Demir Mehmet, Atay Emre, Güneri Bülent, Yilmaz Halil, Arpaci Muhammed Furkan, Güler Hatice Susar, Al Özge, Ertekin Tolga, Nisari Mehtap, Unur Erdoğan
Department of Anatomy, Kahramanmaras Sütcü Imam University School of Medicine, Kahramanmaras, Turkey.
Department of Anatomy, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.
Kobe J Med Sci. 2018 Dec 10;64(4):E149-E156.
Coxal bone paticipates in the formation of the pelvic skeleton. Anatomy knowledge on coxafemoral joint as well as careful history taking and physical examination are crucial in evaluation and management of disorders involving hip joint. The aims of the present study were to perform morphometric measurements of the human coxal bones, calculation of their articular surface areas and report the range of these parameters regarding Turkish adult population.
Seventy-two dry human adult coxal bones (39 left and 33 right) from the Anatomy Departments of Erciyes University, Inonu University and Kahramanmaras Sutcu Imam University were measured using a caliper sensitive to 0.1 mm. Morphometric measurements were performed through 22 parameters determined. While 19 of these parameters were related to the distance between two points and thicknesses in various parts of the bone, the remaining three were related to the determination of articular surface areas. The articular surface areas of hip bone (facies auricularis (FA), facies lunata (FL) and facies symphsialis (FS)) were calculated with ImageJ software program.
The average values of facies auricularis area were 1659.04 ± 470.92 mm² and 1637.32 ± 460.15 mm² on the left and right coxal bones, respectively. No statistically significant difference was determined between the left and right coxal bone measurements (p > 0.05). We found a positive and significant correlation between articular surface areas of facies auricularis (FA), facies lunata (FL) and facies symphysialis (FS) and maximum width of ilium (rFA = 0.299, rFL = 0.276, rFS = 0.375, respectively and p < 0.05), and distance between spina ilica anterior superior and the upper edge of facies symphysialis (rFA = 0.268, rFL = 0.511, rFS = 0.482, respectively and p < 0.05).
The distribution and mean values of coxal bone morphometric measurements usually differ between individuals and human populations. With this regard, orthopedic surgeons should be aware of the diversity in components of coxal bone dimensions although implants and hip prosthesis components of different sizes are manufactured. Safe routes and estimated distances should be considered during surgical procedures to avoid complications.
髋骨参与骨盆骨骼的构成。髋臼关节的解剖学知识以及详细的病史采集和体格检查对于髋关节疾病的评估和管理至关重要。本研究的目的是对人类髋骨进行形态测量，计算其关节表面积，并报告土耳其成年人群这些参数的范围。
使用精度为0.1毫米的卡尺对来自埃尔西耶斯大学、伊诺努大学和加济安泰普大学解剖学系的72块干燥成人人类髋骨（39块左侧和33块右侧）进行测量。通过确定的22个参数进行形态测量。其中19个参数与两点之间的距离以及骨骼各部位的厚度有关，其余三个参数与关节表面积的测定有关。使用ImageJ软件程序计算髋骨的关节表面积（耳状面（FA）、月状面（FL）和耻骨联合面（FS））。
左侧和右侧髋骨的耳状面面积平均值分别为1659.04±470.92平方毫米和1637.32±460.15平方毫米。左右髋骨测量值之间未发现统计学上的显著差异（p>0.05）。我们发现耳状面（FA）、月状面（FL）和耻骨联合面（FS）的关节表面积与髂骨最大宽度之间存在正相关且具有统计学意义（rFA分别为0.299，rFL为0.276，rFS为0.375，p<0.05），以及髂前上棘与耻骨联合面上缘之间距离与上述各关节面的相关性（rFA分别为0.268，rFL为0.511，rFS为0.482，p<0.05）。
髋骨形态测量的分布和平均值通常因个体和人群而异。在这方面，骨科医生应意识到髋骨尺寸组成的多样性，尽管不同尺寸的植入物和髋关节假体部件已经生产出来。手术过程中应考虑安全路径和估计距离以避免并发症。
