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桡骨的形态学与形态计量学分析:一项针对印度人群新鲜冷冻尸体的研究。

The Morphology and Morphometric Analysis of the Radius Bone: A Study on Freshly Frozen Cadavers in the Indian Population.

作者信息

Reddy Sandeep, Jain Darshan, Pradyumna Karthik, R Prajwal

机构信息

Orthopaedics, Ramaiah Medical College, Bangalore, IND.

Orthopaedics, Apollo Hospitals, Bangalore, IND.

出版信息

Cureus. 2023 Jun 30;15(6):e41170. doi: 10.7759/cureus.41170. eCollection 2023 Jun.

Abstract

Introduction The radial bone and the radioulnar joint are vital for the physiological and physical stability of the elbow. The prostheses and plates used in cases of radius fracture are designed based on the morphology of the Western population. This could result in a bone-implant mismatch when applied to the Indian population, resulting in complications. Hence, the study aimed to record the normal values of radius morphology in the Indian population. Methods A total of 30 (eight male and seven female) freshly frozen cadaveric bilateral upper limbs were chosen. Cadavers with previous surgical scars, deformities, and congenital defects of the upper limb were excluded. The radius was excised, and morphometric parameters were measured with a non-elastic measuring tape and a digital caliper and recorded using GeoGebra software. Results All measuring parameters exhibited no significant difference between the right and left side of the bone (p > 0.05), whereas the difference between males and females for most parameters was statistically significant (p < 0.05). The mean difference between the anteroposterior (AP) diameter and transverse diameter of the radial head for the study sample was 0.89 ± 0.06 mm. Thus, the AP diameter was 4% greater than the transverse diameter. The head of the radius was observed to be almost round. The degree of extent of the safe zone was 124.64°, with an average safe arc length of 3.27 ± 0.55 cm. Conclusion The morphometric measurements of the radius in the Indian population are different from the Western population.

摘要

引言 桡骨和桡尺关节对于肘部的生理和物理稳定性至关重要。桡骨骨折病例中使用的假体和钢板是根据西方人群的形态设计的。应用于印度人群时,这可能会导致骨与植入物不匹配,从而引发并发症。因此,本研究旨在记录印度人群桡骨形态的正常值。方法 共选取30例(8例男性和7例女性)新鲜冷冻的双侧上肢尸体。排除有上肢既往手术疤痕、畸形和先天性缺陷的尸体。切除桡骨,使用无弹性卷尺和数字卡尺测量形态学参数,并使用GeoGebra软件记录。结果 所有测量参数在骨的右侧和左侧之间均无显著差异(p>0.05),而大多数参数在男性和女性之间的差异具有统计学意义(p<0.05)。研究样本中桡骨头前后径与横径的平均差值为0.89±0.06mm。因此,前后径比横径大4%。观察到桡骨头几乎呈圆形。安全区的范围为124.64°,平均安全弧长为3.27±0.55cm。结论 印度人群桡骨的形态学测量值与西方人群不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fc1/10387188/620570e259e0/cureus-0015-00000041170-i01.jpg

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