肩锁关节的形态学特征研究  

A study of morphological characteristics of acromioclavicular joints

作　　者：黎金焕 何晖 陈庆航 黎旭军 张亚忠 胡东辉 黎东兴 黄健林 张奇侠 刘文涛 LI Jinhuan;HE Hui;CHEN Qinghang;LI Xujun;ZHANG Yazhong;HU Donghui;LI Dongxing;HUANG Jianlin;ZHANG Qixia;LIU Wentao(Wuzhou Municipal Hospital of Traditional Chinese Medicine,Wuzhou 543002,Guangxi,China)

机构地区：[1]梧州市中医医院,广西梧州543002

出　　处：《中医正骨》2023年第8期26-30,共5页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：梧州市科技计划项目(202002187);广西名中医传承工作室建设项目(桂中医药科教发[2021]6号)。

摘　　要：目的:探讨肩锁关节的形态学特征。方法:纳入100例接受肩部X线和CT检查且肩锁关节正常的患者,分别在过锁骨远端后沿冠状位CT片、过锁骨远端中线冠状位CT片、肩锁关节正位X线片上测量锁骨远端高度、肩峰高度、锁骨远端上沿与纵轴线成角、肩峰下沿与纵轴线成角,比较不同性别、侧别的肩锁关节形态学特征,分析不同方法测量结果的差异。结果:(1)不同性别的肩锁关节形态学特征比较。在过锁骨远端后沿冠状位CT片、过锁骨远端中线冠状位CT片、肩锁关节正位X线片上,男性锁骨远端高度、肩峰高度均大于女性[锁骨远端高度:(10.44±1.93)mm,(9.53±1.56)mm,t=2.565,P=0.012;(12.49±1.76)mm,(11.20±1.73)mm,t=3.681,P=0.000;(12.47±1.66)mm,(11.18±1.68)mm,t=3.598,P=0.000;肩峰高度:(8.51±1.49)mm,(7.28±1.57)mm,t=3.223,P=0.002;(7.26±1.49)mm,(6.37±1.24)mm,t=3.973,P=0.000;(8.47±1.38)mm,(7.25±1.48)mm,t=3.898,P=0.000];男性锁骨远端上沿与纵轴线成角、肩峰下沿与纵轴线成角与女性比较,差异均无统计学意义。(2)不同侧别的肩锁关节形态学特征比较。在过锁骨远端中线冠状位CT片、肩锁关节正位X线片上,左侧锁骨远端上沿与纵轴线成角大于右侧(90.15°±8.48°,85.75°±10.88°,t=-2.269,P=0.025;90.12°±8.39°,85.68°±10.76°,t=-2.248,P=0.031);左侧锁骨远端高度、肩峰高度、肩峰下沿与纵轴线成角与右侧比较,差异均无统计学意义。在过锁骨远端后沿冠状位CT片上,左侧锁骨远端高度、肩峰高度、锁骨远端上沿与纵轴线成角、肩峰下沿与纵轴线成角与右侧比较,差异均无统计学意义。(3)不同方法测量的肩锁关节形态学特征比较。在过锁骨远端中线冠状位CT片上测量的锁骨远端高度、肩峰高度、锁骨远端上沿与纵轴线成角、肩峰下沿与纵轴线成角,与在肩锁关节正位X线片上测量的结果比较,差异均无统计学意义。结论:男性的锁骨远端高度和肩�Objective:To explore the mopbological characeristics of acromioclavicular joint.Methods:One bundred subjects with nor-mal acromioclavicular joints who were confimed by shoulder X-nay and CT examinations were enrolled in the study.The distal clavicle height,acromion height,angle between the superior border of distal clavidle and the longitudinal axis as well as angle between the inferior border of acromion and the longitudinal axis were measured on the coronal CT films taken a the posterior border of distal clavicle,coronal CT films taken at the midline of distal cavicle and anteroposterior X-ray films of acromioclavicular joints respectively.The morpbological characteristics of the acromioclavicular joints were compared between males and females as well a between left side and right side,and the differences in results measured using different methods were analyzed.Results:①The distal clavicle height and acromion height were grea-ter in males than that in females on the coronal CT films taken at the posterior border of distal clavidle,coronal CT films taken at the midline of distal davicle and anteroposterior X-nay films of acromioclavicular joints(distal clavide height:10.44+1.93 vs9.53±1.56 mm,t=.2.565,P=0.012;12.49+1.76vs11.20+1.73 mm,t=3.681,P=0.000;12.47+1.66vs 11.18+1.68 mm,1=3.598,P=0.000;ac-romion height:8.51+1.49 vs7.28+1.57 mm,t=3.223,P=0.002;7.26+1.49 vs6.37+1.24 mm,t=3.973,P=0.000;8.47+1.38 vs 7.25+1.48 mm,t=3.898,P=0.000),while,the angle between the superior border of distal clavicle and the longiudinal axis as well as the angle between the inferior border of acromion and the longiudinal axis were not significanly different between males and females.②On the coronal CT films laken at the midline of distal clavicle and anteroposterior X-ray films of acromioclavicular joints,the angle be tween the superior border of distal clavicle and the longitudinal axis was grealer on the left side compared to the right side(90.15+8.48 vs 85.75±10.88 degrees,t=-2.269,P=0.025;90.12+8.39 vs 85.68±10.76 degrees,t

关 键 词：肩锁关节 形态学 体层摄影术 X线计算机 X线透视检查 

分 类 号：R684[医药卫生—骨科学]