基于CT三维重建的肩胛骨关节盂形态学分型及临床意义

doi:10.13418/j.issn.1001-165x.2022.2.06

Abstract

Abstract: Objective　To explore the morphological classification and clinical significance of glenoid based on CT 3D reconstruction.　Methods　Data of 290 cases of scapular bones data were collected from People's Hospital of Lu Xian County. The morphological characteristics of the glenoid pelvis were observed, and the upper and lower diameters, anterior and posterior diameters of the glenoid pelvis, the depth of the glenoid fossa, the degree of tilt angle and torsion angle of the glenoid pelvis were measured. Results　The result of CT three- dimensional reconstruction showed that, the glenoid was classified into four types: namely, quotation marks-type (165 cases, accounting for 56.90%); oval-type(65 cases, accounting for 22.41%); water drops-type ( 51 cases, accounting for 17.59 %); gourd-type(9 cases, accounting for 3.10 %). There were statistical differences in the upper and lower diameters of the glenoid pelvis, the depth of the glenoid fossa, the degree of tilt angle and torsion angle of the glenoid pelvis between the oval-type and the quotation marks-type, water drops-type and gourd-type(P<0.05). The degree of tilt angle in water drops-type was greater than that of quotation marks-type. The upper and lower diameters of the glenoid pelvis in gourd-type were less than that of quotation marks-type and water drops-type. The anterior and posterior diameters of the glenoid pelvis in oval-type and water drops-type were greater than that of quotation marks-type and gourd-type. The anterior and posterior diameters of the glenoid pelvis in quotation marks-type was greater than that of gourd-type. The depth of the glenoid fossa in quotation marks-type was less than that of water drops-type and gourd-type. There were statistical differences in genders among the upper and lower diameters, anterior and posterior diameters of the glenoid pelvis, the depth of the glenoid fossa, the degree of tilt angle and torsion angle of the glenoid pelvis (all P<0.05).　Conclusions　Based on the results of three-dimensional CT reconstruction, the glenoid can be divided into four types, with the quotation marks-type as the main type and gourd-type as the rare type, and the morphology and classification of which are of certain clinical guiding significance.

Key words: Glenoid, 　Anatomy, 　Type classification, 　Three-dimensional reconstruction

CLC Number:

R323.42

Hu Dingxiang, Li Changhui, Chen Liang, Ma Chenxi, Huang He, Zheng Ruiqing. Morphological classification and clinical significance of glenoid based on CT three-dimensional reconstruction[J]. Chinese Journal of Clinical Anatomy, 2022, 40(2): 150-153.

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Morphological classification and clinical significance of glenoid based on CT three-dimensional reconstruction

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