Anterior Cruciate Ligament Abnormal Mri Signal With Knee Osteoarthritis And Womac Score And The Correlation Of Tcm Syndrome Research

Knee osteoarthritis (KOA) is a common disease among the aged people. MRI is a dispensable widely used technique to diagnosed KOA in clinic. Traditional Chinese Medicine has developed its own system to diagnose and treat KOA since thousands of years ago and syndrome differentiation was the base of the treatment. There is not any correlation study on the area of abnormal signals of Anterior Cruciate Ligament (ACL) in MRI and the index of KOA. There is no literature or association study on the area of abnormal signals of ACL, different syndromes, pain, stiffness and functional limitation, either.Objective:1. Try to analyze the correlation between the area of abnormal signals of ACL and the grade of WOMAC and discuss the impact of degenerative ACL on KOA.2. Compare the difference between the different syndromes of KOA and the area of abnormal signals of ACL so as to provide guide and evidence for syndromes differentiation base on clinic examine and MRI.Method:We investigated57cases (63knees) from out-patients and inpatients of the department of orthopedic of Guang’anmen Hospital China Academy of Chinese Medical Sciences. All the cases took MRI and graded the WOMAC. We collected TCM information and did a cross-sectional study on the difference between the different syndromes of KOA and the area of abnormal signals of ACL base on the Clinic Patterns of9diseases of Orthopedics published by State Administration of Traditional Chinese Medicine of the People’s Republic of China.Results:1. the association between the area of abnormal signals of ACL and the grade of WOMAC showed the area of abnormal signals of ACL is associated with pain and functional limitation, but there was no correlation between the area of abnormal signals of ACL and stiffness2. The difference between the WOMAC grade, pain and functional limitation of the different syndromes of KOA is statistics significant, but there was no differences in the stiffness among the different syndromes of KOA 3.(1) The grades of WOMAC between the Blood stagnation bi syndrome and the deficiency syndrome of liver and kidney were different, while the grades of other group were not statistics significant.(2) The grades of pain of blood stagnation bi syndrome and the deficiency syndrome of liver and kidney were different, while the grades of other group were not statistics significant.(3) There was no difference in the grade of stiffness among the groups.(4) The grades of functional limitation between the blood stagnation bi syndrome and the deficiency syndrome of liver and kidney and the grades between the blood stagnation bi syndrome and wind-cold-wet syndromes were different, while the grades of other group were not statistics significant.Conclusion:1. The area of abnormal signals of ACL showed correlations with the grades of pain and functional limitation and the study found no correlations between the area of abnormal signals of ACL and the grades of WOMAC.2. The blood stagnation bi syndrome was more severe than the deficiency syndrome of liver and kidney in pain grade. The blood stagnation bi syndrome was more severe than the deficiency syndrome of liver and kidney and the wind-cold-wet syndromes in functional limitation. The grades of severe may be the guide to syndromes differentiation.