Müller-Gerbl M, Putz R, Kenn R, Kierse R
Anatomische Anstalt der LMU München,FRG.
Clin Biomech (Bristol). 1993 Mar;8(2):66-72. doi: 10.1016/S0268-0033(93)90035-G.
It has been suggested that the distribution of the subchondral bone density may be regarded as the expression of the long-term effective stress in a joint, and previous results indicate the regularity of the distribution of subchondral bone density as a function of the passing demands made upon a joint. Computed tomography-osteoabsorptiometry has been developed to visualize the area distribution of subchondral mineralization in the major joints in vivo. The purpose of this study was to display the distribution of subchondral bone density in the acetabular cup of patients of different ages. Computer tomography data files of hip joints of 27 patients (18-89 years) were used. Density ranges, image analysis, and area presentation of the distribution of subchondral mineralization are presented. The maximal subchondral mineralization in young persons is found both in the ventral and dorsal part of the acetabular roof. In older people, however, the densest areas are most often found at the zenith of the acetabulum. These morphological results could be well explained by the experimental results of other authors who found a joint incongruity in young persons with contact areas in the ventral and dorsal part of the acetabulum. With advancing age a decrease in incongruence is found, leading to an increased stress in the dome, i.e. in the area where degenerative changes are often found.
有人提出,软骨下骨密度的分布可被视为关节中长期有效应力的表现,先前的结果表明软骨下骨密度的分布规律是关节所承受需求的函数。计算机断层扫描-骨吸收测量法已被开发用于在体内可视化主要关节中软骨下矿化的面积分布。本研究的目的是展示不同年龄患者髋臼杯内软骨下骨密度的分布情况。使用了27名患者(18 - 89岁)髋关节的计算机断层扫描数据文件。给出了软骨下矿化分布的密度范围、图像分析和面积呈现。年轻人软骨下矿化最大值出现在髋臼顶的腹侧和背侧部分。然而,在老年人中,最密集的区域最常出现在髋臼的顶点。这些形态学结果可以很好地由其他作者的实验结果解释,他们发现年轻人存在关节不匹配,接触区域在髋臼的腹侧和背侧部分。随着年龄的增长,不匹配程度降低,导致髋臼顶即经常发现退行性变化区域的应力增加。