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中国人肩关节的解剖学特点。

Anatomy features of the shoulder joint in asymptomatic chinese Han adults.

机构信息

Department of Orthopaedic Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

出版信息

BMC Musculoskelet Disord. 2023 Jan 28;24(1):73. doi: 10.1186/s12891-023-06172-9.

Abstract

BACKGROUND

To evaluate the shoulder anatomical characteristics in asymptomatic Chinese adults.

METHODS

The prospective study enrolled individuals without shoulder pain at Beijing Tiantan Hospital Affiliated to Capital Medical University between January 2019 and January 2020. Six radiographic parameters were measured and analyzed, including glenoid plane to the acromion (GA), glenoid plane to the lateral aspect of the humeral head (GH), acromion index (AI), lateral acromial angle (LAA), acromion-humeral interval (AHI), and critical shoulder angle (CSA).

RESULTS

103 participants (51 males and 52 females) were enrolled. The mean values of GA, GH, AI, CSA, LAA, and AHI were 32.88 ± 5.68 mm, 47.16 ± 4.82 mm, 0.70 ± 0.11, 37.45 ± 6.00°, 6.32 ± 3.99°, and 9.611.86 mm, respectively. Females had lower GA (30.78 ± 5.06 vs. 35.01 ± 5.51 mm, P < 0.001) and GH (44.28 ± 3.67 vs. 50.11 ± 4.02 mm, P < 0.001) than males and LAA was significantly smaller in the Bigliani flat type compared with the curved type and the hooked type (5.07 ± 2.31° vs 12.33 ± 5.46°vs 10.00 ± 3.37, P = 0.001).

CONCLUSIONS

Females had lower GA and GH than males in asymptomatic Chinese Han adults. Asymptomatic Chinese Han subjects with Bigliani flat type had lower LAA. CSA appears lager in Chinese Han individuals. Curve type of acromion performed lager LAA. The results may help establish an anatomical model of the shoulder joint and elucidate the anatomy features of the shoulder joint in asymptomatic Chinese Han adults.

摘要

背景

评估无症状中国成年人的肩部解剖学特征。

方法

本前瞻性研究纳入了 2019 年 1 月至 2020 年 1 月期间首都医科大学附属北京天坛医院无肩部疼痛的个体。测量和分析了 6 项影像学参数,包括肩峰平面至肩峰(GA)、肩峰平面至肱骨头外侧(GH)、肩峰指数(AI)、外侧肩峰角(LAA)、肩峰肱骨头间距(AHI)和临界肩角(CSA)。

结果

共纳入 103 名参与者(51 名男性和 52 名女性)。GA、GH、AI、CSA、LAA 和 AHI 的平均值分别为 32.88±5.68mm、47.16±4.82mm、0.70±0.11、37.45±6.00°、6.32±3.99°和 9.61±1.86mm。女性的 GA(30.78±5.06 与 35.01±5.51mm,P<0.001)和 GH(44.28±3.67 与 50.11±4.02mm,P<0.001)均低于男性,Bigliani 平坦型的 LAA 明显小于弯曲型和钩型(5.07±2.31°与 12.33±5.46°与 10.00±3.37°,P=0.001)。

结论

无症状中国汉族成年人中,女性的 GA 和 GH 均低于男性。无症状中国汉族人群中,Bigliani 平坦型的 LAA 较低。CSA 在中国人中较大。肩峰的曲线类型具有较大的 LAA。研究结果有助于建立肩关节解剖模型,阐明无症状中国汉族成年人肩关节的解剖学特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a716/9883949/f01032f1bab7/12891_2023_6172_Fig1_HTML.jpg

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