尺骨远端掌侧成角与腕尺侧疼痛的相关性研究  

Correlation between volar angulation of the distal ulna and pain on the ulnar side of the wrist

作　　者：王义兵 刘明 步建立 张男 崔健 孙成 李正强 郑兴辉 WANG Yibing;LIU Ming;BU Jianli(Ward 1,Department of Orthopedics,980 Hospital of the PLA JLSF,Hebei,Shijiazhuang 050082,China)

机构地区：[1]中国人民解放军联勤保障部队第九八〇医院骨科1病区,石家庄市050082

出　　处：《河北医药》2024年第3期418-420,424,共4页Hebei Medical Journal

基　　金：河北省科技支撑计划项目(编号:152777172)。

摘　　要：目的探讨尺骨远端掌侧成角与腕尺侧疼痛的相关性。方法回顾性分析2016年1月至2017年1月因腕尺侧疼痛就诊于联勤保障部队第九八〇医院的患者64例(观察组),选择同期无腕尺侧疼痛症状志愿者64例作为对照组。2组均拍摄双侧腕关节正侧位X线片,通过测量尺骨远端掌侧成角,研究尺骨远端掌侧成角与腕尺侧疼痛的关系。结果观察组双腕尺骨远端掌侧成角差异无统计学意义(P>0.05);观察组与对照组尺骨远端掌侧成角差异无统计学意义(P>0.05);亚组分析显示,观察组尺骨远端掌侧成角170~175°范围的概率为48.44%,对照组为9.38%,2组差异有统计学意义(P<0.05)。结论尺骨远端掌侧成角可能是腕尺侧疼痛的危险因素之一,且角度越小越容易出现腕尺侧疼痛。Objective To investigate the correlation between the volar angulation of the distal ulna and the pain on the ulnar side of the wrist.Methods From January 2016 to January 2017,64 patients with unilateral carpal ulnar pain who were treated in 980 Hospital of the PLA JLSF were retrospectively recruited in the observation group,and 64 volunteers without carpal ulnar pain symptoms during the same period were selected as the control group.Anterior and lateral X-ray films of the bilateral wrist joints were captured in all subjects.The correlation between the volar angulation of the distal ulna and the pain on the ulnar side of the wrist was analyzed by measuring the volar angle of the distal ulna.Results There was no significant difference in the angularization difference of the distal ulna of both wrists in the observation group(P>0.05).There was no significant difference in the volar angle of the distal ulna between the observation group and the control group(P>0.05).Subgroup analysis showed that the probability of the volar angulation of the distal ulnar at 170-175°in the observation group and control group was 48.44%and 9.38%,respectively,showing a significant difference(P<0.05).Conclusion The volar angulation of the distal ulna is one of the risk factors for the pain on the ulnar side of the wrist,and a smaller angle poses a higher incidence of pain on the ulnar side of the wrist.

关 键 词：腕尺侧疼痛 尺骨远端 掌侧成角 腕关节 

分 类 号：R681.7[医药卫生—骨科学]