应力负荷下尺桡关节的三维计算机断层扫描评估

IF 2 2区医学 Q2 ORTHOPEDICS

Journal of Hand Surgery-European Volume Pub Date : 2024-09-14 DOI:10.1177/17531934241275470

Ho Youn Park, Dai-Soon Kwak, Il-Jung Park, Jin-Woo Lee, Seung Hyo Kim, Joo-Yup Lee

{"title":"应力负荷下尺桡关节的三维计算机断层扫描评估","authors":"Ho Youn Park, Dai-Soon Kwak, Il-Jung Park, Jin-Woo Lee, Seung Hyo Kim, Joo-Yup Lee","doi":"10.1177/17531934241275470","DOIUrl":null,"url":null,"abstract":"We investigated which stress position of the wrist would result in the most significant reduction in the ulnocarpal distance using three-dimensional computed tomography (3DCT) images. 3DCT scans of 10 normal individuals and 19 patients with ulnar impaction syndrome were taken in neutral, radial/ulnar deviation and weightbearing pronation/supination wrist positions, and the shortest ulnolunate and ulnotriquetral distances were evaluated separately in each position. Both the ulnolunate and the ulnotriquetral distances were shortest in the weightbearing supination position in all participants. The ulnolunate distance was significantly decreased ( p = 0.00) in the weightbearing supination position compared with the neutral position in the ulnar impaction syndrome (UIS) group. However, the change in ulnotriquetral distance did not differ between the normal group and the UIS group. This study demonstrated that supination may be more vulnerable than pronation to UIS.Level of evidence:IV","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Three-dimensional computed tomography evaluation of the ulnocarpal joint under stress loading\",\"authors\":\"Ho Youn Park, Dai-Soon Kwak, Il-Jung Park, Jin-Woo Lee, Seung Hyo Kim, Joo-Yup Lee\",\"doi\":\"10.1177/17531934241275470\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"We investigated which stress position of the wrist would result in the most significant reduction in the ulnocarpal distance using three-dimensional computed tomography (3DCT) images. 3DCT scans of 10 normal individuals and 19 patients with ulnar impaction syndrome were taken in neutral, radial/ulnar deviation and weightbearing pronation/supination wrist positions, and the shortest ulnolunate and ulnotriquetral distances were evaluated separately in each position. Both the ulnolunate and the ulnotriquetral distances were shortest in the weightbearing supination position in all participants. The ulnolunate distance was significantly decreased ( p = 0.00) in the weightbearing supination position compared with the neutral position in the ulnar impaction syndrome (UIS) group. However, the change in ulnotriquetral distance did not differ between the normal group and the UIS group. This study demonstrated that supination may be more vulnerable than pronation to UIS.Level of evidence:IV\",\"PeriodicalId\":54813,\"journal\":{\"name\":\"Journal of Hand Surgery-European Volume\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2024-09-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Hand Surgery-European Volume\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/17531934241275470\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hand Surgery-European Volume","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/17531934241275470","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

摘要

我们使用三维计算机断层扫描（3DCT）图像研究了哪种手腕受力姿势会导致尺桡骨距离最明显的缩短。我们在腕关节中立位、桡侧/尺侧偏离位和负重前倾/上举位对 10 名正常人和 19 名尺桡骨内陷综合征患者进行了三维计算机断层扫描，并分别评估了每个位置的最短尺桡骨距离和尺骨切迹距离。所有参与者在负重上举姿势下的尺骨距离和尺骨未端距离都是最短的。与中立位相比，尺骨撞击综合征（UIS）组患者在负重上举位时的尺骨间距明显减少（p = 0.00）。然而，正常组和 UIS 组的尺骨髁间距变化并无差异。这项研究表明，上举姿势可能比前倾姿势更容易患上 UIS。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Three-dimensional computed tomography evaluation of the ulnocarpal joint under stress loading

We investigated which stress position of the wrist would result in the most significant reduction in the ulnocarpal distance using three-dimensional computed tomography (3DCT) images. 3DCT scans of 10 normal individuals and 19 patients with ulnar impaction syndrome were taken in neutral, radial/ulnar deviation and weightbearing pronation/supination wrist positions, and the shortest ulnolunate and ulnotriquetral distances were evaluated separately in each position. Both the ulnolunate and the ulnotriquetral distances were shortest in the weightbearing supination position in all participants. The ulnolunate distance was significantly decreased ( p = 0.00) in the weightbearing supination position compared with the neutral position in the ulnar impaction syndrome (UIS) group. However, the change in ulnotriquetral distance did not differ between the normal group and the UIS group. This study demonstrated that supination may be more vulnerable than pronation to UIS.Level of evidence:IV

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Hand Surgery-European Volume 医学-外科

CiteScore

3.10

自引率

16.70%

发文量

190

审稿时长

4-8 weeks

期刊介绍： The Journal of Hand Surgery (European Volume) is essential reading for everyone involved in restoring the function to the hand and upper limb. Dedicated to the needs of hand, plastic, reconstructive and orthopaedic surgeons, it publishes the best selection of current papers on hand surgery. The journal regularly highlights key developments in a range of original, authoritative and highly informative articles written by distinguished experts from around the world. Rapid coverage of the latest research, techniques, trends and ideas to make sure you stay up-to-date. Subjects covered include: joint replacement fracture and joint injuries microvascular surgery congenital hand problems You will also find editorials, book reviews, conference dates, case studies, detailed coverage of new techniques and full-length reviews articles.