长手指关节的骨关节炎模式：一项具有潜在生物力学考虑因素的尸体观察研究。

IF 0.9 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2024-10-01 DOI:10.1016/j.hansur.2024.101777

Raphael Israeli , Shadi Saleh , Dana Avraham , Amir Oron

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引用次数: 0

摘要

目的：在一项尸体研究中探讨长指掌指关节、近端指间关节和远端指间关节骨关节炎的分布和患病率，并讨论影响这些模式的潜在生物力学因素：这项尸体研究评估了来自 12 只防腐尸体双手的 144 个掌指关节、近端指间关节和远端指间关节。研究人员采用背侧剥离法暴露关节，然后用彩色编码桩标记关节，以便在成像过程中保持一致的方向。采集远端关节表面的高分辨率数字图像进行分析。使用定制软件对图像进行分析，量化骨关节炎区域，区分桡侧和尺侧。受影响关节面的百分比采用像素测量法计算。统计分析采用学生 t 检验和方差分析，显著性阈值设定为 p 结论：这项研究发现了骨关节炎在长手指关节中的不同分布模式，其中近端指间关节的发病率更高。虽然稳定手指（第 2 和第 3 指）和活动手指（第 4 和第 5 指）之间存在差异，但要最终确定生物力学力在骨关节炎发展中的作用，还需要进一步研究。这些发现为今后研究手部骨关节炎的病理生理学奠定了基础，并可指导预防和治疗干预措施的开发。

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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Patterns of osteoarthritis in long finger joints: an observational cadaveric study with potential biomechanical considerations

Purpose

To explore the distribution and prevalence of osteoarthritis in metacarpophalangeal, proximal interphalangeal and distal interphalangeal joints in long fingers in a cadaveric study, and to discuss potential biomechanical influences on these patterns.

Methods

This cadaveric study evaluated 144 metacarpophalangeal, proximal interphalangeal and distal interphalangeal joints from 12 embalmed cadaver hands. A dorsal dissection approach was used to expose the joints, which were then marked with color-coded pegs for consistent orientation during imaging. High-resolution digital images of the distal articular surfaces were captured for analysis. The images were analyzed using custom software to quantify osteoarthritic areas, distinguishing between radial and ulnar aspects. Percentage affected joint surface was calculated using pixel-based measurements. Statistical analysis was used the Student t-test and ANOVA, with the significance threshold set at p < 0.05 and 95% confidence intervals

Results

The ulnar side of the proximal interphalangeal joint in digits 2 and 3 showed higher prevalence of osteoarthritis (59.31% ± 15.48%) than the radial side (40.68% ± 15.48%), p = 0.007; in contrast, for digits 4 and 5, prevalence was greater on the radial (54.3% ± 10.99%) than the ulnar side (45.7% ± 10.99%), p = 0.007. No significant differences were noted in osteoarthritis distribution between the radial and ulnar aspects of the metacarpophalangeal and distal interphalangeal joints.

Conclusions

This study identified distinct patterns of osteoarthritis distribution in long-finger joints, with greater prevalence in the proximal interphalangeal joints. Although there were differences between stable (digits 2 and 3) and mobile (digits 4 and 5) fingers, further research is necessary to conclusively determine the role of biomechanical forces in the development of osteoarthritis. These findings lay the groundwork for future studies of the pathophysiology of osteoarthritis in the hand, and could guide the development of preventive and therapeutic interventions.

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.