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韩国某地区髋臼、股骨和联合前倾的计算机断层扫描研究。

Acetabular, Femoral, and Combined Anteversion in a Province in South Korea: Computed Tomography-Based Study.

机构信息

Department of Orthopaedic Surgery, Daegu Fatima Hospital, Daegu, Korea.

出版信息

Clin Orthop Surg. 2023 Aug;15(4):567-573. doi: 10.4055/cios22350. Epub 2023 Jun 14.

DOI:10.4055/cios22350
PMID:37529189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10375808/
Abstract

BACKGROUND

The purpose of this study was to investigate the femoral, acetabular, and combined anteversion of the hip joint in South Koreans using computed tomography (CT).

METHODS

We measured anteversion using CT venograms taken from 2016 to 2020. Of the total 1,073 patients, 952 patients were included in the study except for those with pelvic fractures, previous femoral fractures, childhood hip joint disease, osteoarthritis, or hip dysplasia (lateral center-edge angle, < 20), foreigners, and hip and knee replacement patients. Measurements were taken twice by two orthopedic surgeons.

RESULTS

The femoral anteversion in women was 10.64° ± 10.26° (≤ 49 years), 15.75° ± 9.40° (50-59 years), 10.81° ± 9.14° (60-69 years), 12.38° ± 8.55° (70-79 years), and 11.23° ± 8.44° (≥ 80 years). The femoral anteversion in men was 12.02° ± 11.38° (≤ 49 years), 10.62° ± 9.11° (50-59 years), 6.09° ± 9.95° (60-69 years), 6.57° ± 9.51° (70-79 years), and 5.53° ± 9.29° (≥ 80 years). The acetabular anteversion in women was 17.65° ± 6.58° (≤ 49 years), 19.24° ± 6.42° (50-59 years), 20.30° ± 6.25° (60-69 years), 22.38° ± 7.36° (70-79 years), and 23.34° ± 6.98° (≥ 80 years). The acetabular anteversion in men was 15.21° ± 8.14° (≤ 49 years), 17.68° ± 6.00° (50-59 years), 17.54° ± 5.93° (60-69 years), 18.68° ± 6.62° (70-79 years), and 18.19° ± 6.94° (≥ 80 years). The combined anteversion in women was 28.29° ± 14.30° (≤ 49 years), 34.99° ± 10.62° (50-59 years), 31.11° ± 11.52° (60-69 years), 34.76° ± 10.86° (70-79 years), and 34.57° ± 11.45° (≥ 80 years). The combined anteversion in men was 27.23° ± 15.11° (≤ 49 years), 28.30° ± 11.23° (50-59 years), 23.63° ± 11.77° (60-69 years), 25.25° ± 12.02° (70-79 years), and 23.72° ± 11.88° (≥ 80 years).

CONCLUSIONS

Femoral anteversion tended to decrease with age in men and acetabular anteversion tended to increase in both men and women. Combined anteversion showed a tendency to increase slightly in women.

摘要

背景

本研究旨在使用计算机断层扫描(CT)研究韩国人的股骨、髋臼和髋关节联合前倾角。

方法

我们使用 2016 年至 2020 年的 CT 静脉造影来测量前倾角。在总共 1073 名患者中,除了骨盆骨折、既往股骨骨折、儿童髋关节疾病、骨关节炎或髋关节发育不良(外侧中心边缘角,<20)、外国人以及髋关节和膝关节置换患者外,952 名患者被纳入研究。由两名骨科医生两次进行测量。

结果

女性的股骨前倾角为 10.64°±10.26°(≤49 岁)、15.75°±9.40°(50-59 岁)、10.81°±9.14°(60-69 岁)、12.38°±8.55°(70-79 岁)和 11.23°±8.44°(≥80 岁)。男性的股骨前倾角为 12.02°±11.38°(≤49 岁)、10.62°±9.11°(50-59 岁)、6.09°±9.95°(60-69 岁)、6.57°±9.51°(70-79 岁)和 5.53°±9.29°(≥80 岁)。女性的髋臼前倾角为 17.65°±6.58°(≤49 岁)、19.24°±6.42°(50-59 岁)、20.30°±6.25°(60-69 岁)、22.38°±7.36°(70-79 岁)和 23.34°±6.98°(≥80 岁)。男性的髋臼前倾角为 15.21°±8.14°(≤49 岁)、17.68°±6.00°(50-59 岁)、17.54°±5.93°(60-69 岁)、18.68°±6.62°(70-79 岁)和 18.19°±6.94°(≥80 岁)。女性的联合前倾角为 28.29°±14.30°(≤49 岁)、34.99°±10.62°(50-59 岁)、31.11°±11.52°(60-69 岁)、34.76°±10.86°(70-79 岁)和 34.57°±11.45°(≥80 岁)。男性的联合前倾角为 27.23°±15.11°(≤49 岁)、28.30°±11.23°(50-59 岁)、23.63°±11.77°(60-69 岁)、25.25°±12.02°(70-79 岁)和 23.72°±11.88°(≥80 岁)。

结论

男性的股骨前倾角随年龄增长而减小,女性的髋臼前倾角在男女两性中均增加。女性的联合前倾角呈轻微增加趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8846/10375808/5e6960f14b1d/cios-15-567-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8846/10375808/d22b6d7cdf51/cios-15-567-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8846/10375808/17babdddd760/cios-15-567-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8846/10375808/6e9eda1f4acf/cios-15-567-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8846/10375808/e0d15ef7d625/cios-15-567-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8846/10375808/5e6960f14b1d/cios-15-567-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8846/10375808/d22b6d7cdf51/cios-15-567-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8846/10375808/17babdddd760/cios-15-567-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8846/10375808/6e9eda1f4acf/cios-15-567-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8846/10375808/e0d15ef7d625/cios-15-567-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8846/10375808/5e6960f14b1d/cios-15-567-g005.jpg

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