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[人类肩锁关节的年龄相关特征]

[Age-related characteristics of the human acromioclavicular joint].

作者信息

Tiurina T V

出版信息

Arkh Anat Gistol Embriol. 1985 Nov;89(11):75-81.

PMID:4091673
Abstract

By birth in the acromioclavicular joint the acromial end of the clavicle is osseous, and the acromion of the scapula is cartilaginous. The most intensive formation of the relief and configuration of the articular surfaces of the joint occurs from 1 to 3 years of age. In mature persons the form of the articular surface of the acromial end of the clavicle is often oval and that of the acromion of the scapula--ellipsoid. In newborns the areas of the articular surfaces are nearly equal. The area of the articular surface of the acromial end of the clavicle is significantly more than that of the acromion of the scapula during the periods from 1 to 3, from 13 to 17 and from 21 to 30 years of age. The articular cleft is revealed in the roentgenograms by 17 years of age, when synostosis process of the acromion of the scapula is completed. The thickness of the articular cartilage at different poles of the articular surfaces from birth up to 70 years of age is not equal and therefore it is possible to judge about nonequivalent functional loading on different areas of the articular cartilage. The articular cartilage of the acromial end of the clavicle from birth to 16 years of age is hyaline, after 17 years of age, they acquire the structure of the fibrous cartilage. In the articular cartilage of the acromion of the scapula, this rearrangement is realized more slowly: its fibrous structure is revealed after 23-24 years of age. Involutional changes in the joint are revealed during the fourth decade.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在出生时,肩锁关节处锁骨的肩峰端为骨性,肩胛骨的肩峰为软骨性。关节表面的隆起和形态在1至3岁时形成最为活跃。在成年人中,锁骨肩峰端关节面的形状通常为椭圆形,肩胛骨肩峰的关节面形状为椭圆体。在新生儿中,关节面的面积几乎相等。在1至3岁、13至17岁以及21至30岁期间,锁骨肩峰端关节面的面积明显大于肩胛骨肩峰的关节面面积。在X线片上,17岁时可显示关节间隙,此时肩胛骨肩峰的骨融合过程完成。从出生到70岁,关节面不同极点处的关节软骨厚度不等,因此可以判断关节软骨不同区域的功能负荷不均等。锁骨肩峰端的关节软骨在出生至16岁时为透明软骨,17岁后,它们获得纤维软骨结构。在肩胛骨肩峰的关节软骨中,这种结构重排实现得更慢:23至24岁后才显示出其纤维结构。关节的退行性变化在第四个十年中显现。(摘要截断于250字)

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