探索手骨体积与年龄相关的变化:对临床实践和解剖学的理解的影响
Aparna D Ganhewa1, Ishith Seth1,2, Rui Wu1
1Department of Plastic, Reconstructive and Hand Surgery, Peninsula Health, Frankston, VIC, Australia.
概括
随着年龄的增长,手骨的体积在男性和女性中都会增加,这与骨关节炎无关. 这一发现在所有手骨中都是一致的,这表明自然的衰老过程会影响骨大小.
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.
- 老年学是指老年学的学科.
背景情况:
- 临床识别手骨体积变化对于预测骨关节炎 (OA) 至关重要.
- 了解性别之间的与年龄相关的手骨体积差异至关重要.
- 使用计算机断层扫描 (CT) 手腕扫描和3D表面模型.
研究的目的:
- 为了探索与年龄相关的两性手骨体积的差异.
- 为了利用CT扫描来创建3D手骨模型.
- 为了研究年龄,性别和手骨体积之间的关系.
主要方法:
- 用3D Slicer软件分析了181名患者的CT手腕扫描.
- 手骨的体积被计算为状骨,月状骨,三角骨,状骨,状骨,头状骨,头状骨和梯形骨.
- 统计分析包括斯皮尔曼相关性和类间相关系数 (ICC).
主要成果:
- 在年龄和所有手掌骨的体积之间发现了显著的正相关性 (rho = 0.37-0.611,P < .05).
- 这种相关性在不同性别之间是一致的.
- 在特定的骨体积测量中证实了高的用户内和用户间可靠性 (ICC = 0.86-0.95).
结论:
- 随着年龄的增长,手骨的体积增加,可能独立于骨关节炎.
- 形体积增加可能与骨关节炎和骨菌形成有关,特别是在老年妇女中.
- 与年龄相关的手骨体积增加是跨性别和手骨的一致发现.
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