肩胛盂扭转角与肩关节前下不稳的相关性研究.docVIP

PAGE PAGE 3 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 The Relationship between Anteroinferior Glenohumeral Instability and Glenoid Version JIN Tao, Tang Kang-lai (Department of Orthopaedics, Southwest Hospital, Third Military Medical University, Chongqing 400038, P. R. China Corresponding author: Tang Kang-lai, Email: HYPERLINK mailto:tangkanglai@ tangkanglai@) Abstract: Objective To assess the relationship between anteroinferior glenohumeral instability and glenoid version. Method s Both shoulders in 24 patients with anteroinferior glenohumeral instability only in their one side were scanned with 16-slices spiral CT scanner (MSCT). The glenoid was 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 were measured in 4 levels of both sides in 24 patients and compared between both sides by statistics　 analysis. Results From the top to the bottom, the scapular glenoid version angles in the side with anteroinferior glenohumeral instability were respectively -15.24+10.18°, -8.22+8.47°, -2.88+4.56°, -2.49+6.43°. The angles in the other side respectively: -15.07+12.11°, -10.63+7.25°, -6.04+3.61°, -5.26+3.02°. There was obvious difference at the 4th plane between the normal and the instability sides (P﹤0.05), no obvious difference at the 1st , 2nd ,3rd plane. Conclusion The glenoid version angle may be direct related with the anteroinferior glenohumeral instability The messurement of glenoid version an