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在患有关节镜旋转袖口修复的患者中,三维形态分析额头肩
Kyu Cheol Noh1, Sanghyeon Lee2, Chang Won Park2
1Department of Orthopedic Surgery, Dongtan Sacred Heart Hospital, Hallym University Medical Center, Hwaseong, Korea.
Clinics in orthopedic surgery
|August 2, 2024
概括
晚年与经过关节镜旋转手套修复的患者的上部横向上肌带 (STSL) 骨化有关. 这种骨化与较窄的甲上 (SSN) 形态相关,增加了神经损伤的风险.
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:
- 在关节镜肩部手术过程中,上神经 (SN) 损伤的确定风险因素是上神经 (SSN) 形态和上横横带 (STSL) 骨化.
- 了解这些解剖学变异对于预防阳性损伤至关重要.
研究的目的:
- 为了比较有STSL骨化和没有STSL骨化患者之间的临床和放射性特征.
- 用3D模型评估在接受关节镜旋转手套修复的患者的SSN形态.
主要方法:
- 对200名接受了关节镜旋转手套修复和CT扫描的患者进行了回顾性分析.
- 用3DCT重建进行SSN形态的分类 (Rengachary的分类) 和SSN维度的测量.
- 通过手术前的MRI评估旋转的撕裂大小和肌肉脂肪透.
主要成果:
- 22%的患者表现出STSL骨化,与晚年相关 (p < 0.001) 和显著较小的SSN横径 (p < 0.001).
- 年龄是STSL骨化的一个独立预测因素 (OR 1.201,p < 0.001).
- 特定的SSN类型 (类型VI和类型I) 显示截面直径明显较短,距离状关节表面的距离较短 (p < 0.001).
结论:
- 在接受关节镜旋转手套修复的患者中,晚年是与STSL骨化相关的主要独立因素.
- 特定的SSN形态 (类型VI和类型I) 与更窄的SSN尺寸有关,可能会增加上神经受损的风险.
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