Bone Mineral Density in the Scaphoid.

IF 0.7 4区 医学 Q4 SURGERY
Gokce Yildiran, Tugba Gun Koplay, Hande Akdeniz, Zekeriya Tosun, Ahmet Kagan Karabulut
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引用次数: 0

Abstract

Introduction: The scaphoid bone is essential for wrist stability and movement. While fractures commonly occur at the scaphoid's waist, those at the proximal pole, though rarer, tend to result in nonunion, potentially linked to variations in bone mineral density (BMD). Previous studies have shown an increase in BMD at the proximal pole in fractured scaphoids, but BMD distribution in intact scaphoids has not been well studied. This study aims to map the BMD distribution of the intact scaphoid to better understand the etiology of fractures and optimize treatment approaches. Methods: Conducted under ethical approval, this study included 100 individuals, using computed tomography to assess the BMD in distal, middle, and proximal thirds of the scaphoid. Measurements were performed in the defined regions and analyzed using SPSS software, with significance accepted at P < .05. Results: The study comprised 34 females and 66 males, with no significant BMD difference between the right and left wrists. The proximal third exhibited significantly higher BMD (542.2 HU) compared to the middle (293.1 HU) and distal thirds (298.4 HU). A statistically significant higher BMD was observed in males, particularly in the proximal and distal thirds. A weak negative correlation between age and BMD was noted across all sections. Conclusion: The proximal scaphoid shows significantly higher BMD, potentially explaining its lower fracture incidence but higher nonunion rate. This insight into the BMD distribution within an intact scaphoid may guide the clinical management of scaphoid fractures, highlighting the need for targeted treatment strategies based on BMD variations.

肩胛骨的骨矿密度
简介肩胛骨对手腕的稳定和活动至关重要。骨折通常发生在肩胛骨的腰部,而发生在近端的骨折虽然比较少见,但往往会导致骨折不愈合,这可能与骨矿物质密度(BMD)的变化有关。以往的研究表明,肩胛骨骨折时,近端骨密度会增加,但对完整肩胛骨的骨密度分布还没有很好的研究。本研究旨在绘制完整肩胛骨的 BMD 分布图,以便更好地了解骨折的病因并优化治疗方法。研究方法本研究在获得伦理批准的情况下进行,共纳入 100 人,使用计算机断层扫描评估肩胛骨远端、中间和近端三分之二的 BMD。在指定区域进行测量,并使用 SPSS 软件进行分析,以 P 为显著性结果:研究对象包括 34 名女性和 66 名男性,左右手腕的 BMD 无明显差异。近三分之一处的 BMD(542.2 HU)明显高于中间(293.1 HU)和远三分之一处(298.4 HU)。据统计,男性的 BMD 明显更高,尤其是在近端和远端三分之二处。所有切面的年龄与 BMD 之间均呈弱负相关。结论肩胛骨近端显示出明显较高的 BMD,这可能是其骨折发生率较低但非愈合率较高的原因。对完整肩胛骨内 BMD 分布情况的深入了解可指导肩胛骨骨折的临床治疗,突出了根据 BMD 变化采取针对性治疗策略的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Plastic surgery
Plastic surgery Medicine-Surgery
CiteScore
1.70
自引率
0.00%
发文量
73
期刊介绍: Plastic Surgery (Chirurgie Plastique) is the official journal of the Canadian Society of Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery, Group for the Advancement of Microsurgery, and the Canadian Society for Surgery of the Hand. It serves as a major venue for Canadian research, society guidelines, and continuing medical education.
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