摘要
目的探讨基于尺骨冠突DR影像测量分析不同因素对尺骨冠突安全置钉的影响。方法从云南省中医医院2020年07月至2021年11月期间随机纳入102例正常成人正侧位肘关节DR片,选择标准的肘关节正位DR片作为测量对象,以冠突尖为顶点作沿冠突两侧平行于肘关节间隙的2条直线,冠突尖到尺骨桡、尺侧皮质交点线段的长度为尺骨冠突置钉冠状面的安全置钉的距离;再选择标准肘关节侧位DR片作为测量影像,以冠突尖为点引出近、远端两条与尺骨皮质相交的安全线,冠突尖近端安全线与远端安全线的长度为尺骨冠突矢状面的安全置钉距离,比较不同性别、左右侧对安全置钉距离的差异和不同截面上安全置钉距离之间相关性分析。结果男性与女性尺骨冠突安全置钉距离差异有统计学意义(P<0.05);在冠状面上,男性桡侧与尺侧的安全置钉距离存在相关性(P<0.05);在矢状面上,女性近端与远端的尺骨冠突安全置钉距离存在相关性(P<0.05)。结论研究尺骨冠突安全置钉距离有利于指导临床尺骨冠突骨折置钉、设计新型钢板、畸形矫正等。
Objective To explore the influence of different factors on the safe screw placement of the ulnar coronoid process based on the DR imaging measurement of the ulnar coronoid process.Methods During the period from July 2020 to November 2021,102 normal adult elbow joint DR films were randomly included from Yunnan Provincial Hospital of Traditional Chinese Medicine.Standard elbow joint DR films were selected as the measurement objects,with the apex of the coronoid process as the vertex and two straight lines parallel to the elbow joint space along both sides of the coronoid process.The length of the line segment from the apex of the coronoid process to the intersection of the radius and ulnar cortex of the ulna was the safe distance to place the nail on the coronal surface of the ulna coronoid process;The standard lateral DR film of the elbow joint was selected as the measurement image,and the apex of the coronoid process was used as a point to draw out two safety lines intersecting with the ulnar cortex at the proximal and distal ends.The length of the safety lines at the proximal and distal ends of the coronoid process was the safe nail placement distance on the sagittal plane of the ulnar coronoid process.The differences in safe nail placement distance between different genders,left and right sides,were compared and the correlation between safe nail placement distances on different cross-sections was analyzed.Results There was a statistically significant difference in the safe placement distance of the ulnar coronoid process between males and females(P<0.05);On the coronal plane,there was a correlation between the safe nail placement distance on the radial and ulnar sides in males;On the sagittal plane(P<0.05),there was a correlation between the safe placement distance of the ulnar coronoid process in women’s proximal and distal ends(P<0.05).Conclusion Studying the safe screw placement distance of the ulnar coronoid process is beneficial to guide the clinical placement of screws for coronoid process fractures,the
作者
潘斯学
陈会仙
陈帅
何光雄
朱康
保超宇
PAN Sixue;CHEN Huixian;CHEN Shuai;HE Guangxiong;ZHU Kang;BAO Chaoyu(The 1st Clinical School,Yunnan University of Traditional Chinese Medicine,Kunming Yunnan 650500;Dept.of Orthopedics and traumatology,Huanggang City Hospital of Traditional Chinese Medicine,Huanggang Hubei 438200;The 1st Affiliated Hospital of Yunnan University of Traditional Chinese Medicine/Dep.of Orthopedics and traumatology,Yunnan Provincial Hospital of Traditional Chinese Medicine,Kunming Yunnan 650021,China)
出处
《昆明医科大学学报》
CAS
2024年第12期99-104,共6页
Journal of Kunming Medical University
基金
云南省科技计划基金资助项目(202101AZ070001-119,2018NS0037,202301AZ070001-069)。
关键词
尺骨冠突
安全置钉
DR影像测量
临床研究
Ulna coronoid process
Safety screw placement
DR imaging measurement
Clinical resear
