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维纳斯酒窝与骨盆入射角增大和矢状位方向的关节突关节有关。

Dimple of Venus Is Associated with the Increased Pelvic Incidence Angle and More Sagittally Oriented Facet Joint.

机构信息

Department of Orthopedics and Traumatology, Department of Anatomy, School of Medicine, University of Giresun, Giresun, Turkey.

Department of Orthopaedics and Traumatology, Gaziosmanpasa University Hospital, Tokat, Turkey.

出版信息

Med Princ Pract. 2023;32(3):209-216. doi: 10.1159/000531413. Epub 2023 Jun 7.

DOI:10.1159/000531413
PMID:37285829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10601671/
Abstract

OBJECTIVES

The present study aims to investigate whether the dimple of Venus affects the anatomy of spinopelvic junction.

SUBJECTS AND METHODS

Inclusion criteria were having a lumbar MRI examination in the last 1 year, being older than 18 years of age and being able to radiologically evaluate the whole vertebral colon and pelvic girdle. Exclusion criteria were having congenital diseases of the pelvic girdle/hip/vertebral column and history of fracture or previous surgery in the same anatomic regions. The patients' demographic data and low back pain were noted. At radiological examination, the pelvic incidence angle was measured by lateral lumbar X-ray. The facet joint angle, tropism, facet joint degeneration, intervertebral disc degeneration, and intervertebral disc herniation at the level of L5-S1 were examined on lumbar MRIs.

RESULTS

We included 134 male and 236 female patients with a mean age of 47.86 ± 14.50 years and 48.49 ± 13.49 years, respectively. We found that the patients with the dimple of Venus had higher pelvic incidence angle (p < 0.001) and more sagittally oriented facet joint (right facet joint p = 0.017, left facet joint p = 0.001) compared to those without the dimple of Venus. There was no statistically significant relationship between low back pain and the presence of the dimple of Venus.

CONCLUSIONS

The dimple of Venus affects the anatomy of the spinopelvic junction and is associated with an increased pelvic incidence angle and a more sagittally oriented facet joint angle.

摘要

目的

本研究旨在探讨维纳斯酒窝是否影响腰骶交界区的解剖结构。

受试者和方法

纳入标准为:在过去 1 年内进行过腰椎 MRI 检查、年龄大于 18 岁、能够对整个脊椎骨和骨盆进行影像学评估。排除标准为:骨盆/臀部/脊柱先天性疾病,以及同一解剖区域骨折或既往手术史。记录患者的人口统计学数据和腰痛情况。在影像学检查中,通过腰椎侧位 X 线片测量骨盆入射角。在腰椎 MRI 上检查 L5-S1 水平的关节突关节角、倾斜度、关节突关节退变、椎间盘退变和椎间盘突出。

结果

共纳入 134 名男性和 236 名女性患者,平均年龄分别为 47.86 ± 14.50 岁和 48.49 ± 13.49 岁。我们发现,与没有维纳斯酒窝的患者相比,有维纳斯酒窝的患者骨盆入射角更高(p < 0.001),矢状位关节突关节更多(右侧关节突关节 p = 0.017,左侧关节突关节 p = 0.001)。腰痛与维纳斯酒窝的存在之间无统计学显著关系。

结论

维纳斯酒窝影响腰骶交界区的解剖结构,与骨盆入射角增加和矢状位关节突关节角度增加有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928a/10601671/ca612173f312/mpp-2023-0032-0003-531413_F02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928a/10601671/b6a5f36b06a8/mpp-2023-0032-0003-531413_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928a/10601671/ca612173f312/mpp-2023-0032-0003-531413_F02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928a/10601671/b6a5f36b06a8/mpp-2023-0032-0003-531413_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928a/10601671/ca612173f312/mpp-2023-0032-0003-531413_F02.jpg

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本文引用的文献

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Clin Orthop Surg. 2022 Sep;14(3):417-425. doi: 10.4055/cios22090. Epub 2022 Jul 21.
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The significant relationship among the factors of pelvic incidence, standing lumbar lordosis, and lumbar flexibility in Japanese patients with hip osteoarthritis: A descriptive radiographic study.日本髋骨关节炎患者骨盆入射角、站立腰椎前凸和腰椎柔韧性因素之间的显著关系:描述性放射学研究。
Orthop Traumatol Surg Res. 2022 Apr;108(2):103123. doi: 10.1016/j.otsr.2021.103123. Epub 2021 Oct 23.
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Pelvic incidence affects postoperative dislocation rate in total hip arthropalsty patients with spinal fusion.
骨盆入射角会影响脊柱融合的全髋关节置换术后脱位率。
Hip Int. 2023 May;33(3):377-383. doi: 10.1177/11207000211054332. Epub 2021 Oct 24.
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Spinopelvic Alignment and Its Use in Total Hip Replacement Preoperative Planning-Decision Making Guide and Literature Review.脊柱骨盆对线及其在全髋关节置换术前规划中的应用——决策指南与文献综述
J Clin Med. 2021 Aug 11;10(16):3528. doi: 10.3390/jcm10163528.
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The relationship between pelvic incidence and anatomical acetabular anteversion in female Japanese patients with hip osteoarthritis: a retrospective iconographic study.日本女性髋关节炎患者骨盆入射角与髋臼解剖前倾角的关系:一项回顾性影像学研究。
Surg Radiol Anat. 2021 Jul;43(7):1141-1147. doi: 10.1007/s00276-021-02710-z. Epub 2021 Feb 24.
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