
浏览全部资源
扫码关注微信
纸质出版:2008
移动端阅览
金涛,唐康来.肩胛盂扭转角与肩关节前下不稳的相关性研究[J].陆军军医大学学报(原第三军医大学学报),2008,30(11):1085-1087.
JIN Tao,TANG Kang-lai.Relationship between anterior-inferior glenohumeral instability and glenoid version[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(11):1085-1087.
目的 探讨肩胛盂扭转角与肩关节前下不稳之间的关系。 方法 用16排螺旋CT对比扫描24例单侧肩关节前下不稳患者的双侧肩关节。通过三维CT多平面重组、容积重建等技术获取肩胛盂重建平面,于肩胛盂上结节和盂下结节连线的4等分垂直横截面上分别测量患侧和健侧肩胛盂扭转角,并进行统计学分析。 结果 24例肩关节前下不稳组的患侧盂扭转角自上而下分别为:(-15.24±10.18)°,(-8.22±8.47)°,(-2.88±4.56)°,(-2.49±6.43)°,而健侧盂扭转角自上而下分别为:(-15.07±12.11)°,(-10.63±7.25)°,(-6.04±3.61)°,(-5.26±3.02)°。第1、2、3平面双侧扭转角无统计学差异,而第4平面双侧扭转角统计学有显著性差异(P0.05),患侧比健侧要大。 结论 肩胛盂扭转角可能与肩关节前下不稳直接相关,是肩关节前下不稳的原因之一。肩胛盂扭转角的测量对肩关节稳定性的评估、手术方式的选择及手术预后具有重要的参考价值。
Objective To assess the relationship between anterior-inferior glenohumeral instability and glenoid version. Methods Both shoulders in 24 patients with unilateral anterior-inferior glenohumeral instability were scanned with multiplanar spiral CT scanner (MSCT). The scapula and the humerus were reconstructed by the volume rendering technique and multiplanar reformation in 4 slices on axial plane from glenoid top to its bottom. The scapular glenoid version angles of 24 patients were measured bilaterally in 4 levels
and compared bilaterally by statistic analysis. Results From the top to the bottom
the scapular glenoid ve
rsion angle in the side with anterior-inferior glenohumeral instability was respectively (-15.24±10.18)°
(-8.22±8.47)°
(-2.88±4.56)° and (-2.49±6.43)°
while the angle in the healthy side was respectively (-15.07±12.11)°
(-10.63±7.25)°
(-6.04±3.61)° and (-5.26±3.02)°. Only the difference at the 4
th
plane was significant between the healthy side and the affected side (P0.05). Conclusion The glenoid version angle may be directly related with the anterior-inferior glenohumeral instability. The glenoid version angle measurement would be helpful to stability evaluation
surgery choice and prognosis.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621