Jeong Yeon-Seok, Yum Jae-Kwang, Lee Jun-Seok
Department of Orthopaedic Surgery, Sanggye Paik Hospital, Inje University School of Medicine, Seoul, Korea.
Clin Shoulder Elb. 2018 Dec 1;21(4):179-185. doi: 10.5397/cise.2018.21.4.179. eCollection 2018 Dec.
We analyzed the angle between the glenoid anterior surface and glenoid axis, the range of the glenoid apex and the location of the glenoid apex for assistance during shoulder surgery.
Sixty-two patients underwent a computed tomography of the shoulder with a proximal humerus fracture. In the range of the glenoid apex, the ratios of the distribution of triangles with a Constant anterior and posterior area of the glenoid were measured. The location of glenoid apex was confirmed as the percentage of the position with respect to the upper part of the glenoid with the center of the part, analyzed the angle between the glenoid anterior surface and glenoid axis was measured.
The angle between the glenoid anterior surface and glenoid axis was 19.80° ± 3.88°. The location of the glenoid apex is 60.36% ± 9.31%, with the upper end of the glenoid as the reference. The range of the glenoid apex was 21.16% ± 4.98%. When the height of the glenoid becomes smaller, the range of the glenoid apex tends to become larger (=0.001) and the range of the glenoid apex becomes wider (=0.001) as the glenoid width narrows.
We believe the anatomical measurements of the glenoid will be helpful for a more accurate insertion in glenoid component. It is thought that more accurate insertion is possible if we can set other anatomical measurements using computed tomography imaging of the glenoid which can develop into the study of other anatomical measurements.
我们分析了肩胛盂前表面与肩胛盂轴之间的角度、肩胛盂顶点的范围以及肩胛盂顶点的位置,以辅助肩部手术。
62例肱骨近端骨折患者接受了肩部计算机断层扫描。在肩胛盂顶点范围内,测量肩胛盂前后面积恒定的三角形分布比例。将肩胛盂顶点的位置确定为相对于肩胛盂上部中心位置的百分比,分析测量肩胛盂前表面与肩胛盂轴之间的角度。
肩胛盂前表面与肩胛盂轴之间的角度为19.80°±3.88°。以肩胛盂上端为参照,肩胛盂顶点的位置为60.36%±9.31%。肩胛盂顶点的范围为21.16%±4.98%。当肩胛盂高度变小时,肩胛盂顶点的范围趋于变大(P = 0.001),且随着肩胛盂宽度变窄,肩胛盂顶点的范围变宽(P = 0.001)。
我们认为肩胛盂的解剖学测量将有助于更准确地植入肩胛盂假体。如果我们能够利用肩胛盂的计算机断层扫描成像设定其他解剖学测量方法,进而开展其他解剖学测量研究,那么就有可能实现更准确的植入。