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外侧手腕比率不是内侧手腕道形状的代理:评估手腕道综合征风险的含义
Katherine J Loomis1, Shawn C Roll1
1Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California, USA.
概括
通过手腕外侧比例测量手腕形状,并不是内部手腕道形状的可靠指标. 超声波可以提供精确的手腕道测量,但这些测量与健康成年人的手腕外侧尺寸不太相关.
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:
- 管综合征 (CTS) 是一种普遍影响手部功能和医疗保健成本的疾病.
- 外部手腕比率是已知的CTS预测因素,但其与内管 (CT) 形状的关系尚不清楚.
- 超声波提供了一种直接的方法来评估CT形态.
研究的目的:
- 评估手腕道超声波测量的可靠性.
- 为了确定手腕外侧比和超声波CT尺寸之间的相关性.
- 评估手腕的外部尺寸是否可以作为内部CT形状的代理.
主要方法:
- 超声波成像用于测量CT截面积,深度,宽度和深度/宽度比在226名健康参与者中.
- 进行了探索性相关性和回归分析,以检查超声波和手腕外部测量之间的关系.
- 对主导和非主导手腕的超声波测量的可靠性进行了评估.
主要成果:
- 超声波CT测量显示出良好的可靠性 (0.79-0.95).
- 在CT宽度/深度和外围手腕宽度/深度 (r=0.33-0.41) 之间发现了适度的相关性.
- 手腕比率和CT比率显示的相关性很弱或不存在 (r=0.12-0.20),平均CT比率明显低于平均手腕比率 (0.45对0.71).
- 回归模型解释了<15%的外部手腕比率变化和<68%的基于手腕比率的风险分类.
结论:
- 在健康的成年人中,手腕道尺寸的超声波评估是可靠的.
- 外部手腕比例不是足够的代理内部手腕道形状.
- 手腕的人类特征并不能准确地反映与CTS风险相关的内管维度.
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