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基于健康成人数据的尺骨远端骨解剖参数测量:一项横断面研究。

Measurement of bony anatomical parameters of the distal ulna based on healthy adult data: A cross-sectional study.

作者信息

Li Dengchen, Li Xiaolin, Hou Zexin, Pan Fengman

机构信息

School of Medicine, Yangtze University, Jingzhou, China.

College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan China.

出版信息

Front Surg. 2023 Mar 15;10:1120030. doi: 10.3389/fsurg.2023.1120030. eCollection 2023.

Abstract

PURPOSE

This study sought to conduct several three-dimensional measurements of the distal ulna in healthy Han Chinese, providing the anatomical basis for the diagnosis and treatment of hand trauma, distal ulnar disorders, and the design of wrist prostheses.

METHODS

50 Han Chinese men and women that underwent computed tomography (CT) scans of the distal ulnar carpus were included in the present study. A three-dimensional digital model of the distal ulna was reconstructed using Mimics software. Moreover, the anatomical data of 10 indicators were measured using MIMICS software. Each index data was measured by 2 investigators independently, and the average value was taken. The data were stratified and compared between left and right sides and men and women.

RESULTS

A 3D digital model of the distal ulnar bone with a realistic shape was reconstructed. The 10 anatomical parameters measured are as follows: The length of the ulnar styloid process (posterior anterior), The length of the ulnar styloid process(anterior and posterior); the transverse diameter of the ulnar head; the anteroposterior diameter of the ulnar head. The radial inclination angle of the ulna; the ulnar inclination angle; the distal space between the ulna and radius; the ulnar notch angle of the lower radius. The anterior and posterior diameters of the ulnar notch of the lower radius, and the superior and inferior diameters of the ulnar notch of the lower radius. Statistical analysis showed no significant difference after stratification by laterality and gender.

CONCLUSION

our findings can providing the anatomical basis for the diagnosis and treatment of hand trauma, distal ulnar disorders and further improve currently available wrist joint prostheses.

TYPE OF STUDY

Observational, Cross-sectional study, LOE: Level II.

摘要

目的

本研究旨在对健康汉族人群的尺骨远端进行多项三维测量,为手部创伤、尺骨远端疾病的诊断和治疗以及腕关节假体的设计提供解剖学依据。

方法

本研究纳入了50例接受尺骨远端腕关节计算机断层扫描(CT)的汉族男女。使用Mimics软件重建尺骨远端的三维数字模型。此外,使用MIMICS软件测量10项指标的解剖学数据。每项指标数据由2名研究者独立测量,并取平均值。对数据进行分层,并在左右侧以及男女之间进行比较。

结果

重建了形状逼真的尺骨远端三维数字模型。测量的10项解剖学参数如下:尺骨茎突长度(前后位)、尺骨茎突长度(前后径);尺骨头横径;尺骨头前后径。尺骨桡偏角;尺骨倾斜角;尺骨与桡骨远端间隙;桡骨下端尺切迹角。桡骨下端尺切迹前后径,以及桡骨下端尺切迹上下径。统计分析表明,按侧别和性别分层后无显著差异。

结论

我们的研究结果可为手部创伤、尺骨远端疾病的诊断和治疗提供解剖学依据,并进一步改进现有的腕关节假体。

研究类型

观察性横断面研究,证据等级:II级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dcb/10050329/2faaf1bf4df0/fsurg-10-1120030-g001.jpg

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