桡尺远侧关节在体MRI运动学研究

doi:10.13418/j.issn.1001-165x.2019.06.006

Abstract

Abstract: Objective　To analyze the normal distal radioulnar joint (DRUJ) rotation by utilizing the magnetic resonance imaging on axial imaging.　Methods　Axial magnetic resonance images at the bilateral DRUJ of 30 healthy volunteers (15 males, 15 females) were examined in seven rotational positions: maximum supination, 60 ° supination, 30 ° supination, neutral, 30 ° pronation, 60 ° pronation and maximum pronation. A line (AB) was drawn from the volar margin (A) and dorsal margin (B) of the sigmoid notch. The center of the ulnar head (C) was mrked using the workstation tools. A line (AD) perpendicular to this line (AB) was drawn to the center of the ulnar head (C). The point across the AB line was regarded as D. The AD/AB ratio was calculated, which was defined as the radioulnar ratio (RUR). A straight line at the apex of the dorsal edge of the ulnar head (E) and the ulnar styloid process (F) was drawn, and the palmar angle (radioulnar angle, RUA) at which straight line EF intersects straight line AB was measured. The measurement and calculation of average value were completed independently by two radiologists then the credibility of the method was evaluated.　Results　The RUR values of maximum supination, 60 ° supination, 30 ° supination, neutral, 30 °pronation, 60 °pronation and maximum pronation were (0.29±0.05), (0.36±0.06), (0.42±0.07), (0.49±0.05), (0.53±0.06), (0.56±0.06), (0.61±0.07) respectively, then the RUA were (38.41±3.71)°, (48.74±5.54)°, (63.31±4.98)°, (105.56±5.63)°, (138.68±6.04)°, (162.45±6.00)°, (178.46±2.09°) respectively. RUR was positively correlated with RUA and there were statistical difference between them (r=0.97，P<0.05). With the increasing of RUA, the RUR also increased during the process of wrists joints rotation from maximum supination to maximum pronation. The intraclass correlation coefficient (ICC) of RUR and RUA ranged from 0.83 to 0.96 under the above different positions.　Conclusions　By establishing the normal range of RUR of DRUJ at different rotation angles, more data could be provided for the diagnose of the instability of distal radioulnar joint.

Key words: Distal radioulnar joint, , , Magnetic resonance imaging, , , , Motion analysis, Instability

CLC Number:

YUAN Jian-xiang, PENG Guo-yi, LIU Yong-jian, ZHENG Han-yi, KE-Qi, FANG Ting-song. Kinesiology analysis of distal radioulnar joint rotation by utilizing magnetic resonance imaging[J]. Chinese Journal of Clinical Anatomy, 2019, 37(6): 633-637.

References 16

[1]	Mino DE, Palmer AK, Levinsohn EM. The role of radiography and computerized tomography in the diagnosis of subluxation and dislocation of the distal radioulnar joint[J]. J Hand Surg AM, 1983, 8(1): 23-31.
[2]	Wechsler RJ, Wehbe MA, Rifkin MD, et al. Computed tomography diagnosis of distal radioulnar subluxation[J]. Skeletal Radiol, 1987, 16(1): 1-5.
[3]	Ehman EC, Hayes ML, Berger RA, et al. Subluxation of the distal radioulnar joint as a predictor of foveal triangular fibrocartilage complex tears[J]. J Hand Surg AM, 2011, 36(11): 1780-1784.
[4]	Lo IK, Macdermid JC, Bennett JD, et al. The radioulnar ratio: a new method of quantifying distal radioulnar joint subluxation[J]. J Hand Surg AM, 2001, 26(2): 236-243.
[5]	Ekenstam FA, Hagert CG. Anatomical studies on the geometry and stability of the distal radio ulnar joint[J]. Scand J Plast Reconstr Surg, 1985, 19(1): 17-25.
[6]	Tolat AR, Stanley JK, Trail IA. A cadaveric study of the anatomy and stability of the distal radioulnar joint in the coronal and transverse planes[J]. J Hand Surg Br, 1996, 21(5): 587-594.
[7]	荣艳波, 田光磊, 陈山林. 深层桡尺远侧韧带对桡尺远侧关节稳定作用的生物力学研究[J]. 北京大学学报(医学版), 2017, 49(3): 154-157.
[8]	Huang JI, Hanel DP. Anatomy and biomechanics of the distal radioulnar joint[J]. Hand Clin, 2012, 28(2): 157-163.
[9]	兰万利, 黄东, 邝艺臻,等. 软组织重建术治疗桡尺远侧关节不稳的生物力学研究[J]. 中国临床解剖学杂志, 2017, 35(2): 203-206.
[10]	Sammer DM, Shah HM, Shauver MJ, et al. The Effect of ulnar styloid fractures on patient-rated outcomes after volar locking plating of distal radius fractures[J]. J Hand Surg AM, 2009, 34(9): 1603-1604.
[11]	Delaram Shakoor，Nima Hafezi-Nejad, Arya Haj-Mirzaian, et al. Kinematic analysis of the distal radioulnar joint in asymptomatic wrists using 4-dimensional computed tomography–motion pattern and interreader reliability[J]. J Comput Assist Tomogr, 2019, 43(3): 392-398.
[12]	Ehman EC, Felmlee JP, Frick MA. Imaging of the proximal and distal radioulnar joints[J]. Magn Reson Imaging Clin N Am, 2015, 23(3): 417-425.
[13]	Chen YR, Tang JB. In vivo gliding and contact characteristics of the sigmoid notch and the ulna in forearm rotation[J]. J Hand Surg AM, 2013, 38(8): 1513-1519.
[14]	孙丽颖, 田光磊, 朱赛楠, 等. 基于三维CT影像判断桡尺远侧关节移位的临床研究[J]. 中华外科杂志, 2010, 48(16): 1217-1220.
[15]	Nakamura T, Yabe Y, Horiuchi Y, et al. In vivo motion analysis of forearm rotation utilizing magnetic resonance imaging[J]. Clin Biomech(Bristol, Avon), 1999, 14(5): 315-320.
[16]	Amrami KK, Moran SL, Berger RA, et al. Imaging the distal radioulnar joint[J]. Hand Clin, 2010, 26(4): 467-475.

