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全面评估肱骨远端的冠状面和矢状面骨尺寸及软骨厚度：年龄和性别差异。

A Comprehensive Coronal and Axial Bone Dimension and Cartilage Thickness Evaluation of the Distal Humerus: Age and Sex Differences.

机构信息

Department of Orthopedics and Traumatology, Health Sciences University Gaziosmanpasa Taksim Training and Research Hospital, Istanbul, Turkey.

Department of Orthopedics and Traumatology, Kayseri City Hospital, Kayseri, Talas, Turkey.

出版信息

Cartilage. 2021 Dec;13(1_suppl):464S-472S. doi: 10.1177/1947603520903780. Epub 2020 Feb 10.

DOI:10.1177/1947603520903780
PMID:32037860
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8808949/
Abstract

OBJECTIVE

There are limited data on bone dimension and cartilage thickness of the distal humeral articular surface. This study aimed to evaluate sex- and age-related bone dimension and cartilage thickness differences and assess the effect of cartilage thickness on distal humeral shape.

DESIGN

Elbow magnetic resonance images of 180 healthy participants were evaluated. Cartilage thicknesses of the trochlea and capitellum were measured at 19 points using coronal and axial images. In addition, bone diameters were measured from the flexion-extension axis to the 19 points on the coronal and axial magnetic resonance images. Sex differences were evaluated, and the correlation between age and measurement parameters was assessed.

RESULTS

Significant sex differences regarding the diameters of the axial trochlear bone, coronal lateral trochlear bone, and medial capitellar bone, cartilage thickness at the apex of the lateral trochlear ridge in the axial and coronal plane and at the most lateral point of the capitellar articular surface in the axial plane were observed. A negative correlation was observed between age and axial plane trochlear bone dimensions and between age and coronal plane lateral trochlear and medial capitellar bone dimensions. No significant correlation was found between cartilage thickness and bone dimensions.

CONCLUSIONS

Bone dimension and cartilage thickness at the distal humerus vary according to sex and age. The data could be used in the donor site selection and graft preparation while osteochondral autograft transfer and allograft transplantation, and in the development of gender-compatible hemiarthroplasty implants.

摘要

目的

有关肱骨远端关节面的骨尺寸和软骨厚度的数据有限。本研究旨在评估性别和年龄相关的骨尺寸和软骨厚度差异，并评估软骨厚度对肱骨远端形状的影响。

设计

评估了 180 名健康参与者的肘部磁共振图像。使用冠状面和轴位图像测量滑车和肱骨小头的 19 个点的软骨厚度。此外，还从屈伸轴测量了冠状面和轴位磁共振图像上的 19 个点的骨直径。评估了性别差异，并评估了年龄与测量参数之间的相关性。

结果

观察到轴向滑车骨、冠状外侧滑车骨和内侧肱骨小头骨的直径、轴向和冠状平面外侧滑车嵴顶点的软骨厚度以及轴向平面肱骨小头关节面的最外侧点存在显著的性别差异。年龄与轴向滑车骨尺寸和冠状外侧滑车骨和内侧肱骨小头骨尺寸呈负相关。未发现软骨厚度与骨尺寸之间存在显著相关性。

结论

肱骨远端的骨尺寸和软骨厚度存在性别和年龄差异。这些数据可用于骨软骨自体移植和同种异体移植时的供体部位选择和移植物准备，以及开发性别匹配的半关节置换植入物。