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老年男性骨骼重塑的研究。

Studies of skeletal remodeling in aging men.

作者信息

Martin R B, Pickett J C, Zinaich S

出版信息

Clin Orthop Relat Res. 1980 Jun(149):268-82.

PMID:7408312
Abstract

Senile osteoporosis in the male skeleton was studied in midshaft cross-sections from the femur, humerus, and metacarpal of 42 white male cadavers, aged 37 to 96 years. The cortical area (AC) and polar moment of inertia (J) of each section were measured. Cortical porosity and haversian canal density were also measured as functions of position in the sections, and the sizes of osteons and haversian canals in the femur were studied. In addition, the density and cross-sectional geometry of the neck of the femur were determined in 10 subjects. Age-related increases in porosity at each skeletal site are compensated by concomitant increases in cross-sectional geometry. These increases in J and AC are limited, however, being reversed at age 80 in the femur and humerus, and at age 60 in the metacarpus. Intracortical porosity was found to be localized in each bone in ways consistent with Wolff's law. The number of haversian canals/mm2 increased with age, but the size of haversian canals did not. Osteon size decreased with age. Osteon distribution patterns in the femur were consistent with random rather than directed patterns of osteon placement.

摘要

对42具年龄在37至96岁之间的白人男性尸体的股骨、肱骨和掌骨的中轴横截面进行了男性骨骼老年性骨质疏松的研究。测量了每个横截面的皮质面积(AC)和极惯性矩(J)。还测量了皮质孔隙率和哈弗斯管密度随横截面位置的变化,并研究了股骨中骨单位和哈弗斯管的大小。此外,测定了10名受试者股骨颈的密度和横截面几何形状。每个骨骼部位与年龄相关的孔隙率增加通过横截面几何形状的相应增加得到补偿。然而,J和AC的这些增加是有限的,在股骨和肱骨中80岁时、在掌骨中60岁时会出现逆转。发现皮质内孔隙率在每块骨中的分布方式符合沃尔夫定律。每平方毫米哈弗斯管的数量随年龄增加,但哈弗斯管的大小没有变化。骨单位大小随年龄减小。股骨中骨单位的分布模式符合随机而非定向的骨单位排列模式。

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