远距离小腿顶部后角:一个正常的解剖变体与后脚对齐有关,与侧对侧对称
Mark F Megerian1, Gregory V Schimizzi, Kathryn A Barth
1From the Orthopaedic Trauma Service, Hospital for Special Surgery, New York, NY (Megerian, Schimizzi, Dr. Barth, Dr. LaValva, Klinger, Dr. Dziadosz, and Dr. Ricci); the Case Western Reserve University School of Medicine, Cleveland, OH (Megerian); and the Department of Orthopaedic Surgery, UC Davis Medical Center, Sacramento, CA (Dr. Campbell).
概括
远部骨表现出后方角,没有侧向侧的差异. 这种远距离骨顶部后角 (DTAPA) 与后脚对齐有所不同,影响远距离骨骨折的手术规划.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 人体解剖学 解剖学 解剖学
背景情况:
- 远距离骨的斜腰平面形态并没有得到很好的描述.
- 了解远端骨解剖学对于准确的手术重建和骨折修复至关重要.
研究的目的:
- 为了定义远距离骨的斜腰平面形态.
- 为了评估远端骨形态的对称性.
- 为了研究后脚对齐和远端骨形态之间的关系.
主要方法:
- 对112张双侧脚 (224个脚) 放射图的回顾性分析.
- 使用米里角度对后脚对齐的分类 (中性,平面,洞穴).
- 测量远距离骨顶部后角 (DTAPA) 和顶部位置.
主要成果:
- 观察到的平均DTAPA为2.0°,距离天花板近8厘米.
- 在DTAPA大小或位置上没有发现显著的侧对侧差异.
- 与中性和洞穴对齐相比,平坦的后脚对齐与明显更大的DTAPA有关.
结论:
- 远距离的骨具有内在的后方角在角平面内.
- 远距离骨形态受到后脚对齐的显著影响.
- DTAPA的对称性使得在手术规划中可以参考对侧肢,并可能有助于预防远部骨手术中的 sagittal misalignment.
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