|
|
|
| Discussion on application of ultrasonic multimodal combined technique in the evaluation of femoral rectus in rabbits with knee osteoarthritis |
| LIU Jing1 LIN Qiaoxuan2 GONG Yurong1 LIU Hong1,3 ZHANG Liangzhi1,3 XIU Zhongbiao1,3,4 |
1.The Second Department of Orthopedics and Traumatology, People′s Hospital Affiliated of Fujian University of Traditional Chinese Medicine, Fujian Province, Fuzhou 350004, China;
2.College of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fujian Province, Fuzhou 350122, China;
3.Fujian Institute of Orthopaedics, Fujian Province, Fuzhou 350004, China;
4.Key Laboratory of Orthopedics & Traumatology and Rehabilitation of Traditional Chinese Medicine, Ministry of Education, Fujian Province, Fuzhou 350122, China |
|
|
|
Abstract Objective To provide a method and objective basis for the evaluation of chronic injury of skeletal muscles of knee osteoarthritis (KOA), the morphological, blood perfusion and tissue hardness changes of rectus femoris muscle in rabbits with KOA were observed by using ultrasound multimodal combined technique. Methods Sixteen New Zealand white rabbits were divided into the normal group and the model group by random number table method, with 8 rabbits in each group. The normal group was fed routinely. The modified Videman method was used to construct the KOA rabbit model in the model group. After 6 weeks of modeling, 2 cm above the iliac at the rectus femoris, the muscle pennation angle, muscle thickness, perimeter and cross-sectional area of KOA rabbit femoral rectus muscle were measured using a Philips EPIQ107 ultrasound machine to evaluate the morphology of rectus femoris; ACUSON S2000 ultrasound machine was used for imaging, and peak time and transit time were analyzed and compared to evaluate the perfusion of rectus femoris; Vivid E80 ultrasound machine was used for strain elastography, and elastic strain rate ratio of rectus femoris was measured to evaluate tissue hardness of rectus femoris. Results Compared with the normal group, muscle thickness, cross-sectional area, perimeter and pennation angle in the model group were significantly decreased, the ratio of ultrasonic elastic strain rate was significantly increased, and the peak time and transit time were significantly shortened in the model group, the differences were highly statistically significant (all P ＜ 0.01). Conclusion Ultrasonic multimodal combined technique, complements each other's advantages, it can objectively evaluate the condition of KOA rabbit femoral rectus muscle from the aspects of morphology, blood perfusion, and tissue hardness change, which is worthy of clinical application.
|
|
|
|
|
|
[1] Tang X，Wang S，Zhan S，et al. The prevalence of symptomatic knee osteoarthritis in China：results from China health and retirement longitudinal study [J]. Arthritis Rheum，2016，68（3）：648-653.
[2] Cross M，Smith E，Hoy D，et al. The global burden of hip and knee osteoarthritis：estimates from the global burden of disease2010 study [J]. Ann Rheum Dis，2014，73（7）：1323-1330.
[3] 刘建民，刘晶.从经筋弓弦特性探析针刀治疗膝骨性关节炎[J].中国医药导报，2017，14（27）：161-164.
[4] 刘洪，修忠标，张良志，等.超声引导下针刀松解疗法治疗颈型颈椎病临床观察[J].福建中医药，2018，49（3）：8-10.
[5] 林瀚洋.超声引导下针刀神经触激术治疗腰椎间盘突出症的临床疗效观察[D].福州：福建中医药大学，2016.
[6] 袁梦微.超声引导下针刀软组织松解治疗颈型颈椎病的疗效观察[D].福州：福建中医药大学，2015.
[7] Videman T. Experimental osteoarthritis in the rabbit：comparison of different periods of repeated immobilization [J]. Acta Orthpo Scand，1982，53（3）：339-347.
[8] Zhang ZJ，Ng GYF，Lee WC，et al. Increase in passive muscle tension of the quadriceps muscle heads in jumping athletes with patellar tendino pathy [J]. Scand J Med Sci Sports，2017，27（10）：1099-1104.
[9] Wu D，Wang C，Wang Z E et al. Effects of glutamine on skeletal muscle membrane repair in severely burned mice and the functional mechanism [J]. Zhonghua Shao Shang Za Zhi，2019，35（5）：341-350.
[10] Zanotti S，Gibertini S，Blasevich F，et al. Exosomes and exosomal miRNAs from muscle-derived fibroblasts promote skeletal muscle fibrosis [J]. Matrix Biol，2018，74：77-100.
[11] Chen XM，Cui LG，He P，et al. Shear wave elastographic characterization of normal and torn achilles tendons：a pilot study [J]. J Ultrasond Med，2013，32（3）：449-455.
[12] Cisternas P，Henriquez JP，Brandan E，et al. Wnt signaling in skeletal muscle dynamics：myogenesis， neuromuscular synapse and fibrosis [J]. Mol Neurobiol，2014，49（1）：574-589.
[13] Cisternas P，Vio CP，Inestrosa NC. Role of Wnt signaling in tissue fibrosis，lessons from skeletal muscle and kidney [J]. Curr Mol Med，2014，14（4）：510-522.
[14] Hébert-Losier K，Yin NS，Beaven CM，et al. Physiological，kinematic，and electromyographic responses to kinesiology-type patella tape in elite cyclists [J]. J Electromyogr Kinesiol，2019，44：36-45.
[15] 刘敏，李敬伟.膝关节骨性关节炎高频超声与X线表现的分析与比较[J].医学理论与实践，2018，31（17）：2642-2644.
[16] 刘坤，贾惠惠，陈艳丽.X线、超声及MRI影像诊断膝骨关节炎的价值对比分析[J].临床医药文献电子杂志，2018，5（66）：117-118.
[17] 薛浩，刘岩，冉博，等.膝关节骨性关节炎治疗现状[J].医学综述，2018，24（2）：321-325，330.
[18] Turo D，Otto P，Shah JP，et al. Ultrasonic tissue characterization of the upper trapezius muscle in patients with myofascial pain syndrome [J]. Conf Proc IEEE Eng Med Biol Soc，2012，2012：4386-4389.
[19] Taheri N，Okhovatian F，Rezasoltani A，et al. Ultrasonography in Diagnosis of Myofascial Pain Syndrome and Reliability of Novel Ultrasonic Indexes of Upper Trapezius Muscle [J]. Ortop Traumatol Rehabil，2016，18（2）：149-154.
[20] Ticinesi A，Narici MV，Lauretani F，et al. Assessing sarcopenia with vastus lateralis muscle ultrasound： an operative protocol [J]. Aging Clin Exp Res，2018，30（1）：1437-1443.
[21] Greco S，Cardinali B，Falcone G，et al. Circular RNAs in Muscle Function and Disease [J]. Int J Mol Sci，2018，19（11）：pii: E3454
[22] 王月香，唐杰，梅兴国，等.灰阶超声造影定量分析骨骼肌血流灌注的实验研究[J].中国超声医学杂志，2008， 24（7）：591-593. |
|
|
|
