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正常和骨关节炎髋关节的力学。一种新视角。

Mechanics of the normal and osteoarthritic hip. A new perspective.

作者信息

Bombelli R, Santore R F, Poss R

出版信息

Clin Orthop Relat Res. 1984 Jan-Feb(182):69-78.

PMID:6692629
Abstract

The mechanism of force transmission in normal and osteoarthritic human hips is interpreted with the aid of the following hypothesis: the essential anatomic requisite for the maintenance of mechanical equilibrium about the hip is a horizontal acetabular weight-bearing surface. Anatomic deviations from this norm result in a disequilibrium of opposing vector forces and may be contributory to the eventual onset of osteoarthritis (OA). The radiographic anatomy of the hip is the temporal record of the biologic response of bone to load transmission. From the analysis of radiographs the magnitude and direction of mechanical forces about the hip can be inferred. Deviations from normal, as in OA, can be understood by such radiographic analyses.

摘要

借助以下假设来解释正常和骨关节炎患者髋关节的力传递机制

维持髋关节周围力学平衡的基本解剖学必要条件是髋臼水平负重面。与该标准的解剖学偏差会导致相反矢量力的失衡,并可能促成骨关节炎(OA)的最终发生。髋关节的放射学解剖结构是骨骼对负荷传递的生物学反应的时间记录。通过对X光片的分析,可以推断出髋关节周围机械力的大小和方向。像在骨关节炎中那样与正常情况的偏差可以通过这种放射学分析来理解。

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