2007年弗兰克·斯廷奇菲尔德奖。髋关节盂唇的生物力学与髋关节稳定性。
The 2007 Frank Stinchfield Award. The biomechanics of the hip labrum and the stability of the hip.
作者信息
Crawford Matthew J, Dy Christopher J, Alexander Jerry W, Thompson Matthew, Schroder Steven J, Vega Charles E, Patel Rikin V, Miller Andrew R, McCarthy Joseph C, Lowe Walter R, Noble Philip C
机构信息
The Barnhart Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX, USA.
出版信息
Clin Orthop Relat Res. 2007 Dec;465:16-22. doi: 10.1097/BLO.0b013e31815b181f.
We explored the mechanical factors leading to the formation of labral tears and the effect of these lesions on hip kinematics at the extremes of joint motion. Using a 3D motion analysis system, the stability of six cadaveric hips was measured during loading maneuvers known to impose anterior loads on the joint margin. These measurements were repeated following venting of the capsule, and after creation of a 15-mm tear in the intact labrum. Compared to the intact hip, 43% and 60% less force was required to distract the femur by 3 mm after venting and creation of a tear. An ER torque of 177 in-lbf in 30 degrees of flexion caused the vented and torn specimens to rotate 1.5 degrees +/- 2.7 degrees and 7.1 degrees +/- 4.7 degrees more than the intact specimen, and the femoral head to displace 1.21 +/- 0.53 mm and 0.67 +/- 0.35 mm, respectively. A breach of the integrity of labral function is shown to lead to decreased femoral stability relative to the acetabulum during extreme ranges of motion.
我们探究了导致盂唇撕裂形成的力学因素,以及这些损伤在关节运动极限时对髋关节运动学的影响。使用三维运动分析系统,在已知会对关节边缘施加前向负荷的加载操作过程中,测量了六个尸体髋关节的稳定性。在对关节囊进行排气后,以及在完整盂唇上制造一个15毫米的撕裂后,重复这些测量。与完整髋关节相比,排气和制造撕裂后,将股骨牵开3毫米所需的力分别减少了43%和60%。在30度屈曲时177英寸磅力的外旋扭矩,导致排气和撕裂的标本分别比完整标本多旋转1.5度±2.7度和7.1度±4.7度,股骨头分别移位1.21±0.53毫米和0.67±0.35毫米。结果表明,在极端运动范围内,盂唇功能完整性的破坏会导致股骨相对于髋臼的稳定性降低。