Murshed Khalil Awadh, Ciçekcibaşi Aynur Emine, Karabacakoğlu Aydin, Seker Muzaffer, Ziylan Taner
Department of Anatomy, Faculty of Medicine, Sana'a University, Sana'a, Yemen.
Surg Radiol Anat. 2005 Apr;27(2):108-12. doi: 10.1007/s00276-004-0295-2. Epub 2004 Dec 2.
Among the anthropometric factors to be considered, anatomic differences in the distal femur and intercondylar notch have been implicated as a cause of the different rates of anterior cruciate ligament (ACL) rupture between men and women; therefore, in this study our aim was to evaluate a number of morphometric measurements in the distal part of the femur. Two hundred knee MRI examinations were analyzed: 56 male right, 44 male left, 42 female right and 58 female left. Measurements of the intercondylar height (ICH), intercondylar width (ICW), medial condylar width (MCW), lateral condylar width (LCW) and epicondylar width (EW) were obtained. The notch shape index (NSI) was also calculated. Statistical analysis for comparisons was done by Student's t-test. Correlations between the parameters studied were calculated by Pearson correlation coefficients. Significant bilateral differences were not found (p > 0.05). In all measurements, males showed significantly greater values than females (p < 0.001). No difference was seen in the NSI between males and females (p > 0.05). Conversely a significant association was obtained between age and all parameters. We conclude that the results of this study may be useful for anatomic evaluation of the distal femur region prior to orthopaedic operations.
在需要考虑的人体测量因素中，股骨远端和髁间切迹的解剖差异被认为是男女前交叉韧带（ACL）断裂发生率不同的原因之一；因此，在本研究中，我们的目的是评估股骨远端的一些形态测量值。对200例膝关节MRI检查进行了分析：56例男性右侧、44例男性左侧、42例女性右侧和58例女性左侧。获得了髁间高度（ICH）、髁间宽度（ICW）、内侧髁宽度（MCW）、外侧髁宽度（LCW）和上髁宽度（EW）的测量值。还计算了切迹形状指数（NSI）。采用Student's t检验进行比较的统计分析。通过Pearson相关系数计算所研究参数之间的相关性。未发现显著的双侧差异（p>0.05）。在所有测量中，男性的值均显著高于女性（p<0.001）。男性和女性之间的NSI没有差异（p>0.05）。相反，年龄与所有参数之间存在显著关联。我们得出结论，本研究结果可能有助于在骨科手术前对股骨远端区域进行解剖评估。
