体逆转:功能性的还是解剖学的?
Mark R J Jenkinson1, Tin C C Cheung2, Johan Witt3
1Queen Elizabeth University Hospital, Glasgow, UK.
The bone & joint journal
|January 31, 2024
概括
骨逆转 (AR) 是一种结构异常,涉及骨盆旋转和腰位置. 患者的位置显著影响AR测量,这对于手术规划至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 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:
- 骨逆转 (AR) 是一种影响关节生物力学的疾病.
- 了解AR的性质,无论是结构性的还是功能性的,是有效治疗的关键.
研究的目的:
- 为了确定是否acetabular retroversion (AR) 是一个结构性骨盆异常或一个功能定位现象.
- 评估患者特异性功能定位对AR程度的影响.
主要方法:
- 对AR患者和无症状对照者的比较放射学研究.
- CT扫描分析了骨盆旋转和骨版本,带着角平面对齐.
- 测量结果与站立和仰卧的骨盆倾斜相关.
主要成果:
- 抗胰腺炎患者表现出半外侧旋转的增加和下翼前部投射.
- 与站立相比,在卧卧的姿势中,体逆转更为明显.
- 乙体版本的变化与斜腰骨盆倾斜直接相关.
结论:
- 症状性AR涉及半骨旋转和阴茎翼形态.
- 功能性骨盆位置显著影响AR测量.
- 这些发现对于那些计划为AR纠正而进行骨骨切除术的外科医生来说至关重要.
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