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肩胛盂骨和胸大肌腱的CT扫描评估：对肩关节假体的意义

CT scan evaluation of glenoid bone and pectoralis major tendon: interest in shoulder prosthesis.

作者信息

Obert Laurent, Peyron Christelle, Boyer Etienne, Menu Gauthier, Loisel François, Aubry Sébastien

机构信息

Orthopaedic and Traumatology Surgery Service, University Hospital of Besançon, 25000 Besançon, France - Intervention, Innovation, Imagery, Engineering in Health (EA 4268), Medical and Pharmacology Section, IFR 133, University of Franche-Comté, 25000 Besançon, France.

Intervention, Innovation, Imagery, Engineering in Health (EA 4268), Medical and Pharmacology Section, IFR 133, University of Franche-Comté, 25000 Besançon, France - Radiology unit, Research Unit: EA 4268 I4S - IFR 133 INSERM University Hospital of Besançon, 25000 Besançon, France.

出版信息

SICOT J. 2016;2:33. doi: 10.1051/sicotj/2016021. Epub 2016 Oct 7.

DOI:10.1051/sicotj/2016021
PMID:27716461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5054739/
Abstract

INTRODUCTION

The shoulder arthroplasty brings satisfaction to patients in terms of quality of life and indolence. However whether anatomic implant or reverse, it does not escape from the loosening of the glenoid component. Moreover, optimal implantation is required to ensure the functional outcome without shortening of the arm. The purpose of this study is obtain CT scan evaluation of the glenoid bone stock in order to optimize glenoid component implantation and obtain a reference to determine optimal humeral component placement in case of humeral proximal fracture.

MATERIALS AND METHODS

Between 2010 and 2011 we have analyzed 200 intact shoulder's CT. We measured maximal and minimal width in the transverse plane of the glenoid, the distance from the pectoralis major (PM) tendon to the humeral head, the greater tubercle, change of curvature and the anatomical neck.

RESULTS

Mean maximum width was 27.4 ± 3.4 mm and mean minimum width was 15.5 ± 2.8 mm. Distances between upper edge of PM tendon to: humeral head, greater tubercle, change of curvature and anatomical neck were respectively: 67.6 ± 9.98 mm, 57.8 ± 10.3 mm, 28.7 ± 9 mm, and 34.2 ± 9.7 mm.

CONCLUSION

Our study has produced an assessment of glenoid bone stock for optimal positioning of the glenoid implant but also to obtain a reference to determine the ideal location of the humeral component in the case of proximal humerus fracture.

摘要

引言

肩关节置换术在生活质量和减轻疼痛方面给患者带来了满意度。然而，无论是解剖型植入物还是反向植入物，都无法避免肩胛盂部件的松动。此外，需要进行最佳植入以确保功能结果且手臂不缩短。本研究的目的是通过CT扫描评估肩胛盂骨量，以优化肩胛盂部件的植入，并为确定肱骨近端骨折时肱骨部件的最佳放置位置提供参考。

材料与方法

在2010年至2011年期间，我们分析了200例完整肩关节的CT。我们测量了肩胛盂横平面的最大宽度和最小宽度、胸大肌（PM）肌腱到肱骨头的距离、大结节、曲率变化和解剖颈。

结果

平均最大宽度为27.4±3.4mm，平均最小宽度为15.5±2.8mm。PM肌腱上缘到肱骨头、大结节、曲率变化和解剖颈的距离分别为：67.6±9.98mm、57.8±10.3mm、28.7±9mm和34.2±9.7mm。

结论

我们的研究对肩胛盂骨量进行了评估，以实现肩胛盂植入物的最佳定位，同时也为确定肱骨近端骨折时肱骨部件的理想位置提供了参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/8c69dcc93b7c/sicotj-2-33-fig14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/5be1b45e35c0/sicotj-2-33-fig1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/c969c7c27ee3/sicotj-2-33-fig5.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/c0d1a80d3f9c/sicotj-2-33-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/a0f28d80464e/sicotj-2-33-fig11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/bee81f7fe730/sicotj-2-33-fig12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/bf9d5f3611a0/sicotj-2-33-fig13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/8c69dcc93b7c/sicotj-2-33-fig14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/5be1b45e35c0/sicotj-2-33-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/c8596066b542/sicotj-2-33-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/c193a170a3ef/sicotj-2-33-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/cffd31e0d8e3/sicotj-2-33-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/c969c7c27ee3/sicotj-2-33-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/3dd687fc358d/sicotj-2-33-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/f24495729160/sicotj-2-33-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/6dcd91e78a53/sicotj-2-33-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/ba67ce5cebf6/sicotj-2-33-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/c0d1a80d3f9c/sicotj-2-33-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/a0f28d80464e/sicotj-2-33-fig11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/bee81f7fe730/sicotj-2-33-fig12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/bf9d5f3611a0/sicotj-2-33-fig13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c5/5054739/8c69dcc93b7c/sicotj-2-33-fig14.jpg

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