骶骨髂下线作为儿科骨盆 X 光片的水平参考平面。

IF 1.3 4区 医学 Q3 ORTHOPEDICS
Thomas J Berault, John M Wyatt, Aaron A Olsen, Clark Mantooth, George C Balazs, Ashton H Goldman, Vanna J Rocchi
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引用次数: 0

摘要

背景:虽然 Hilgenreiner 线经常被使用,但在进行三腹腔骨盆截骨手术或三椎体软骨受到创伤后,它可能并不总是一个可靠的参考平面。骶髂下线是连接骶髂下关节硬化角的水平线。这是正在骨化的婴儿骨盆和发育完全的成人骨盆的一致标志。本研究的目的是确定骶髂下线和 Hilgenreiner 线之间的测量值是否存在差异,从而确定一个替代的水平参考平面。方法:3 位审查者(受过研究培训的儿科骨科医生、初级骨科住院医师、高级骨科住院医师)审查了 100 个未经骨切除的儿科骨盆。测量并报告 Hilgenreiner 线与骶骨-髂骨下线之间的差异。每隔至少 48 小时重复测量一次,因此 Hilgenreiner 线与骶骨-髂骨下线之间的比较次数为 600 次。计算测量的标准误差是为了评估每个观察者和整个小组之间测量结果的差异:结果:Hilgenreiner 线和骶髂下线之间的平均测量标准误差为 0.44°(95% CI,± 0.86)。1-3 位评审员的平均测量标准误差分别为 0.38、0.28 和 0.35(95% CI,± 0.74、0.55 和 0.86)。不同评审员之间的差异无统计学意义(P > 0.05)。第 1、第 2 和第 3 评审员的观察者内部可靠性分别为 0.64 (0.47-0.76)、0.75 (0.63-0.83) 和 0.54 (0.32-0.69),观察者之间的可靠性为 0.42 (0.20-0.60) 度:在这项概念验证研究中,我们发现骶髂下线是 Hilgenreiner 线的一个合适替代物,对于所有级别的骨科培训人员来说都很容易识别。未来的骶髂下线研究应证明骨切除术前后多次髋臼测量的可靠性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The inferior sacral iliac line as a horizontal reference plane in paediatric pelvic radiographs.

Background: While often used, Hilgenreiner's line may not always be a reliable reference plane following triple innominate pelvic osteotomy or trauma to the triradiate cartilage. The inferior sacral-iliac line is a horizontal line connecting the sclerotic corners of the inferior sacral-iliac joints. This is a consistent landmark in the ossifying infant pelvis as well as the fully developed adult pelvis. The goal of this study was to determine if there is a difference in measurements between the inferior sacral-iliac line and Hilgenreiner's line in order to identify an alternative horizontal reference plane.

Methods: 3 reviewers (fellowship-trained paediatric orthopaedic surgeon, junior orthopaedic resident, senior orthopaedic resident) reviewed 100 paediatric non-osteotomized pelvises. The difference between Hilgenreiner's line and the inferior sacral-iliac line were measured and reported. Measurements were repeated a minimum of 48 hours apart, resulting in 600 comparisons between Hilgenreiner's line and the inferior sacral-iliac line. The standard error of measurement was calculated to assess the variation in measurements between each individual observer and the group as a whole.

Results: The mean standard error of measurement between Hilgenreiner's line and the inferior sacral-iliac line was 0.44° (95% CI, ± 0.86). Reviewers 1-3 demonstrated a mean standard error of measurement of 0.38, 0.28, and 0.35 (95% CI, ± 0.74, 0.55, and 0.86) respectively. There was no statistically significant difference between reviewers (p > 0.05). Intra-observer reliability for reviewers 1, 2, and 3 was 0.64 (0.47-0.76), 0.75 (0.63-0.83), and 0.54 (0.32-0.69) respectively, with an inter-observer reliability of 0.42 (0.20-0.60) degrees.

Conclusions: In this proof-of-concept study, the inferior sacral-iliac line was found to be an appropriate alternative to Hilgenreiner's line that is easily identifiable for all levels of orthopaedic training. Future inferior sacral-iliac line studies should demonstrate the reliability of multiple acetabular measurements, both pre- and post-osteotomy.

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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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