摘要: |
[摘 要] 目的 应用超声了解结节间沟的解剖及其临床意义。方法对100名健康成人双侧(正常组)及24例肱二头肌长头肌腱脱位患者患侧(脱位组)进行结节间沟超声扫查,在横断面分别测量结节间沟内侧壁角(α)、外侧壁角(β)及大、小结节间曲线长度(C),并按α对结节间沟进行分型,对2组的结节间沟测值及分型进行比较。结果 正常组中,左侧α为63.77°±11.25°,β为53.22°±10.97°,C为12.9±0.07mm;右侧α为62.88°±10.55°,β为52.51°±10.94°,C为15.6±1.15mm。双侧结节间沟比较,α、β及C差异均无统计学意义(P均>0.05)。脱位组中,α为32.17°±12.29°,β为31.41°±8.21°,C为22.7±0.93mm。而正常组与脱位组结节间沟测值及分型的差异均有统计学意义(P均<0.01)。结论 超声可清晰显示成人结节间沟形态并进行测量,可作为结节间沟定量评估的有效方法。 |
关键词: 超声检查 结节间沟 肱二头肌长头肌腱 脱位 |
DOI: |
投稿时间:2017-05-29修订日期:2017-07-02 |
基金项目: |
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Observation of intertubercular groove with ultrasonography and it’s clinical significance |
gaohui |
(The Traditional Chinese Medicine Hospital of Jiangsu Province) |
Abstract: |
OBJECTIVE: To understand the anatomical characteristics of the intertubercular groove and it’s clinical significance. METHODS: 100 healthy adults and 24 patients with biceps long head tendon dislocation were measured by ultrasonography respectively. Measurements of intertubercular groove included of medial angle(α), lateral angle(β), curve distance(C)from greater tuberosity to lesser tuberosity. The type of intertubercular groove were classified with α. RESULTS: The mean α, β and C on left side were 63.77°±11.25°,53.22°±10.97°,12.9±0.07mm, that on right side were 62.88°±10.55°,52.51°±10.94°,15.6±1.15mm, respectively in normal group. There was no statistically significant difference in these parameters between the left and right sides (p> 0.05).The α, β and C were 32.17°±12.29°,31.41°±8.21°,22.7±0.93mm respectively in dislocation group, it’s showed a significantly decrease of α,β,but increase of C compared with normal group. There was also statistically significant difference of type between two groups (p< 0.01). CONCLUSION: Sonography was as an effective method for evaluation of the dimensions of the bicipital groove. |
Key words: ultrasonography intertubercular groove tendon of long head of biceps dislocation |