55*
Femorotibial angle 175.71±1.90 175.69±4.71
Ratio of height and width of condylus medialis femoris 0.96±0.10 1.15±0.20**
Ratio of height and width of condylus lateralis femoris 0.81±0.08 1.11±0.17**
[1] 杜宁, 任峰, 杨琦 . 膝关节骨关节病体征与功能的相互关系的研究[J]. 中国中医骨伤科杂志, 1996,4(1):8-11
[2] Altman RD . Classification of disease:osteoarthritis[J]. Semin Arthritis Rheum, 1991,20(6 Suppl 2):40-47
doi: 10.1016/0049-0172(91)90026-V
[3] 袁成和 . 实用X线投照技术手册(第1版)[M]. 长沙: 湖南科学技术出版社, 1986,( 第1版):69
[4] 中国学生体质与健康研究组. 中国学生体质与健康调研报告(第1版)[M]. 长春: 吉林科学技术出版社, 1996,( 第1版):88-92
[5] 陈启明 . 骨科基础学(译本)(第2版)[M]. 北京: 人民卫生出版社, 2002,( 第2版):416
[6] 季卫平, 王小玲, 吕国强 , 等. 膝关节退变的X线量化分析[J]. 中国中医骨伤科杂志, 1995,3(6):9-13
[7] 颜平, 张文成 . 变形性膝关节病[J]. 日本医学介绍, 1998,19(1):32-33
[1] Ying-fei Bi , Jing-yuan Mao , Xian-liang Wang , Ya-zhu Hou , Yi-zhu Lu , Shan Bin Soh , Bo-li Zhang. Clinical epidemiology survey of the traditional Chinese medicine etiology and syndrome differentiation of coronary artery disease: Study protocol of a multicenter trial. Journal of Chinese Integrative Medicine, 2012, 10(6): 619-627.
[2] Nian-hong Wang , Jun-tao Yan , Wu-quan Sun , Yong-shan Hu , Jun Xia , Li-cheng Wei , Jie Jia , Gui-lin Ouyang , Yong He , Yan-ming Guo , Jie Xu . Effects of early application of Tuina treatment on quadriceps surface myoelectricity in patients after total knee arthroplasty: a randomized controlled trial. Journal of Chinese Integrative Medicine, 2012, 10(11): 1247-1253.
[3] Dong Fang-fang, Wang Yong-jun, Zhou Chong-jian. The relationship between hypoxia-inducible factor-1α and cartilage degeneration in osteoarthritis: a review. Journal of Chinese Integrative Medicine, 2012, 10(1): 13-18.
[4] Sui Yue Hu, Su E Wang, Chun Hu Zhang. Relationship between symptom stratification and syndrome differentiation of traditional Chinese medicine for depressive episode. Journal of Chinese Integrative Medicine, 2011, 9(9): 933-936.
[5] Feng Jiang, Lin-chun Fu, Jian-ping Ma, Qing Zhou, Bo Peng, Shi-ping Xie, Hui-jun Guo, Yong-xin Dong, Xiu-lan Ma, Xuan-xian Guo, Zhong-li Xie, Yan-ping Hu, Qing-ya Li, Hua-wei Li, Yan-tao Jin. Traditional Chinese medicine syndrome factors of patients with HIV infection or AIDS in China. Journal of Chinese Integrative Medicine, 2011, 9(9): 955-964.
[6] Ling Zhao, Xue-yong Shen, Yue-long Cao, Li-zhen Wang, Hai-ping Deng, Hai-meng Zhang. Effects of laser irradiation on arthritic histopathology and heat shock protein 70 expression in C57 black mice with osteoarthritis. Journal of Chinese Integrative Medicine, 2011, 9(7): 761-767.
[7] Li Dong-tao, Li Fu-yu, Wang Jian, Liu Ji-hong, Yan Nan, Cheng Yong-mei, Hu Ai-hua, Jiang Hong-yang, Shi Feng-lei, Zhang Mei-zeng, Li Jie, Wei Ling-bo, Jiang Rong-qin. A study of diagnostic criteria for traditional Chinese medicine syndromes in osteoporosis. Journal of Chinese Integrative Medicine, 2011, 9(12): 1326-1332.
[8] Zhi-rong Zhu, Chang-chun Zeng, Li Yang, Han-ping Liu, Song-hao Liu. Influence of brightness value of supranasal point and apex nasi on dominant wavelength and excitation purity in complexion inspection of healthy adults. Journal of Chinese Integrative Medicine, 2011, 9(12): 1333-1338.
[9] Jun-lin Hu, Gui-lin Ouyang, Da-peng Han, Qing Xia, Yong He, Zheng Huang, Fei Zhu, Song-tao Sun. Effects of Tuina and Chinese patent drug Shuxuetong injection on deep venous thrombosis and functional rehabilitation after total knee arthroplasty. Journal of Chinese Integrative Medicine, 2011, 9(10): 1088-1093.
[10] XQ Yue. Towards better understanding the definition of cancerous toxin. Journal of Chinese Integrative Medicine, 2010, 8(9): 829-831.
