论着邓强庭080459肩胛盂扭转角与肩关节前下不稳的相关性研究.docVIP

论著 邓强庭 080459 肩胛盂扭转角与肩关节前下不稳的相关性研究 金涛1，唐康来2　（1第三军医大学西南医院骨科，重庆400038） 摘　要：目的 探讨肩胛盂扭转角与肩关节前下不稳之间的关系。方法 用16排螺旋CT对比扫描24例单侧肩关节前下不稳患者的双侧肩关节。通过三维CT多平面重组、容积重建等技术获取肩胛盂重建平面，于肩胛盂上结节和盂下结节连线的4等分垂直横截面上分别测量患侧和健侧肩胛盂扭转角，并进行统计学分析。结果 24例肩关节前下不稳组的患侧盂扭转角自上而下分别为：-15.24+10.18°，-8.22+8.47°，-2.88+4.56°，-2.49+6.43°，而健侧盂扭转角自上而下分别为：-15.07+12.11°，-10.63+7.25°，-6.04+3.61°，-5.26+3.02°。第1、2、3平面双侧扭转角无统计学差异，而第4平面双侧扭转角统计学有显著性差异(P﹤0.05)，患侧比健侧要大。结论 肩胛盂扭转角可能与肩关节前下不稳直接相关，是肩关节前下不稳的原因之一。肩胛盂扭转角的测量对肩关节稳定性的评估、手术方式的选择及手术预后具有重要的参考价值。 关键词：肩关节；不稳；肩胛盂扭转角 Relationship between anterior-inferior glenohumeral instability and glenoid version JIN Tao, TANG Kang-lai (Department of Orthopaedics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China) Abstract: Objective To assess the relationship between anterior-inferior glenohumeral instability and glenoid version. Methods A self-control study. Both shoulders in 24 patients with unilateral anterior-inferior glenohumeral instability were scanned with 16-slices spiral CT scanner (MSCT). The scapula and should joints were reconstructed by the volume rendering technique and multiplanar reformation in 4 slices on axial plane from glenoid top to its bottom. The scapular glenoid version angles of 24 patients were measured bilaterally in 4 levels, and compared bilaterally by statistic analysis. Results From the top to the bottom, the scapular glenoid version angle in the side with anterior-inferior glenohumeral instability was respectively (-15.24?10.18)°, (-8.22?8.47)°, (-2.88?4.56)° and (-2.49?6.43)°, while the angle in the healthy side was respectively (-15.07?12.11)°, (-10.63?7.25)°, (-6.04?3.61)° and (-5.26?3.02)°. Only the difference at the 4th plane was significant between the healty side and the affected side (P0.05). Conclusion The glenoid version angle may be directly related with the anterior-inferior glenohumeral instability. The glenoid version angle measurement would be helpful to