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

Abstract

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

CLC Number:

R322
R323.42

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.

References 8

[1]	Wilk KE, Arrigo CA, Andrews JR. Current concepts: the stabilizing structures of the glenohumeral joint [J]. J Orthop Sports Phys Ther, 1997, 25(6): 364-379.
[2]	VandenBerghe G, Hoenecke HR, Fronek J. Glenohumeral joint instability: the orthopedic approach [J]. Semin Musculoskelet Radiol, 2005, 9(1): 34-43.
[3]	Mohammed H, Skalski MR, Patel DB, et al. Coracoid Process: The lghthouse of the shoulder [J]. Radiographics, 2016, 36(7): 2084-2101.
[4]	Klemt C, Toderita D, Nolte D, et al. The critical size of a defect in the glenoid causing anterior instability of the shoulder after a Bankart repair, under physiological joint loading [J]. Bone Joint J, 2019, 101-B(1): 68-74.
[5]	Burkhart SS, Debeer JF, Tehrany AM, et al. Quantifying glenoid bone loss arthroscopically in shoulder instability [J]. Arthroscopy, 2002, 18(5): 488-491.
[6]	Kralinger F, Aigner F, Longato S, et al. Is the bare spot a consistent landmark for shoulder arthroscopy? A study of 20 embalmed glenoids with 3-dimensional computed tomographic reconstruction [J]. Arthroscopy, 2006, 22(4): 428-432.
[7]	李成, 董启榕, 范志海,等. 定量评估肩盂骨质缺损的解剖及三维CT研究 [J]. 江苏医药, 2014, 40(18): 2167-2169，2241.
[8]	Chuang TY, Adams CR, Burkhart SS. Use of preoperative three-dimensional computed tomography to quantify glenoid bone loss in shoulder instability [J]. Arthroscopy 2008, 24(4): 376-382.

[1]	Shi Huiming, Lv Haixia, Zheng Yu, Zhang Lipeng, Liu Ning, Qu Fufeng, Wang Yang. Review of the application of internal fixation devices for scapular fractures [J]. Chinese Journal of Clinical Anatomy, 2023, 41(4): 493-495.
[2]	Zhang Yujun, Ju Jihui, Zhao Qiang, Wang Benyuan, Cheng Heyun, Ju Wen. Anatomical study on the treatment of osseous mallet finger by simple wire compression fixation. [J]. Chinese Journal of Clinical Anatomy, 2023, 41(2): 128-131.
[3]	Ma Xueqiang, Cao Linzhong, Jiang Wei, Zhang Qi , Liu Mengchu, Wang Duoxian. Effects of Shenggu Zaizao Pills on related indexes of bone morphometry in steroid-induced necrosis of the femoral head in rabbits [J]. Chinese Journal of Clinical Anatomy, 2022, 40(5): 555-561.
[4]	Qi Xin, Tan Hongbo, Xu Yongqing, Zhang Jianxun, Sun Rui, Zhu Yueliang. Current therapeutic progression and prospect of tibial torsion angle and its clinical indirect measurement [J]. Chinese Journal of Clinical Anatomy, 2022, 40(5): 624-626.
[5]	Zhang Kai, Wang Yidan, Dai Lina, Yu Jinghong, Zhang Yunfeng, Jin Feng, Wang Haiyan, Li Xiaohe, Wen Yanxin, Wen Xin, Fan Jianjin, Xie Yuxuan, Ni Min, Zhang Tiexin. Three-dimensional CT measurement and analysis of mandible in adults in Inner Mongolia [J]. Chinese Journal of Clinical Anatomy, 2022, 40(4): 404-409.
[6]	Liu Pengran, Shen Ao, Lv Jing, Chen Yufei , Yuan Jian, Liao Shenghui, Liu Lihong. The anatomical parameters of proximal humerus in Chinese measured by three-dimensional visualization [J]. Chinese Journal of Clinical Anatomy, 2022, 40(1): 10-16.
[7]	Xiao Zhongzhou, Liu Jiaming, Huang Shanhu, Liu Zhili. Anatomical basis of a new double-threaded pedicle screw for preventing nerve root injury [J]. Chinese Journal of Clinical Anatomy, 2021, 39(5): 507-512.
[8]	Yu Hao, Deng Wanqiu, Sang Peng, Liu Yi. The morphological classification and clinical significance of the scapular spine based on CT three-dimensional reconstruction [J]. Chinese Journal of Clinical Anatomy, 2021, 39(4): 415-419.
[9]	Hu Jian, Liu Bingli, Yu Baoqing. Morphological variation of coracoid process and the related diseases [J]. Chinese Journal of Clinical Anatomy, 2021, 39(4): 496-500.
[10]	. Three-dimensional digital measurement of facial anatomy parameters of young Mongolian college students in Inner Mongolia [J]. Chinese Journal of Clinical Anatomy, 2021, 39(3): 252-258.
[11]	Zhang Xiangnan, Deng Wei, Zhang Songqiang, Li Lei, Zhou Guangliang, Ju Faxin, Ju Wen, Zhou Zhenghu, Li Guanxing, Ju Jihui, Hou Ruixing. Anatomical study on the branch of pig femoral head retinacular artery [J]. Chinese Journal of Clinical Anatomy, 2021, 39(2): 130-133.
[12]	Chen Lan, Chen Chunlin, Liu Ping, Feng Jie, Wang Jianping, Tang Lian, Liao Kedan, Jiang Wenxuan, Liang Shiqi. Digital fine anatomy of bladder and urethra in rest state of young nullipara with a normal pelvic floor function [J]. Chinese Journal of Clinical Anatomy, 2021, 39(1): 31-36.
[13]	WEI Zhen, XIONG Wen-feng, ZHANG Shi-min. The remnant circumferential cortex in pertrochanteric femoral fractures: CT image study and clinical implications [J]. Chinese Journal of Clinical Anatomy, 2020, 38(6): 639-645.
[14]	YU Fang, CHENG Zhi-quan, TANG Ju-yu, SUI Xin-lei, CAO Zhe-ming, PAN Ding, LI Hui. Study on validity of 3D surface structured light scanner for measuring hand morphology [J]. Chinese Journal of Clinical Anatomy, 2020, 38(6): 657-660.
[15]	ZHANG Yong , ZHANG Yan-ru , YANG Yun-feng , LU Yan , TONG Zhao-hui. Study on the accuracy of three dimensional reconstruction and three dimensional printing technique in the measurement of pelvic three dimensional features [J]. Chinese Journal of Clinical Anatomy, 2020, 38(6): 697-702.

Anatomical measurement and clinical significance of line of apsides in glenoid

Knowledge

Abstract

Cite this article

share this article

References 8

Related Articles 15

Metrics

Comments

Recommended 0