[11] Cai-feng Du , Tian-fang Wang, Xiu-yan Wu, Yan Zhao, Qing-guo Wang. Common syndrome factors of menopausal syndrome based on questionnaire investigation among experts. Journal of Chinese Integrative Medicine, 2010, 8(8): 757-761.
[12] Zhao-guo Li. Comparative study on WHO Western Pacific Region and World Federation of Chinese Medicine Societies international standard terminologies on traditional medicine: Etiological Differentiation of Syndromes. Journal of Chinese Integrative Medicine, 2010, 8(7): 687-695.
[13] Zhao-guo Li. Comparative study on WHO Western Pacific Region and World Federation of Chinese Medicine Societies international standard terminologies on traditional medicine: Syndrome Differentiation According to Eight Principles (Part three). Journal of Chinese Integrative Medicine, 2010, 8(6): 594-597.
[14] Pin Wang, Hua-yuan Yang, Yi-qin Wang. Impedance characteristics of ear acupoints in identifying excess or deficiency syndrome of stroke. Journal of Chinese Integrative Medicine, 2010, 8(6): 525-529.
[15] Zhao-guo Li. Comparative study on WHO Western Pacific Region and World Federation of Chinese Medicine Societies international standard terminologies on traditional medicine: Syndrome Differentiation According to Eight Principles (Part two). Journal of Chinese Integrative Medicine, 2010, 8(5): 494-499.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] Jin-zhou Tian, Jing Shi, Xin-qing Zhang, Qi Bi, Xin Ma, Zhi-liang Wang, Xiao-bin Li, Shu-li Shen, Lin Li, Zhen-yun Wu, Li-yan Fang, Xiao-dong Zhao, Ying-chun Miao, Peng-wen Wang, Ying Ren, Jun-xiang Yin, Yong-yan Wang, Beijing United Study Group on MCI of the Capital Foundation of Medical Developments. An explanation on "guiding principles of clinical research on mild cognitive impairment (protocol)". Journal of Chinese Integrative Medicine, 2008, 6(1): 15-21
[2] Yi-ting He, Qing-lin Zha, Jian-ping Yu, Yong Tan, Cheng Lu, Ai-ping Lv. Principal factor analysis of symptoms of rheumatoid arthritis and their correlations with efficacy of traditional Chinese medicine and Western medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 32-36
[3] Jun Cai, Hua Wang, Sheng Zhou, Bin Wu, Hua-rong Song, Zheng-rong Xuan. Effect of Sijunzi Decoction and enteral nutrition on T-cell subsets and nutritional status in patients with gastric cancer after operation: A randomized controlled trial. Journal of Chinese Integrative Medicine, 2008, 6(1): 37-40
[4] Wei Zhang, Xiang-feng Lu, Xiao-mei Zhang, Jian-jun Wu, Liang-duo Jiang. A rat model of pulmonary fibrosis induced by infusing bleomycin quickly through tracheal intubation. Journal of Chinese Integrative Medicine, 2008, 6(1): 60-67
[5] A-gao Zhou, Yong Zhang, Gang Kui, De-Yun Kong, Hai-liang Ge, Qiu-hua Ren, Jia-rong Dong, Sheng Hong, Xu-ming Mao, Yin Wang, Hui-zheng Zhang, Shu-jun Wang. Influence of traditional Chinese compound recipes with different efficacy on body weight, tumor weight and immune function in H22 cancer-bearing mice. Journal of Chinese Integrative Medicine, 2008, 6(1): 77-82
[6] Guo-hong Yuan, Xiao-jing Pang, He-chao Ma. Synergic effects of Danggui Buxue Decoction in reducing toxicity of cytoxan in tumor-bearing mice. Journal of Chinese Integrative Medicine, 2008, 6(1): 83-88
[7] Li Zhou, Hong-xing Zhang, Ling-guang Liu, Wen-jun Wan. Effect of electro-acupuncture at Fenglong (GV 16) on nitric oxide and endothelin in rats with hyperlipidemia. Journal of Chinese Integrative Medicine, 2008, 6(1): 89-92
[8] Jin-zhou Tian, Jing Shi, Xin-qing Zhang, Qi Bi, Xin Ma, Zhi-liang Wang, Xiao-bin Li, Shu-li Shen, Lin Li, Zhen-yun Wu, Li-yan Fang, Xiao-dong Zhao, Ying-chun Miao, Peng-wen Wang, Ying Ren, Jun-xiang Yin, Yong-yan Wang, Beijing United Study Group on MCI of the Capital Foundation of Medical Developments. Guiding principles of clinical research on mild cognitive impairment (protocol). Journal of Chinese Integrative Medicine, 2008, 6(1): 9-14
[9] Xin-jun Wang, Ling-ling Wang . A mechanism of endogenous opioid peptides for rapid onset of acupuncture effect in treatment of depression. Journal of Chinese Integrative Medicine, 2010, 8(11): 1014-1017
[10] Bo Wang , Wei Yan , Li-hui Hou, Xiao-ke Wu. Disorder of Tiangui (kidney essence) and reproductive dysfunction in patients with polycystic ovary syndrome. Journal of Chinese Integrative Medicine, 2010, 8(11): 1018-1022
[an error occurred while processing this directive]