关节盂唇的年龄相关性形态学改变

Anatomy Pub Date : 2020-12-01 DOI:10.2399/ANA.20.821264
Abduelmenem Alashkham, Abdulrahman Alraddadi, R. Soames
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引用次数: 0

摘要

目的:虽然盂唇与盂肱关节的稳定性有关,但其解剖结构仍有争议。本研究旨在探讨关节盂唇的形状、稠度及其厚度和深度是否与年龄有关。方法:解剖140例肩关节,显露盂唇。在大体水平上评估关节盂唇的形状和一致性。使用卡尺测量上、前、下、后区域的阴唇深度和厚度。采用方差分析和卡方检验,以p<0.05为差异有统计学意义。结果:97.9%的标本上唇粘稠度为橡胶状,2.1%的标本上唇粘稠度为硬实,而整个下唇粘稠度为硬实。男性和女性在上半部的一致性上有显著差异(p=0.043)。95.7%的标本上半部呈三角形,2.1%的标本呈平面,2.1%的标本呈平面至三角形,而99.3%的标本下半部呈圆形,0.7%的标本呈平面。年轻人群阴唇较厚,差异有显著性(p=0.011)、显著性(p=0.050)、显著性(p=0.001)和显著性(p=0.047)。在年轻个体中也观察到更深,但只有显著的优势(p=0.044)。结论:随着年龄的增长,唇部厚度和深度明显减小,提示这些观察结果可能与年龄有关。
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Age related morphometric changes of the glenoid labrum
Objectives: Although the glenoid labrum is linked to glenohumeral joint stability, its anatomy remains controversial. This study aimed to investigate the shape, consistency of the glenoid labrum, and whether these and its thickness and depth are age related. Methods: A total of 140 shoulders were dissected to expose the glenoid labrum. the shape and consistency of the glenoid labrum were assessed at a gross level. Measurements were taken of the labrum depth and thickness, using callipers, in the superior, anterior, inferior and posterior regions. ANOVA and chi-square tests were conducted to determine statistical significance, which was set at p<0.05. Results: The consistency of the superior half of the labrum was rubbery in 97.9% of specimens and firm in the remaining 2.1%, whereas the entire inferior half was firm. There was a significant difference (p=0.043) in the consistency of the superior half between males and females. The superior half was triangular in 95.7% of specimens, flat in 2.1% and flat to triangular in 2.1%, whereas the shape of the inferior half was rounded in 99.3% of specimens and flat in 0.7%. The labrum was observed to be thicker in younger individuals, with the differences being significant superiorly (p=0.011), anteriorly (p=0.050), inferiorly (p=0.001) and posteriorly (p=0.047). It was also observed to be deeper in younger individuals, but only significantly so superiorly (p=0.044). Conclusion: Labrum thickness and depth significantly decreased with increasing age, suggesting that these observations could be age-related.
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