肩胛骨关节盂长短径解剖测量及临床意义

doi:10.13418/j.issn.1001-165x.2020.04.004

中国临床解剖学杂志 ›› 2020, Vol. 38 ›› Issue (4): 381-384.doi: 10.13418/j.issn.1001-165x.2020.04.004

肩胛骨关节盂长短径解剖测量及临床意义

任中楷^1，2，　张英泽^2，3，　汪建^1，2，　张益²，　陈进利²，　张春佳¹，　于腾波²

1.青岛大学，山东青岛 266071； 2.青岛大学附属医院运动医学科，山东青岛 266000；
3.河北医科大学第三医院，石家庄 050051

收稿日期:2019-12-06 出版日期:2020-07-25 发布日期:2020-07-29
通讯作者: 于腾波，教授，博士生导师，Tel：18661808912，E-mail: ytb8912@163.com
作者简介:任中楷（1992-），男，山东青岛人，在读硕士，主要研究方向：骨外科，运动医学，Tel：13969799009，E-mail：rzk314@hotmail.com
基金资助:
国家自然科学基金（31872310）

Anatomical measurement and clinical significance of line of apsides in glenoid

REN Zhong-kai ^1,2, ZHANG Ying-ze ^2,3, WANG Jian^1,2, ZHANG Yi ²， CHEN Jin-li²,ZHANG Chun-jia^1,2,YU Teng-bo²

1.Qingdao University, Qingdao 266071, China; 2.Department of Sports Medicine, The Affiliated Hospital of Qingdao University, Qingdao 266000, China; 3.The Third Hospital of Hebei Medical University, Hebei 050051, China

Received:2019-12-06 Online:2020-07-25 Published:2020-07-29

摘要/Abstract

摘要： 目的　通过测量肩关节盂长短径形态数据，分析数据之间相关性，指导关节盂骨缺损的预估。方法　选取青岛大学解剖室完整成对肩胛骨标本共50对（100例），进行编号后根据左右侧进行分组，分别测量关节盂长径，关节盂短径，并进行统计学分析处理。结果　100例肩胛骨标本中，各项数据平均值分别为：关节盂长径（35.46±3.29）mm，关节盂短径（26.11±3.20）mm。左右侧分组平均值：左侧关节盂长径（35.28±3.81）mm，右侧关节盂长径（35.24±3.31）mm，左侧关节盂短径（25.83±3.18）mm，右侧关节盂短径（26.38±3.23）mm，左右侧关节盂短径存在相关性（P<0.05，r=0.882，R2=0.777），线性关系式为：y（右侧关节盂短径）=2.907+0.869x（左侧关节盂短径）。关节盂长径与短径存在相关性(P<0.05, r=0.810，R2=0.657)，线性关系式为：y（关节盂短径）=-1.816+0.787x（关节盂长径）。结论　左、右侧关节盂短径间以及同侧关节盂长、短径间存在正相关性；该相关性可修正人工测量关节盂最佳拟合圆直径的误差，指导临床术前预估关节盂骨缺损范围。

关键词: 肩胛骨, 　关节盂缺损, 　测量, 　最佳拟合圆, 　肩关节脱位

Abstract: Objective　To measure the glenoid morphology of the shoulder, analyze the correlation between the data and to guide the prediction of glenoid defects.　Methods　A total of 50 pairs (100 cases) of shoulder specimens were collected from the anatomy department of Qingdao University. The specimens were divided into groups according to the left and right sides after numbering. The longitudinal diameter of the glenoid and the transverse diameter of the glenoid were measured respectively. Then the statistical analysis was conducted. Results　In the 100 scapular specimens, the mean values of the data were as followings: longitudinal diameter of the glenoid cavity was (35.46±3.29) mm and transverse diameter of the glenoid cavity was (26.11±3.20) mm, respectively. The average values of the left and right side were as followings: longitudinal diameter on the left side of the glenoid cavity was (35.28±3.81) mm; the right side was (35.24±3.31) mm, transverse diameter on the left side of the glenoid cavity was (25.83±3.18) mm, and the right side was (26.38±3.23) mm. There was a correlation between transverse diameter on the left side of the glenoid cavity and transverse diameter on the right side of the glenoid cavity (P<0.05, r=0.882, R2=0.777). The linear relation was: y (transverse diameter on the right side of glenoid cavity) = 2.907+0.869x (transverse diameter on the left side of the glenoid cavity). There was a correlation between the longitudinal and transverse diameter of the glenoid joint (P<0.05, r=0.810，R2=0.657). The linear relationship was y (transverse diameter of the glenoid joint)= -1.816+0.787x (longitudinal diameter of the glenoid joint).　Conclusions　There are positive correlations between the longitudinal diameter of the glenoid joint and the transverse diameter of the glenoid joint, between transverse diameter on the left and right side of the glenoid cavity. The correlation can reduce the error of artificial subjective measurement of the best-fit circle diameter of the glenoid cavity, and can predict the area of anterior glenoid bone loss before clinical operation and improve the prognosis.

Key words: Scapula, 　Glenoid bone loss, 　Measurement, 　Best-fit circle, 　Dislocation of shoulder joint

中图分类号:

R322
R323.42

任中楷, 张英泽, 汪建, 张益, 陈进利, 张春佳, 于腾波. 肩胛骨关节盂长短径解剖测量及临床意义[J]. 中国临床解剖学杂志, 2020, 38(4): 381-384.

REN Zhong-kai, ZHANG Ying-ze, WANG Jian, ZHANG Yi, CHEN Jin-li, ZHANG Chun-jia, YU Teng-bo. Anatomical measurement and clinical significance of line of apsides in glenoid[J]. Chinese Journal of Clinical Anatomy, 2020, 38(4): 381-384.

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肩胛骨关节盂长短径解剖测量及临床意义

Anatomical measurement and clinical significance of line of apsides in glenoid

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