桡骨近端的三维形态学参数测量及其对假体设计的指导意义

doi:10.13481/j.1671-587x.20200326

吉林大学学报(医学版) ›› 2020, Vol. 46 ›› Issue (03): 594-599.doi: 10.13481/j.1671-587x.20200326

• 临床研究 • 上一篇

桡骨近端的三维形态学参数测量及其对假体设计的指导意义

王哲¹, 杨文博¹, 韩青², 李彦轩³, 荣家瑞³, 程凯亮¹, 李幼琼³, 朱庆三⁴

1. 吉林大学中日联谊医院放射线科, 吉林长春 130033;
2. 吉林大学第二医院骨科, 吉林长春 130041;
3. 吉林大学基础医学院人体解剖学教研室, 吉林长春 130021;
4. 吉林大学中日联谊医院骨科, 吉林长春 130033

收稿日期:2019-03-28 发布日期:2020-06-11
通讯作者: 程凯亮,副主任医师,硕士研究生导师(Tel:0431-85619466,E-mail:cemra@163.com) E-mail:cemra@163.com
作者简介:王哲(1998-),男,河南省南阳市人,在读医学硕士,主要从事影像诊断方面的研究。
基金资助:
国家自然科学基金资助课题（81802174）；吉林大学创新基金资助课题（7016B7018）

Three-dimensional morphological measurement of proximal radius and its guiding significance for prosthesis design

WANG Zhe¹, YANG Wenbo¹, HAN Qing², LI Yanxuan³, RONG Jiarui³, CHENG Kailiang¹, LI Youqiong³, ZHU Qingsan⁴

1. Department of Radiology, China-Japan Union Hospital, Jilin University, Changchun 130033, China;
2. Department of Orthopedics, Second Hospital, Jilin University, Changchun 130041, China;
3. Department of Human Anatomy, School of Basic Medical Sciences, Jilin University, Changchun 130021, China;
4. Department of Orthopedics, China-Japan Union Hospital, Jilin University, Changchun 130033, China

Received:2019-03-28 Published:2020-06-11

摘要/Abstract

摘要： 目的：测量国人桡骨小头的形态学参数，并与西方人群桡骨小头形态参数测量值进行比较，为设计出国人桡骨小头假体提供参考。方法：选取国内130人正常肘关节的CT扫描数据，所有数据均使用64层螺旋CT扫描仪进行扫描，并在GEAW 4.5工作站上进行重建和测量。分别测量颈干角（∠α）、桡骨近端颈和头长度（LNH）、桡骨小头最大直径（D1MAX）、桡骨小头最小直径（D2MIN）、桡骨小头凹陷关节面最大直径（D3MAX）及最大垂直凹陷深度（DD3）、最大直径与定义水平面夹角（∠β3）、凹陷关节面最小直径（D4MIN）及最大垂直凹陷深度（DD4）和最小直径与定义水平面间夹角（∠β4），比较男性和女性测量结果的差异并分析不同参数之间的相关性。结果：正常男性∠α、LNH、D1MAX、D2MIN、D3MAX、DD3、D4MIN和DD4大于正常女性（P<0.01）。正常男性∠β3和∠β4测量值以及DD4/D3MAX、D4MIN/D3MAX、∠β3/∠β4和D2MIN/D1MAX比值与正常女性比较差异无统计学意义（P>0.05）。∠α、LNH、D1MAX、D2MIN、D3MAX和D4MIN任意2个参数之间均存在较强的正相关关系（P<0.05），∠β3与∠β4之间也存在较强的正相关关系（P<0.05）。结论：国人男性和女性桡骨小头形态相似，形态学参数与国外人群存在差异。

关键词: 桡骨, 假体设计, 关节成形术, 置换, 形态学

Abstract: Objective: To measure the morphological parameters of the radial head of the Chinese and compare with those of the Western population, and to provide the references for the design of the radial head prosthesis of the Chinese. Methods: The CT scan data of normal elbow from 130 Chinese cases were selected. All the data were scanned by using a 64-slice spiral CT scanner and reconstructed and measured on AW 4.5 workstations. The angle between neck and shaft (∠α),the proximal radial length of neck and head (LNH), the maximum diameter of radial head (D1MAX), the minimum diameter of radial head (D2MIN), the maximum diameter of articular surface (D3MAX) and the maximum vertical depression depth (DD3),the angle between D3MAX and horizontal plane (∠β3),the minimum diameter of articular surface (D4MIN) and the minimum vertical depression depth (DD4), and the angle between D4MIN and horizontal plane (∠β4) were measured. The measurement results of the male and female were compared and the correlations between different parameters were analyzed. Results: The measured values of ∠α, LNH, D1MAX, D2MIN, D3MAX, DD3, D4MIN and DD4 of the normal male were larger than those of the normal female (P<0.01). There were no significant differences in the measured values of ∠β3 and ∠β4 and the ratios of DD3/D3MAX, D4MIN/D3MAX, ∠β3/∠β4 and D2MIN/D1MAX between the normal male and the normal female (P>0.05). There was a strong positive correlation between ∠α, LNH, D1MAX, D2MIN, D3MAX and D4MIN (P<0.05), and there was also a strong positive correlation between ∠β3 and ∠β4(P<0.05). Conclusion: The morphology of radial head of the normal male Chinese is similar to the female. The morphological parameters of the radial head in the Chinese people are different from those in other countries.

Key words: radius, prosthesis design, arthroplasty, replacemen, morphological feature

中图分类号:

R322.71

王哲, 杨文博, 韩青, 李彦轩, 荣家瑞, 程凯亮, 李幼琼, 朱庆三. 桡骨近端的三维形态学参数测量及其对假体设计的指导意义[J]. 吉林大学学报(医学版), 2020, 46(03): 594-599.

WANG Zhe, YANG Wenbo, HAN Qing, LI Yanxuan, RONG Jiarui, CHENG Kailiang, LI Youqiong, ZHU Qingsan. Three-dimensional morphological measurement of proximal radius and its guiding significance for prosthesis design[J]. Journal of Jilin University(Medicine Edition), 2020, 46(03): 594-599.

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桡骨近端的三维形态学参数测量及其对假体设计的指导意义

Three-dimensional morphological measurement of proximal radius and its guiding significance for prosthesis design

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