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基于磁共振成像的胸锁关节和锁骨解剖结构的规范值：对1591名健康参与者的综合分析

Normative Values for Sternoclavicular Joint and Clavicle Anatomy Based on MR Imaging: A Comprehensive Analysis of 1591 Healthy Participants.

作者信息

Languth Theo Morgan, Prietzel Anne, Bülow Robin, Ittermann Till, Laqua René, Haralambiev Lyubomir, Ekkernkamp Axel, Bakir Mustafa Sinan

机构信息

Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, Germany.

Department of Anesthesiology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.

出版信息

J Clin Med. 2024 Jun 19;13(12):3598. doi: 10.3390/jcm13123598.

DOI:10.3390/jcm13123598
PMID:38930127
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11205057/
Abstract

The clavicle remains one of the most fractured bones in the human body, despite the fact that little is known about the MR imaging of it and the adjacent sternoclavicular joint. This study aims to establish standardized values for the diameters of the clavicle as well as the angles of the sternoclavicular joint using whole-body MRI scans of a large and healthy population and to examine further possible correlations between diameters and angles and influencing factors like BMI, weight, height, sex, and age. This study reviewed whole-body MRI scans from the Study of Health in Pomerania (SHIP), a German population-based cross-sectional study in Mecklenburg-Western Pomerania. Descriptive statistics, as well as median-based regression models, were used to evaluate the results. We could establish reference values based on a shoulder-healthy population for each clavicle parameter. Substantial differences were found for sex. Small impacts were found for height, weight, and BMI. Less to no impact was found for age. This study provides valuable reference values for clavicle and sternoclavicular joint-related parameters and shows the effects of epidemiological features, laying the groundwork for future studies. Further research is mandatory to determine the clinical implications of these findings.

摘要

尽管人们对锁骨及其相邻胸锁关节的磁共振成像了解甚少，但锁骨仍是人体中最易骨折的骨头之一。本研究旨在通过对大量健康人群进行全身MRI扫描，建立锁骨直径和胸锁关节角度的标准化值，并进一步研究直径、角度与BMI、体重、身高、性别和年龄等影响因素之间可能存在的相关性。本研究回顾了德国梅克伦堡-前波美拉尼亚州基于人群的横断面研究——波美拉尼亚健康研究（SHIP）的全身MRI扫描数据。采用描述性统计以及基于中位数的回归模型来评估结果。我们能够为每个锁骨参数建立基于肩部健康人群的参考值。研究发现性别之间存在显著差异。身高、体重和BMI的影响较小。年龄的影响较小或几乎没有影响。本研究为锁骨和胸锁关节相关参数提供了有价值的参考值，并显示了流行病学特征的影响，为未来的研究奠定了基础。必须进行进一步的研究以确定这些发现的临床意义。

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本文引用的文献

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Accuracy of X-Ray and Magnetic Resonance Imaging in Defining the Tumor Margin in Primary Bone Sarcoma.
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