应用解剖

冈盂切迹的解剖形态学测量及临床意义

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  • 1. 中国人民解放军联勤保障部队第九二〇医院,  昆明   650032;    2. 西南医科大学附属中医医院,  四川   泸州    646000
    3. 泸州市院士工作站,  四川   泸州    646000
赵虹瑾(1977-),男,四川泸州人,主治医师,研究方向:骨关节的基础和临床研究,E-mail:zhj13888796387@163.com

收稿日期: 2018-11-30

  网络出版日期: 2019-06-13

基金资助

泸州市院士工作站在建项目(20180101);2018年度校级大学生创新创业训练计划项目(2018193);2018年度省级大学生创新创业训练计划项目(201816032088);2018年度国家级大学生创新创业训练计划项目(201816032088)

Anatomic measurement of the spinoglenoid notch and analysis of its clinical significance

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  • 1. The PLA Joint Logistics Support Force 920th Hospital, Kunming 650032; 2. Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province; 3. Academician Workstation in Luzhou, Luzhou 646600, Sichuan Province, China

Received date: 2018-11-30

  Online published: 2019-06-13

摘要

目的 探讨干燥标本的冈盂切迹解剖形态学测量及其临床意义。  方法 收集282例干燥肩胛骨标本,观测冈盂切迹宽度(关节盂内侧缘至肩胛冈直线距离)、冈盂切迹厚度(冈盂切迹最低点厚度)、冈盂切迹深度、冈盂切迹转折角(肩胛切迹,冈盂切迹最低点连线与肩胛冈基底部所成的夹角)等。  结果 冈盂切迹宽度、深度分别为(12.75±1.06)mm、(11.65±1.89)mm,且右侧更宽更深,双侧对比P<0.05有统计学差异;冈盂切迹厚度(9.93±1.57)mm,肩胛上切迹至冈盂切迹距离为(18.73±3.18)mm,且双侧对比P>0.05;冈盂切迹转折角为(40.24±8.69)°,双侧对比P<0.05有统计学差异。  结论 冈盂切迹的厚度、深度、宽度和转折角均是肩胛上神经卡压症的危险因素,且冈盂切迹越深,冈盂切迹转折角越小,发生肩胛上神经卡压的几率越大。本研究解剖数据可为临床在手术入路和内固定物植入位置选择等提供参考,降低术中神经损伤风险。

本文引用格式

赵虹瑾, 刘洋, 李静, 张磊 . 冈盂切迹的解剖形态学测量及临床意义[J]. 中国临床解剖学杂志, 2019 , 37(3) : 245 -248 . DOI: 10.13418/j.issn.1001-165x.2019.03.002

Abstract

Objective To investigate the anatomic morphology and clinical significance of the spinoglenoid notch based on dry scapular bones. Methods In a total of 282 scapular bones (left 134, right 148),  the following data were measured using Vernier caliper and Goniometer: the width of spinoglenoid notch (the distance from medial aspect of the glenoid to the scapular), the thickness of the spinoglenoid notch (the thickness of the nadir of the spinoglenoid notch), the depth of spinoglenoid notch, the angles of the spinoglenoid notch.  Results The average width and depth of the spinoglenoid notch were (12.75±1.06) mm and (11.65±1.89) mm.  There was statistical difference between the two sides of body (P<0.05). The average thickness of spinoglenoid notch was (9.93±1.57) mm. The distance from the spinoglenoid notch to the suprascapular notch was (18.73±3.18) mm (P>0.05). There was statistical difference of the angles of the spinoglenoid notch between the two sides of body (40.24±8.69) (P<0.05). Conclusion The width, thickness and depth of the spinoglenoid notch are all the risk factors contributing to the suprascapular nerve entrapment syndrome. The smaller the angles of the spinoglenoid notch, the greater the chance of scapular nerve compression. The data presented in this study can provide a reference for clinicians to choose the best surgical approach and the internal fixation site to reduce the risk of intraoperative nerve injury, thus minimizing intraoperative risks. 

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