Adamiec Ewa
Katedry i Zakładu Anatomii Prawidłowej Pomorskiej Akademii Medycznej w Szczecinie, al. Powstańców Wlkp. 72, 70-111 Szczecin.
Ann Acad Med Stetin. 2002;48:33-44.
The study was done on 128 humeral bones (76 male and 52 female; 57 right and 71 left) obtained from 71 fetuses with C-R lengths ranging from 105 to 255 mm. Periosteum and perichondrium were exposed prior to radiography of frontal and lateral aspects using a Microphocus 401 bone X-ray apparatus. Radiographs were digitized with an analogue camera and an A/D converter for transfer to a PC computer. Nine measurements were done for each bone. Changes in proportions (structure-to-shaft ratios) during development were studied using non-linear regression analysis. The number of nutritive vessels in ossifying bone shafts were determined and indices were calculated representing sites of penetration into the humerus. The mean C-R length of the fetus when the first ossification center in the humerus appeared was 20.34 mm (21.75 mm in females and 19.0 mm in males corresponding to gestation age of 7 to 8 weeks). The length of the ossifying shaft increased proportionally to C-R length. The regression equations representing changes in the proportions of the humerus were linear in four cases: minimum anterior-posterior shaft size, minimum medial-lateral shaft size, maximum anterior-posterior condylus size, width of distal cartilage. The relative decrease in the length of the proximal and distal cartilages and their sum was regressed to three hyperbolic functions. The absolute length in mm of these cartilages increased. This change could be expressed with three exponential equations having positive fractional exponents. A single parabolic equation described the increase in the absolute and relative length of the distant chondro-osseous region. Analysis of the number of nutrient vessels, their direction and relation to surrounding structures was done in 76 humeral bones. The results are presented for pooled bones, as well as arranged by side (39 (51.3%) right, 37 (48.7%) left) and gender (54 (71%) male, 22 (29%) female). The number of nutrient foramina varied from one to three. A single nutrient foramen was found in 50%, two were disclosed in 40.85% and three in 9.2% of bones. Furthermore, 70.25% of them were located in zone IV on the anteromedial surface and the medial margin, 10.75% on the anterolateral and 15.7% on the posterior surfaces. The principal nutrient foramen contained an artery accompanied by a relatively large vein. As a rule, accessory foramina contained veins only, but in rare cases a branch of the nutrient artery was also present. All nutrient canals were directed distally. No significant differences were disclosed between right and left, male and female humeral bones as to indices representing location of the nutrient foramina.
该研究对从71例胎龄105至255毫米的胎儿获取的128块肱骨(76例男性和52例女性;57块右侧和71块左侧)进行。在使用Microphocus 401骨X射线设备对肱骨正侧位进行放射摄影之前,暴露骨膜和软骨膜。使用模拟相机和A/D转换器将X线片数字化,以便传输到个人电脑。对每块骨头进行九项测量。使用非线性回归分析研究发育过程中比例(结构与骨干比率)的变化。确定正在骨化的骨干中营养血管的数量,并计算代表营养血管穿入肱骨部位的指数。肱骨中第一个骨化中心出现时胎儿的平均顶臀长度为20.34毫米(女性为21.75毫米,男性为19.0毫米,对应孕龄7至8周)。骨化骨干的长度与顶臀长度成比例增加。代表肱骨比例变化的回归方程在四种情况下呈线性:最小前后径骨干尺寸、最小内外径骨干尺寸、最大前后径髁尺寸、远端软骨宽度。近端和远端软骨及其总和长度的相对减少回归为三个双曲线函数。这些软骨的绝对长度(以毫米为单位)增加。这种变化可以用三个具有正分数指数的指数方程来表示。一个抛物线方程描述了远端软骨骨区域绝对长度和相对长度的增加。对76块肱骨的营养血管数量、其方向以及与周围结构的关系进行了分析。结果呈现了汇总的骨头情况,以及按侧别(右侧39块(51.3%),左侧37块(48.7%))和性别(男性54块(71%),女性22块(29%))分类的情况。营养孔的数量从1个到3个不等。50%的骨头发现有单个营养孔,40.85%的骨头有2个,9.2%的骨头有3个。此外,其中70.25%位于前内侧表面和内侧边缘的IV区,10.75%位于前外侧,15.7%位于后表面。主要营养孔中有一条动脉伴行一条相对较大的静脉。通常,副孔中仅有静脉,但在极少数情况下也有营养动脉的分支。所有营养管均向远端走行。在代表营养孔位置的指数方面,右侧和左侧、男性和女性肱骨之间未发现显著差异。