Kinesiology analysis of distal radioulnar joint rotation by utilizing magnetic resonance imaging

Knowledge

Abstract

Cite this article

share this article

References 16

Related Articles 15

Metrics

Comments

Recommended 0

[1]	Jiang Jianhong, Duan Renpeng, Li Xiaofeng. Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese population [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 1-4.
[2]	Guo Hongzhi, Wang Yu, Zhang Jiaqi, Liang Haibin, Ma Ziwei, Feng Wei, Wu You, Si Ziyi. Evaluation of placental vascular structure in preeclampsia by vascular casting combined with CT three-dimensional model [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 5-10.
[3]	Li Jiawei, Zhang Jing, Li Canran, Lan Wenjie, Ji Qingyu, Guo Zhiyong, Zhang Yunfeng, Liu Qi, Chen Qingwei, Li Xiaohe. X-ray measurement of proximal femur anatomical parameters in Mongolian population [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 11-16.
[4]	. Digital measurement and clinical significance of occipitocervical Angle and posterior occipitocervical Angle in children and adolescents [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 17-20.
[5]	Li Wen, Yang Siyi, Huang Lei, Qing Jiwen, Jiang Songtao, Zhang Lei. Morphological characteristics and clinical significance of Lisfranc ligament based on MRI [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 21-25.
[6]	Li Fanfan, Xu Yang, Wang Xiaoxu. Therapeutic effect of shikonin on the treatment of granuloma lobular mastitis in model rats by regulating Nrf2/HO-1 signaling pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 26-32.
[7]	Wang Xinghang, Ding Jiayuan, Li Fang, Bao Cuifen, Yan Lijing. Ginsenoside Rg1 reduces the inflammatory response of microglia after oxygen glucose deprivation/resupply by inhibiting the NLRP3 inflammasome pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 33-41.
[8]	Cheng Yingying, Wu Jianjun, Cai Haiyan , Jiao Xunwen, Ma Jiangbo, Ding Yinxiu. Activation and functional changes of astrocytes cultured in vitro under inflammatory stimulation [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 42-46.
[9]	Qi Zhi, Yang Li, Jia Qiuye, Chen Haolun, Duan Zhaoda, Wu Chunyun. Edaravone regulates Sirt3 expression in lipopolysaccharide-activated microglia via MAPKs signaling pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 47-53.
[10]	Zhang Jingjing, Wang Hongxin. Protective effect of Baicalin on rats with pulmonary hypertension through PDGF/P38 MAPK signaling pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 54-58.
[11]	Yue Qin, Chen Rongli, Xiong Jingxi, Wang Tingyi, Cai Zhiheng, Yi Qiushi, Zeng Xinyi. Effect of Bletilla striata polysaccharides on the choke-area of cross-boundary flap in rats [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 59-64.
[12]	Li Xiaoyu , Zhang Lei , Fu Lei , Li Dongbo , Wang Guoyou. Finite element study on the treatment of Sanders type II calcaneal fracture with three-step reduction method [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 65-70.
[13]	Wu Yanfei, Ma Jianxiong, Lu Bin, Wang Ying, Bai Haohao, Jin Hongzhen, Ma Xinlong. Study on the correlation between the reconstruction of grayscale values using CT post-processing technology and the compressive strength of the endplate [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 71-76.
[14]	Zhuang Wanqiang, Tang Yi, Luo Yonggang, Zhang Hui. An early and mid-term retrospective study of the effects of arthroscopy combined with high tibial osteotomy on patellar position and patellofemoral joint function [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 77-82.
[15]	Luo Ying, Dou Weiyu, Wu Xiaohang, Chen Jingkun, Peng Changgui, Pan Jianying . Risk factors of postoperative complications of calcaneal fractures treated with hippocampal plate internal fixation through minimally invasive method [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 83-88.