髂后上棘的解剖形态学分型及临床意义

doi:10.13418/j.issn.1001-165x.2022.4.01

Abstract

Abstract: Objective To study the anatomical characteristics of posterior superior iliac spine and explore its clinical significance. Methods Two hundred and eighty dry hip specimens of humans were selected. The posterior superior iliac spine was point A, the anterior superior iliac spine was point B, the ischial tuberosity was point C, the highest point of the iliac spine was point D, the pubic tuberosity was point E, and the midpoint of the posterior edge of the articular surface was point F. The width of point A of the posterior superior iliac spine was W0, and the thickness of point A was H0. The maximum width of the posterior part of the iliac crest was Wmax, and the distance from point A to the posterior part of the iliac crest was D0. The width of the iliac crest was measured at 0.5 cm, 1.0 cm, 1.5 cm, and 2.0 cm from point A, which were recorded as W1, W2, W3, W4. The part of the iliac crest was taken as point G and the width of point G was denoted as W5. The lengths of AB, AC, AD, AE, AF, AG, and CD were measured, respectively. Results The morphology of the posterior superior iliac spine was roughly divided into the following 4 types: type I "V" (107 cases, accounting for 38.2%), type II "U" (121 cases, accounting for 43.2%), type III "W" (31 cases, accounting for 11.1%), type IV "Proliferative" (21 cases, accounting for 7.5%). The AB length of type Ⅰ was significantly shorter than that of type Ⅲ and Ⅳ, the AF distance of type Ⅰ was significantly shorter than that of type Ⅱ and Ⅲ. W0, W1 and H0 of type Ⅰ were significantly smaller than that of type Ⅱ, Ⅲ, and Ⅳ, and W0 of type Ⅲ was greater than that of type I, type II and type IV, all were statistically significant (P<0.05). Conclusions There are 4 morphological variations of the posterior superior iliac spine, with a "U" shape as the main one, which has of certain clinical implication.

Key words: Posterior superior iliac spine; , , Anatomy; , , Clinical significance

CLC Number:

R322.71

Qi Ji, Li Jing, Wang Haizhou, Chen Ping, Lin Dingkun, Chen Haiyun, Ping Ruiyue, Xu Yanxiao, Li Yikai. Anatomical classification of posterior superior iliac spine and its clinical significance[J]. Chinese Journal of Clinical Anatomy, 2022, 40(4): 377-382.

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Anatomical classification of posterior superior iliac spine and its clinical significance

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