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肩胛盂上唇是否存在年龄引起的形态学变异?关于100例肩关节镜检查。

Are there age induced morphologic variations of the superior glenoid labrum? About 100 shoulder arthroscopies.

作者信息

Clavert Philippe, Kempf Jean-François, Wolfram-Gabel Renée, Kahn Jean-Luc

机构信息

Institute of Normal Anatomy, Faculty of Medicine, University Hospital, 4, rue Kirschleger, 67085, Strasbourg Cedex, France.

出版信息

Surg Radiol Anat. 2005 Dec;27(5):385-8. doi: 10.1007/s00276-005-0014-7. Epub 2005 Sep 1.

Abstract

Different anterosuperior aspects of the glenoid labrum have already been described and are thought to be normal anatomical variations. The goals of this study were first to characterize these anterosuperior labral morphologies and then to analyze their variations in function of the patients' age. One hundred shoulder arthroscopies were recorded to study the macroscopic characteristics of the anterosuperior labrum of the glenohumeral joint and its relationships with the proximal insertion of the tendon of the long head of the biceps. Then, patients were divided into two groups in function of their age (below and over 30 years old). Morphological modifications of the labrum were found in function of the age of the patient with an increase of the nonpathologic "mobile labrum" type after 30 years (P=0.0423). Therefore a mobile and loosely attached superior labrum should not always be considered as abnormal, especially in case of patient older than 30 years.

摘要

肩胛盂唇的不同前上部分已被描述过,被认为是正常的解剖变异。本研究的目的首先是描述这些前上盂唇的形态,然后分析其随患者年龄变化的情况。记录了100例肩关节镜检查,以研究肱盂关节前上盂唇的宏观特征及其与肱二头肌长头肌腱近端附着点的关系。然后,根据患者年龄将其分为两组(30岁以下和30岁以上)。发现盂唇的形态改变与患者年龄有关,30岁以后非病理性“活动盂唇”类型增加(P=0.0423)。因此,活动且附着松散的上盂唇不应总是被视为异常,尤其是在患者年龄大于30岁的情况下。

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