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成人湿舟状骨标本的性二态性研究。

A Study on Sexual Dimorphism of Adult Wet Scaphoid Specimens.

作者信息

Gurusamy Karthikeyan, Begum Zareena, Maria Francis Yuvaraj, Karunakaran Balaji, Raghunath Gunapriya

机构信息

Anatomy, Saveetha Medical College, Chennai, IND.

出版信息

Cureus. 2022 Feb 15;14(2):e22263. doi: 10.7759/cureus.22263. eCollection 2022 Feb.

DOI:10.7759/cureus.22263
PMID:35350490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8933145/
Abstract

Background Sexual dimorphism in human bones has mostly been confined to the study of the bony pelvis. However, considerable changes also exist in the other parts of the skeletal system. This study focuses on the differences in the morphometry of male and female adult scaphoids. Aims and objectives We aim to study the morphometry of male and female adult human scaphoids and determine the differences between the same. Materials and methods A total of 100 scaphoids were freshly dissected from both hands of 25 male and 25 female cadavers in Saveetha Medical College, Chennai, India. The soft tissues were loosened using 5% potassium hydroxide (KOH) solution. Further, the soft tissues were removed by meticulous dissection. For the measurements, vernier calipers and threads for circumference measurement were used. Results The morphometric parameters included length, proximal width, width of the middle part (waist), distal width and circumference of the waist, and circumference of the tubercle in scaphoids. Statistical differences were found in most of the parameters. Conclusion A statistically significant difference exists between the morphometric measurements of male and female adult scaphoids, which may prove helpful in the fracture fixation of the scaphoid, as scaphoid fracture has a risk of avascular necrosis.

摘要

背景 人类骨骼中的性别二态性大多局限于对骨盆的研究。然而,骨骼系统的其他部位也存在相当大的差异。本研究聚焦于成年男性和女性舟状骨形态测量学的差异。

目的 我们旨在研究成年男性和女性人类舟状骨的形态测量学,并确定两者之间的差异。

材料与方法 从印度钦奈萨维塔医学院的25具男性和25具女性尸体的双手上新鲜解剖出总共100块舟状骨。使用5%氢氧化钾(KOH)溶液松解软组织。进一步通过细致解剖去除软组织。测量时,使用游标卡尺和用于测量周长的线。

结果 形态测量参数包括舟状骨的长度、近端宽度、中部(腰部)宽度、远端宽度和腰部周长、结节周长。大多数参数存在统计学差异。

结论 成年男性和女性舟状骨的形态测量存在统计学显著差异,这可能对舟状骨骨折固定有帮助,因为舟状骨骨折有缺血性坏死的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17e3/8933145/9a2e695db6cb/cureus-0014-00000022263-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17e3/8933145/5e60f44c602b/cureus-0014-00000022263-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17e3/8933145/300d0817b79f/cureus-0014-00000022263-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17e3/8933145/9a2e695db6cb/cureus-0014-00000022263-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17e3/8933145/5e60f44c602b/cureus-0014-00000022263-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17e3/8933145/300d0817b79f/cureus-0014-00000022263-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17e3/8933145/9a2e695db6cb/cureus-0014-00000022263-i03.jpg

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本文引用的文献

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3D computational anatomy of the scaphoid and its waist for use in fracture treatment.舟状骨的三维计算解剖及其在骨折治疗中的腰部。
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Percutaneous Scaphoid Fixation: Experience Value among Different Approaches.经皮舟骨固定术:不同方法的经验价值
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Scaphoid Waist Internal Fixation for Fractures Trial (SWIFFT) protocol: a pragmatic multi-centre randomised controlled trial of cast treatment versus surgical fixation for the treatment of bi-cortical, minimally displaced fractures of the scaphoid waist in adults.
舟状骨腰部骨折内固定试验(SWIFFT)方案:一项针对成人舟状骨腰部双皮质、轻微移位骨折,比较石膏治疗与手术内固定的实用多中心随机对照试验。
BMC Musculoskelet Disord. 2016 Jun 4;17:248. doi: 10.1186/s12891-016-1107-7.
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Clin Orthop Relat Res. 2012 Jun;470(6):1673-81. doi: 10.1007/s11999-011-2218-y. Epub 2011 Dec 17.
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Morphological and morphometric features of scaphoid bone in north eastern population, India.印度东北部人群舟骨的形态学和形态测量学特征
Nepal Med Coll J. 2011 Mar;13(1):20-3.
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Surgical compared with conservative treatment for acute nondisplaced or minimally displaced scaphoid fractures: a systematic review and meta-analysis of randomized controlled trials.手术与保守治疗急性无移位或轻度移位舟状骨骨折的比较:随机对照试验的系统评价和荟萃分析。
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Comparison of percutaneous dorsal versus volar fixation of scaphoid waist fractures using a computer model in cadavers.使用计算机模型在尸体上比较舟状骨腰部骨折的经皮背侧与掌侧固定。
J Hand Surg Am. 2009 Dec;34(10):1838-44. doi: 10.1016/j.jhsa.2009.07.012.
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The blood supply of the scaphoid bone.舟骨的血液供应。
J Hand Surg Eur Vol. 2009 Jun;34(3):351-7. doi: 10.1177/1753193408100117. Epub 2009 Mar 12.
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Anatomic measurement of wrist scaphoid and its clinical significance.腕舟骨的解剖学测量及其临床意义。
Chin J Traumatol. 2009 Feb;12(1):41-4.
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Percutaneous fixation of the scaphoid through a dorsal approach: an anatomic study.经背侧入路经皮固定舟骨:一项解剖学研究
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