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Clavicle morphometry revisited: a 3-dimensional study with relevance to operative fixation
Abdo Bachoura1, Andrew S Deane, James N Wise
1Department of Orthopaedic Surgery and Sports Medicine, Elbow Shoulder Research Center, University of Kentucky, 740 South Limestone Street K-412 Kentucky Clinic, Lexington, KY 40536-0284, USA.
Journal of Shoulder and Elbow Surgery
|May 1, 2012
Summary
This study precisely measured clavicle dimensions using 3D analysis. Clavicle length correlates with its midpoint cortical diameter and medial curvature radius.
Area of Science:
- Orthopedic anatomy
- Biomechanical engineering
Background:
- Operative fixation of midshaft clavicle fractures has increased interest in clavicle anatomy.
- Three-dimensional (3D) anatomical studies offer superior detail compared to 2D studies but are infrequent.
Purpose of the Study:
- To characterize clavicle dimensions using 3D analysis.
- To establish correlations between intrinsic clavicle measurements.
Main Methods:
- Digitized 25 skeletonized clavicles using laser scanning.
- Analyzed data with 3D computer software, dividing clavicles into medial, middle, and lateral segments.
- Measured segment lengths, midpoint cortical diameter, curvature angles (axial and coronal planes), and radii of curvature.
Main Results:
- Mean clavicle length was 136.7 mm.
- Mean medial, middle, and lateral segment lengths were 48 mm, 56 mm, and 32.7 mm.
- Mean axial plane angles were 149.5° (medial) and 145.8° (lateral); coronal plane angles were 178.2° (medial) and 174.2° (lateral).
- Mean midpoint cortical diameter was 10.9 mm; mean medial and lateral radii of curvature were 66.4 mm and 33.5 mm.
- Positive correlations found between length and cortical diameter (R² = .355) and length and medial radius of curvature (R² = .184).
Conclusions:
- Standardized 3D measurements accurately characterize clavicle dimensions.
- Clavicle length is significantly correlated with midpoint cortical diameter and medial radius of curvature.
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