喙突解剖学测量及相关性研究(1)
[摘要] 目的 通过系统化测量喙突形态数据，分析数据之间相关性，探究国人喙突形态，为临床诊治肩关节疾病提供依据。方法 选取青岛大学解剖实验室完整成对肩胛骨标本共50对(100只)，分别测量喙突水平部长度、宽度、厚度，喙突水平部中点宽度、厚度，喙突垂直部长度、宽度、高度，喙突尖至盂上结节距离和喙突尖至关节盂最短距离。结果 肩胛骨标本的喙突水平部长(41.60±4.17)mm、宽(14.94±2.32)mm、厚(8.54±1.41)mm，喙突水平部中点宽(14.68±1.95)mm、厚(9.69±1.57)mm，喙突垂直部长(27.94±3.18)mm、宽(10.34±1.74)mm、高(12.09±2.90)mm，喙突尖至关节盂最短距离(20.51±2.89)mm，喙突尖至盂上结节距离(18.58±4.64)mm。上述各项数据左右侧均呈正相关(r=0.601～0.852，P<0.05)。喙突垂直部高度与喙突尖至关节盂最短距离呈正相关(r=0.676，P<0.05)。结论 国人喙突形态部分指标平均数据小于国外样本，不可盲目借鉴国外研究结论，本文结果为国人肩关节疾病的诊断提供了解剖学基础。喙突垂直部高度与喙突尖至关节盂最短距离存在相关性，可为临床上判断喙突下撞击提供解剖学依据。
[关鍵词] 喙突;尸体解剖;运动人体测量学;肩撞击综合征;数据相关性
[中图分类号] R323.42;R684 [文献标志码] A [文章编号] 2096-5532(2020)05-0513-03
doi：10.11712/jms.2096-5532.2020.56.137 [开放科学(资源服务)标识码(OSID)]
[ABSTRACT] Objective To explore the morphology of the coracoid process in the Chinese by systematically measuring morphological data on the coracoid process and analyzing their correlations， and to provide clinical evidence for the treatment of shoulder joint diseases. Methods A total of 50 pairs (100 cases) of scapula specimens were selected and the following morphological parameters were measured： the length， width， and thickness of the horizontal and vertical parts of the coracoid process， the width and thickness of the midpoint of the horizontal part of the coracoid process， the distance between the tip of the coracoid process and the supraglenoid tuberosity， and the shortest distance between the tip of the coracoid process and the glenoid cavity. Statistical analyses were performed to examine the correlations of these morphological parameters. Results For the 100 scapular specimens， the mean length， width， and thickness of the horizontal part of the coracoid process were (41.60±4.17) mm， (14.94±2.32) mm， and (8.54±1.41) mm， respectively; the mean midpoint width and thickness of the horizontal part of the coracoid process were (14.68±1.95) mm and (9.69±1.57) mm， respectively; the mean length， width， and thickness of the vertical part of the coracoid process were (27.94±3.18) mm， (10.34±1.74) mm， and (12.09±2.90) mm， respectively; the mean shortest distance between the tip of the coracoid process and the glenoid cavity was (20.51±2.89) mm; the mean distance between the tip of the coracoid process and the supraglenoid tuberosity was (18.58±4.64) mm. There was a positive correlation between the left and right sides for each parameter (r=0.601-0.852，P<0.05). The length of the vertical part of the coracoid process was also positively correlated with the shortest distance between the tip of the coracoid process and the glenoid cavity (r=0.676，P<0.05). Conclusion The mean values of some morphological parameters of the coracoid process in the Chinese are lower than those of the samples from other countries， and the findings from those samples therefore should not be taken indiscriminately. This study provides an anatomical basis for the diagnosis of shoulder joint diseases in China. The length of the vertical part of the coracoid process is correlated with the shortest distance between the tip of the coracoid process and the glenoid cavity， thus providing an anatomical basis for clinical diagnosis of subcoracoid impingement., 百拇医药(任中楷 汪建 于腾波)
[关鍵词] 喙突;尸体解剖;运动人体测量学;肩撞击综合征;数据相关性
[中图分类号] R323.42;R684 [文献标志码] A [文章编号] 2096-5532(2020)05-0513-03
doi：10.11712/jms.2096-5532.2020.56.137 [开放科学(资源服务)标识码(OSID)]
[ABSTRACT] Objective To explore the morphology of the coracoid process in the Chinese by systematically measuring morphological data on the coracoid process and analyzing their correlations， and to provide clinical evidence for the treatment of shoulder joint diseases. Methods A total of 50 pairs (100 cases) of scapula specimens were selected and the following morphological parameters were measured： the length， width， and thickness of the horizontal and vertical parts of the coracoid process， the width and thickness of the midpoint of the horizontal part of the coracoid process， the distance between the tip of the coracoid process and the supraglenoid tuberosity， and the shortest distance between the tip of the coracoid process and the glenoid cavity. Statistical analyses were performed to examine the correlations of these morphological parameters. Results For the 100 scapular specimens， the mean length， width， and thickness of the horizontal part of the coracoid process were (41.60±4.17) mm， (14.94±2.32) mm， and (8.54±1.41) mm， respectively; the mean midpoint width and thickness of the horizontal part of the coracoid process were (14.68±1.95) mm and (9.69±1.57) mm， respectively; the mean length， width， and thickness of the vertical part of the coracoid process were (27.94±3.18) mm， (10.34±1.74) mm， and (12.09±2.90) mm， respectively; the mean shortest distance between the tip of the coracoid process and the glenoid cavity was (20.51±2.89) mm; the mean distance between the tip of the coracoid process and the supraglenoid tuberosity was (18.58±4.64) mm. There was a positive correlation between the left and right sides for each parameter (r=0.601-0.852，P<0.05). The length of the vertical part of the coracoid process was also positively correlated with the shortest distance between the tip of the coracoid process and the glenoid cavity (r=0.676，P<0.05). Conclusion The mean values of some morphological parameters of the coracoid process in the Chinese are lower than those of the samples from other countries， and the findings from those samples therefore should not be taken indiscriminately. This study provides an anatomical basis for the diagnosis of shoulder joint diseases in China. The length of the vertical part of the coracoid process is correlated with the shortest distance between the tip of the coracoid process and the glenoid cavity， thus providing an anatomical basis for clinical diagnosis of subcoracoid impingement., 百拇医药(任中楷 汪建 于腾波)