Relationship Between Foot-yangming Meridian-Sinew Lesions and X-ray Imaging Findings in Knee Osteoarthritis
10.13359/j.cnki.gzxbtcm.2025.01.004
- VernacularTitle:膝骨关节炎足阳明经筋病变与X线影像学测量指标的关系
- Author:
Feilong LI
1
;
Jinyu LI
;
Zhen LUO
;
Pingjin XIE
;
Shengting CHAI
Author Information
1. 广州中医药大学第三临床医学院,广东广州 510405;广州中医药大学第三附属医院,广东广州 510378;广东省中医骨伤研究院,广东广州 510378
- Keywords:
knee osteoarthritis;
foot-yangming meridian-sinew;
X-ray imaging findings;
meridian-sinew lesions;
Visual Analogue Scale(VAS)score;
Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)score
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(1):26-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective Under the guidance of meridian-sinew(jingjin)theory,the correlation between foot-yangming jingjin lesions and X-ray imaging findings such as medial space and lateral space in femorotibial joint and their ratio,degree of subluxation of femorotibial joint,and the Insll-Salvati index in the patients with knee osteoarthritis(KOA).Methods From January 2019 to November 2021,a total of 66 patients diagnosed as KOA at the Third Affiliated Hospital of Guangzhou University of Chinese Medicine were selected as the study subjects.The patients were divided into the foot-yangming jingjin group and non-foot-yangming jingjin group according to the presence of foot-yangming jingjin lesions.The X-ray postero-anterior and lateral radiography of the knee joint under weight bearing was performed,and imaging parameters of the two groups were measured.Afterwards the pain Visual Analogue Scale(VAS)scores and Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)scores in the two groups were evaluated,the differences between the two groups'X-ray imaging findings and scale scores were compared,and the various X-ray imaging findings in the two groups were analyzed.Results(1)Under X-ray postero-anterior radiography of the knee joint,the medial space and lateral space in femorotibial joint and their ratio in non-foot-yangming jingjin group were lower than those in foot-yangming jingjin group,and degree of subluxation of femoro-tibial joint was higher than that of foot-yangming jingjin group(P<0.05 or P<0.01).(2)The ratio of length of patellar tendon to length of patella(LT:LP)under X-ray lateral radiography in foot-yangming jingjin group was significantly greater than that of the non-foot-yangming jingjin group(P<0.01).(3)The scores of pain VAS and WOMAC in non-foot-yangming jingjin group were both significantly higher than those in foot-yangming jingjin group(P<0.05),while the differences of the scores of WOMAC items such as joint stiffness and physiologic function,and the total WOMAC scores between the two groups were not statistically significant(P>0.05).Conclusion Foot-yangming jingjin lesions in KOA may be closely related to the relatively high position of patella under X-ray lateral radiography,and non-foot-yangming jingjin lesions may be closely related to the narrowing of the medial femorotibial joint space,the increase of medial-lateral space ratio,and the severity of subluxation under X-ray postero-anterior radiography.
