Exploration towards clinical significance in measurement of ribs anatomical data in Chinese

  • HE Zhe ,
  • JIAO Gui-Bin ,
  • OU Yang-Jun
Expand
  • 1.Department of Thoracic Surgery, General Hospital of Guangzhou Military Command, Guangzhou 510010, China;   2. Department of Anatomy , Southern Medical University, Guangzhou 510515, China

Received date: 2014-06-09

  Online published: 2015-02-12

Abstract

Objective   To observe and measure morphological parameters of rib 3 to 7 among Chinese adults, and provide anatomical basis for modifying fixation skill and improving recovering from rib fracture. Methods    Chest CT data of 113 patients were randomly collected from Sep. 2013 to Feb. 2014 and used to reconstruct three-dimensionally the thorax, followed with the measurement of anatomical parameters of bilateral rib 3~7.    Results    The average width (mm) of lateral area of rib 3~7 were 12.79,13.69,14.47,14.79 and 15.13.The thickness (mm) of upper edge were 5.32, 5.28, 5.46, 5.34 and 5.45. The thickness (mm) of lower edge were 5.12, 5.37, 5.38, 5.35 and 5.37. The anterior twist angle (°) were 26.69, 26.22, 25.70, 25.16 and 24.45. The posterior twist angle(°) were 10.25, 9.87, 10.39, 9.46 and 9.30, respectively. Parameters demonstrated significance statistically between male and females groups(P<0.05), but no significance among different age groups(P>0.05).    Conclusions    CT reconstruction is valuable for analyzing anatomic features of adult ribs, designing and manufacturing new surgical fixation devices. 

Cite this article

HE Zhe , JIAO Gui-Bin , OU Yang-Jun . Exploration towards clinical significance in measurement of ribs anatomical data in Chinese[J]. Chinese Journal of Clinical Anatomy, 2015 , 33(1) : 33 -36 . DOI: 10.13418/j.issn.1001-165x.201

References


[1]  麻晓林,李升旺,孙士锦,等. 825例胸部创伤诊治分析
[J]. 创伤外科杂志,2011,13(5):403-406.

[2]  徐志飞,孙居仙. 肋骨骨折的诊疗进展
[J]. 中华创伤杂志,2010,26(6): 481-484.

[3]  Ziegler DW, Agarwal NN. The morbidity and mortality of rib fractures
[J]. J Trauma,1994,37(6):975-979.

[4]  Andeli? N, Balenovi? M, Basi? M. Disorders of respiratory function in rib fractures
[J]. Acta Chir Iugosl,1994,41(1):59-62.

[5]  Borrelly J,Aazami MH. New insights into the athophysiology of flail segment: the implications of anterior serratus muscle in parietal failure
[J].  Eur J Cardiothorac Surg, 2005, 28 (5):742 -749.

[6] Demirhan R,Onan B,Oz K,et al. Comprehensive analysis of 4205 patients with chest trauma: a 10-year experience
[J]. Interact Cardiovasc Thorac Surg,2009,9(3): 450-453.

[7]  Carbognani P,Cattelani L,Bellini G,et al. A technical proposal for the complex flail chest
[J ]. Ann Thorac Surg,2000,70(1) : 342-343.

[8]  Haasler GB. Open fixation of flail chest after blunt trauma
[J]. Ann Thorac Surg,1990,49(6):993-995.

[9] 刘永靖,于奇,朱捷,等. 纯钛肋骨接骨板治疗连枷胸和多发性肋骨骨折
[J]. 中华创伤杂志,2013,29 (7): 650-652.

[10] 吴永沐. 肋的形态
[J]. 南京医学院学报,1985,5(4):306-309.

[11] 王强. 肋骨的应用解剖学分区及临床意义的初步研究
[D]. 中南大学, 2006.

[12] 吴家文. 肋骨的解剖学、影像学测量及肋骨解剖钢板的研制和生物力学测定
[D]. 中南大学, 2007.

[13] 庄玉忠,方佩君,俞忠辉,等.多层螺旋CT三维成像在急性肋骨骨折诊断中的应用
[J].放射学实践,2005,20(11):996-998.

Options
Outlines

/