患有先天性心脏病的儿童的骨密度,结构和估计强度. 一个CHAMPS*队列研究
Marta C Erlandson1, Matthew S Chapelski1, Chantelle L Baril1
1College of Kinesiology, University of Saskatchewan, Canada.
概括
患有先天性心脏病 (CHD) 的儿童与典型发育同龄人 (TDP) 相比,他们的四肢骨结构较差. 复杂的CHD病变与骨密度,结构和强度明显降低有关,增加骨折风险.
科学领域:
- 儿科整形外科 儿科整形外科
- 心脏病学 心脏病学
- 骨生物学 骨生物学 骨生物学
背景情况:
- 患有先天性心脏病 (CHD) 的儿童通常体力活动减少,出生体重较低,营养摄入量较差.
- 这些因素增加了与典型发育同龄人 (TDP) 相比,患有心脏病的儿童骨发育受损的风险.
研究的目的:
- 评估和比较患有心血管疾病的儿童的骨架构与TDP.
- 根据心血管疾病病变的复杂性来评估骨参数的差异.
主要方法:
- 半径和骨的外围定量计算断层扫描 (pQCT) 对42名心脏病和41名TDP (7-15岁) 的儿童进行了扫描.
- 使用MANCOVA分析骨参数,控制性别,年龄,身高,体重,成熟度和身体活动.
主要成果:
- 在CHD和TDP组之间没有发现远端骨参数的显著差异.
- 与TDP相比,患有心血管疾病的儿童的总面积,皮质含量,皮质面积,皮质厚度和辐射和骨轴上的极极应力-应变指数显著较低.
- 与TDP相比,复杂的CHD病变与明显更糟糕的骨参数和较大的皮质密度有关.
结论:
- 与TDP相比,患有复杂心血管疾病的儿童在放射性和骨轴上表现出较差的骨架构.
- 复杂的CHD病变可能会增加骨密度,结构和估计强度受损的风险,可能增加骨折风险.
相关概念视频
Changes in the Appendicular Skeleton with Age
3.3K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
3.3K
Bone Structure
51.4K
Within the skeletal system, the structure of a bone, or osseous tissue, can be exemplified in a long bone, like the femur, where there are two types of osseous tissue: cortical and cancellous.
51.4K
Bone Formation by Endochondral Ossification
8.3K
Bone formation, or ossification, begins around the sixth to seventh week of embryonic development. Most bones develop from a cartilaginous template through the process of endochondral ossification. Cartilage formation begins when clusters of mesenchymal cells differentiate into chondrocytes. These chondrocytes proliferate rapidly and secrete an extracellular matrix that becomes encased in a membrane called the perichondrium. The resulting cartilage model provides a template that resembles the...
8.3K
Compact Bone
15.9K
Most bones contain compact and spongy osseous tissue, but their distribution and concentration vary based on the bone's overall function.
Compact bone, also called cortical bone, is the denser, stronger of the two types of bone tissue. It is found under the periosteum and in the diaphyses of long bones, where it provides support and protection. The microscopic structural unit of compact bone is called an osteon, or haversian system. Each osteon is composed of concentric rings of calcified...
Compact bone, also called cortical bone, is the denser, stronger of the two types of bone tissue. It is found under the periosteum and in the diaphyses of long bones, where it provides support and protection. The microscopic structural unit of compact bone is called an osteon, or haversian system. Each osteon is composed of concentric rings of calcified...
15.9K
Growth of Cartilage and Bone Tissue
4.0K
Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
4.0K
Imaging Studies for Cardiovascular System III: X-Ray
457
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
457


