脚关节骨密度分布与整体3维脚和脚对齐相关
François Lintz1, Alessio Bernasconi2, Kristian Buedts3
1Department of Foot and Ankle Surgery, Clinique de l'Union, Ramsay Healthcare, Saint Jean, France.
The Journal of bone and joint surgery. American volume
|August 24, 2023
概括
后脚的对齐显著影响了脚的骨矿物质密度分布. 瓦鲁斯对齐增加了中间骨密度,而瓦尔古斯对齐增加了侧面骨密度.
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.
- 生物力学 生物力学
背景情况:
- 下肢压力分布的改变会影响脚骨矿物质密度 (BMD).
- 承重圆束计算断层扫描 (WBCT) 允许评估空间BMD分布.
研究的目的:
- 用WBCT评估关节BMD的空间分布.
- 为了测试这个假设,BMD分布在正常后脚中是均的,在varus后脚中是中间增加的,在valgus后脚中是横向增加的.
主要方法:
- 27个正常对齐的后脚与27个valgus和27个varus对齐的后脚的回顾性比较.
- 使用WBCT数据量化后脚对齐;使用平均Hounsfield单位 (HU) 代替BMD.
- 主要结果:从骨和骨半体积计算的HU中侧比 (HUR).
主要成果:
- 在后足对齐群体中,部和部HUR的显著差异 (p < 0.001).
- 瓦鲁斯后脚表现出增加的骨和骨HUR (更高的中间密度);瓦尔古斯后脚表现出减少的HUR (更高的横密度).
- 所有后脚的测量都与部和部HUR有显著的相关性 (p < 0.001).
结论:
- 后脚的对齐与骨和骨中中间到侧面的BMD分布有关.
- 瓦鲁斯对齐与增加的中间骨密度有关,而瓦尔古斯对齐与增加的侧面骨密度有关.
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