Alomri Asayel A, Alghirash Duaa Y, Altuwairqi Enas A, Alquraish Fatimah A, Alibrahim Fatem S, Alsaffar Radi A, Daimi Syed R H, Hegazi Tarek M, Awary Khaled B
College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Department of Anatomy, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
J Family Community Med. 2025 Apr-Jun;32(2):138-144. doi: 10.4103/jfcm.jfcm_288_24. Epub 2025 Apr 30.
The lunate bone plays a crucial role in wrist stability and movement; therefore, any disruption to its integrity could significantly impact the function of the hand and subsequently, the quality of life. The variation in lunate morphology has been associated with several wrist pathologies. Although limited studies have assessed the association between lunate morphology and wrist pathology, none has been done on the Saudi population.
A cross-sectional study was conducted at a hospital, in Saudi Arabia. A total of 284 wrist radiological reports were included in the study. The magnetic resonance imaging (MRI) findings, clinical assessment, and demographic information were obtained for each of these 284 reports. Lunate morphology was dichotomized according to the Viegas classification, and the presence of various wrist pathologies was evaluated using MRI.
The study sample consisted of 205 patients; 72.2% had a type I lunate and 27.8% had a type II lunate. Both Saudi citizens and residents were represented in the study population. Tendinopathy was the most identified pathology (89%), followed by ganglion cysts (42%), osteoarthritis (29%), ligament injury (28%), and fractures (17%). No significant association was found between lunate type and the distribution of the wrist pathologies (P = 0.510) or with the type of pathology (P = 0.595).
This study provides valuable insight into the association between lunate morphology and wrist disorders. The findings suggest that lunate morphology does not significantly influence the presence of specific wrist pathologies. Further research is needed to explore other factors that influence wrist disorders.
月骨在腕关节稳定性和运动中起关键作用；因此，其完整性的任何破坏都可能显著影响手部功能，进而影响生活质量。月骨形态的变异与多种腕关节疾病有关。尽管已有有限的研究评估了月骨形态与腕关节疾病之间的关联，但尚未对沙特人群进行过此类研究。
在沙特阿拉伯的一家医院进行了一项横断面研究。该研究共纳入284份腕关节放射学报告。获取了这284份报告中每份报告的磁共振成像（MRI）结果、临床评估和人口统计学信息。根据维加斯分类法将月骨形态分为两类，并使用MRI评估各种腕关节疾病的存在情况。
研究样本包括205名患者；72.2%的患者月骨为I型，27.8%为II型。研究人群包括沙特公民和居民。肌腱病是最常见的疾病（89%），其次是腱鞘囊肿（42%）、骨关节炎（29%）、韧带损伤（28%）和骨折（17%）。未发现月骨类型与腕关节疾病分布之间存在显著关联（P = 0.510），也未发现与疾病类型存在显著关联（P = 0.595）。
本研究为月骨形态与腕关节疾病之间的关联提供了有价值的见解。研究结果表明，月骨形态对特定腕关节疾病的存在没有显著影响。需要进一步研究以探索影响腕关节疾病的其他因素。
