不仅仅是1型或2型:在放射学和解剖学上精细化的月经性关节分类,关联了腰椎手腕对齐和哈马特-月经性骨关节炎
Wolfram Demmer1, Lia K Fialka1, Jens Waschke2
1Department of Hand, Plastic and Aesthetic Surgery, LMU Klinikum, Ziemssenstraße 5, 80336 Munich, Germany.
Journal of functional morphology and kinesiology
|May 23, 2025
概括
精细分类的月骨,考虑到hamate顶部的位置,确定特定类型 (1b和2) 与较高的流行率和严重程度的hamate-lunate骨关节炎,帮助诊断腹侧手腕疼痛.
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:
- 侧手腕疼痛可能源于hamate-lunate撞击或骨关节炎.
- 现有的月球类别 (维加斯1型和2型) 并不能完全解释所有hamate-lunate关节炎变化.
- 第二种类型的疯子被认为是手腕疼痛和手腕中关节骨关节炎的危险因素.
研究的目的:
- 为了更好地理解hamate-lunate骨关节炎,改进月经的分类.
- 为了研究月球形态,月球顶部位置和骨关节炎之间的关联.
- 开发一种更准确的诊断方法来治疗腰侧手腕疼痛.
主要方法:
- 对60个手腕进行前性解剖放射学尸体研究.
- 通过X射线,CT关节学和剖析评估手腕中间关节的位置.
- 精细的维亚加斯分类 (类型1a,1b,2),基于与区分线 (D线) 相对的月球-状关节和状顶.
主要成果:
- 在维耶加斯1型和2型月经患者中发现的哈马特-月经性骨关节炎.
- 精确的分类显示,与1a型相比,1b型和2型月经症患者中,哈马特-月经性骨关节炎的患病率和严重程度显著更高.
- 在类型1b和类型2月经患者之间,骨关节炎患病率没有显著差异.
结论:
- 在评估关节侧手腕疼痛时,月经型和骨关节炎的评估至关重要.
- 维埃加斯1型月经症的骨关节炎受到相对于D线的hamate顶部位置的影响.
- 这种精细的分类提供了一种简单的方法,可以在X射线上识别腹侧手腕疼痛的原因,指导治疗决策.
相关概念视频
Bones of the Upper Limb: Ulna
2.8K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
2.8K
Bones of the Upper Limb: Radius
3.1K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
3.1K
Functional Classification of Joints
5.0K
Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An...
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An...
5.0K
Bones of the Upper Limb: Humerus
4.8K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
4.8K
Classification of Bones
7.5K
The bones of the human skeletal system are of varied shapes, sizes, and functions. They can be classified based on their shape and function into four major classes: long bones, short bones, flat bones, and irregular bones. Some classifications include a fifth type, the sesamoid bones, as a separate class, whereas others categorize them under short bones.
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The...
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The...
7.5K
Structural Classification of Joints
4.4K
Joints, also known as articulations, are classified based on their structural characteristics, i.e., based on whether the articulating surfaces of the adjacent bones are directly connected by fibrous connective tissue or cartilage, or whether the articulating surfaces contact each other within a fluid-filled joint cavity. These differences serve to divide the joints of the body into three structural classifications.
A fibrous joint is where the adjacent bones are united by fibrous connective...
A fibrous joint is where the adjacent bones are united by fibrous connective...
4.4K

