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肩峰和锁骨形态与肩峰下撞击综合征关系

发布时间:2018-05-01 05:01

  本文选题:肩峰 + 锁骨 ; 参考:《新疆医科大学》2013年硕士论文


【摘要】:目的:探讨肩峰、锁骨形态及肩锁关节角度与肩峰下撞击综合征之间关系。方法:选择年龄从20-60岁的正常50例,按左右侧进行分组。用电子计算机X射线断层扫描技术平扫+三维重建冈上肌出口位肩峰和锁骨形态,重建出76个肩峰及76锁骨,并对其分类及组合,测量肩峰和锁骨之间角度。结果:肩峰分三型,I型平坦型,占42%;II型为弧形,占50%;Ⅲ型为钩型,占8%.锁骨分三型:I型为弯型,占23%;II型为斜形,占56%;Ⅲ型为平型,占21%。肩锁关节平均角度为左侧为17.43。,右侧为15.62。。结论:螺旋CT行薄层扫描能对肩峰和锁骨形态的分析清晰、准确,较X线优势明显,分型结果能准确反映不同肩峰和锁骨各种组合,不同形态肩峰及锁骨与肩锁关节角度没有明显差异,锁骨形态参与肩峰下空间的构成,对肩峰下撞击综合征的病因、诊断、治疗有意义。
[Abstract]:Objective: to investigate the relationship between acromioclavicular and acromioclavicular joint angle and subacromioclavicular impingement syndrome. Methods: 50 normal patients aged from 20 to 60 years old were divided into groups according to left and right side. The shape of acromion and clavicle at outlet position of supraspinatus muscle was reconstructed by computerized X-ray tomography technique. 76 acromions and 76 clavicles were reconstructed, and the angle between acromion and clavicle was measured. Results: the acromions were divided into three types: type I flat, type 42, type II, type II, and type 鈪,

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