Massin P, Vandenbussche E, Landjerit B
Service de Chirurgie Orthopédique, Hôpital Bichat, Paris, France.
Acta Orthop Belg. 1994;60(4):359-68.
This work is based on an experimental simulation of unipodal stance using skeletons obtained from fresh nonembalmed cadavers, including pelvis, the two last lumbar vertebrae, and both femurs. Periacetabular deformations in unipodal stance were recorded in 10 pelves, which were bilaterally tested (20 acetabuli). Measurements concerned circumferential deformations (tangential to the periphery of the acetabulum), and normal deformations (perpendicular to the periphery of the acetabulum). Deformations of the medial wall and relative displacements between both acetabular walls were simultaneously recorded. A tridimensional interpretation of acetabular deformations is proposed based on the following classification: acetabuli in which the acetabular notch widens and acetabuli in which the acetabular notch closes itself with lateral displacement of the acetabular walls on the circumference of the femoral head. Acetabular deformations appeared dependent on the shape of the femoral head, but were not influenced by the action of the muscular model.
这项工作基于使用从新鲜未防腐尸体获取的骨骼进行的单足站立实验模拟,包括骨盆、最后两节腰椎和双侧股骨。在10个骨盆中记录了单足站立时髋臼周围的变形情况,并对其进行了双侧测试(20个髋臼)。测量内容包括圆周变形(与髋臼周边相切)和法向变形(垂直于髋臼周边)。同时记录了内侧壁的变形以及两个髋臼壁之间的相对位移。基于以下分类对髋臼变形提出了三维解释:髋臼切迹变宽的髋臼以及髋臼切迹在股骨头圆周上随着髋臼壁向外侧移位而闭合的髋臼。髋臼变形似乎取决于股骨头的形状,但不受肌肉模型作用的影响。