| 不同年龄段髂前下棘的解剖学特点分析 |
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| 作者姓名： | 郭家良 张学斌 胡经略 周亚莉 王忠正 田思宇 陈伟 侯志勇 张英泽 |
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| 作者单位： | 1. 050051 石家庄,河北医科大学第三医院创伤急救中心,河北省骨科研究所,河北省骨科生物力学重点实验室,国家卫生健康委骨科智能器材实验室2. 810000 西宁,青海大学附属医院创伤骨科 |
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| 基金项目： | 国家自然科学基金(82002281,82072523); 河北省自然科学基金(H2021206054; H2020206193); 中国博士后面上基金(2021M701785); 河北省医学科学研究课题(20221209); 河北省高等学校科学技术研究项目(SLRC2019046); 2019年政府资助临床医学优秀人才培养项目; 河北医科大学"十四五"临床医学创新研究团队; 青海省科技厅基础研究计划项目(2019-ZJ-7095) |
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| 摘 要： | 目的比较18~40,41~60,≥61岁不同年龄段髂前下棘形态学解剖参数变化。 方法选择正常半骨盆资料155例,其中男性115例,年龄（48±15）岁,女性40例,年龄（53±14）岁,均无髋臼撞击综合征,通过软件测量髂前下棘的最大长度、宽度、高度以及表面积和体积。 结果41~60岁及≥61岁年龄段男性髂前下棘的最大宽度（12.0±1.9）mm;（12.0±1.8）mm]、表面积（444.11±139.24）mm2;（469.03±132.26）mm2]以及体积（910.19±452.34）mm3;（989.09±442.99）mm3]显著大于女性宽度：（9.5±1.1）mm,（9.5±1.6）mm;表面积：（328.96±92.64）mm2,（326.26±118.32）mm2;体积：（577.04±259.51）mm3,（482.47±254.34）mm3,均P<0.05）。≥61岁年龄段中,男性髂前下棘的最大高度大于女性（6.1±1.4）mm VS（4.6±1.4）mm,P=0.007）。不同年龄段之间（18~40岁,41~60岁,≥61岁）,男性和女性的解剖学参数均无统计学意义。在三个年龄段中,最常见的髂前下棘分型均是1型（18~40岁,86.05%;41~60岁,71.23%;≥61岁,79%）。年龄与髂前下棘的长度、宽度、高度、体积和表面积均没有相关性（均P>0.05）。 结论髂前下棘的解剖形态相对稳定,与年龄没有显著相关性,但同年龄组不同性别髂前下棘的体积和表面积会有显著差异。此外低位髂前下棘（2型）并不一定导致髋臼撞击综合征的出现。
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| 关 键 词： | 髂前下棘 解剖学测量 棘下撞击症 分型 |
| 收稿时间： | 2021-10-28 |
Anatomical characteristics of the anterior inferior iliac spine at different ages |
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| Authors: | Jialiang Guo Xuebin Zhang Jinglue Hu Yali Zhou Zhongzheng Wang Siyu Tian Wei Chen Zhiyong Hou Yingze Zhang |
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| Affiliation: | 1. Department of Trauma center, The Third Hospital of Hebei Medical University, Hebei Institute of Orthopaedics, Hebei Provincial Key Laboratory of Orthopedic Biomechanics, NHC Key Laboratory of Intelligent Orthopeadic Equipment, Shi Jiazhuang 050051, China2. Department of Traumatic Orthopedics, Affiliated Hospital of Qinghai University, Xining 810000, China |
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| Abstract: | ObjectiveTo compare the anatomical parameters about anterior inferior iliac spine at different ages (18-40, 41-60, ≥ 61). Methods155 normal subjects (male, 115; female, 40) were enrolled, and the maximum length, width, height, surface area and volume were all measured and compared. ResultsThe maximum width (41-60 years, 12.0±1.9 VS 9.5±1.1 mm; ≥ 61 years, 12.0±1.8 VS 9.5±1.6 mm), surface area (41-60 years, 444.11±139.24 VS 328.96±92.64 mm2; ≥ 61 years, 469.03±132.26 VS 326.26±118.32 mm2) and volume of the anterior inferior iliac spine (41-60, 910.19±452.34 VS 577.04±259.51 mm3; ≥ 61 years, 989.09±442.99 VS 482.47±254.34 mm3) in males (41-60, ≥ 61 years old respectively) were significantly higher than those in females at the same age group, and the differences were significant (P<0.001). In the age group ≥ 61 years, the maximum height was also statistically significant in males and females (P=0.007). Anatomical parameters compared in different age groups (18-40, 41-60, ≥ 61 years old) were not statistically significant in men and women. The most commonly observed type of anterior inferior iliac spine was Type 1 in all three male or female ages. ConclusionsThe morphology of the anterior inferior iliac spine is relatively stable and has no significant correlation with age, but the volume and surface area are significantly different in the same age group with different genders. In addition, the low anterior inferior iliac spine (Type 2) does not necessarily lead to acetabular impingement syndrome in normal people. |
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| Keywords: | Anterior inferior iliac spine Anatomical measurement Subspinous impingement Classifications |
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