肩胛盂及周围软组织对盂肱关节稳定性的影响

来源 :中国医师杂志 | 被引量 : 0次 | 上传用户:jianxieshui
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
盂肱关节是人体中活动范围最大的关节,球窝结构特点使得关节易出现不稳定。而肩胛盂的形态(肩胛盂宽度、关节面凹面深度、肩胛盂扭转角和倾斜角),以及关节周围的韧带和肌腱均对维持关节稳定性起着重要作用。本文详细阐述了肩胛盂及周围软组织如何通过关节内负压和凹面-加压效应两种机制,维持肩关节在非极限活动范围内的稳定性。并根据数学原理,总结关节内负压和关节稳定率的计算公式,使得这两个概念更易于临床应用。关节稳定率反映了凹面-加压效应的大小,根据标准CT检查即可计算盂肱关节上下方向或前后方向的关节稳定率,指导临床实践。“,”Glenohumeral joint is the joint with the largest range of motion in human body. The characteristics of ball and socket structure make the joint unstable. The shape of glenoid (glenoid width, glenoid concave depth, glenoid twist angle and inclination angle), as well as the ligaments and tendons around the joint play an important role in maintaining joint stability. This paper describes in detail how the glenoid and its surrounding soft tissue can maintain the stability of the shoulder joint in the non limit range of motion through two mechanisms: intra articular negative pressure and concave compression effect. According to the mathematical principle, the formulas of intra-articular negative pressure and joint stability rate are summarized, which make the two concepts more convenient for clinical application. The joint stability rate reflects the concave compression effect. According to the standard computed tomography (CT) examination, we can calculate the joint stability rate of the glenohumeral joint in the up and down direction or the anteroposterior direction, so as to guide clinical practice.
其他文献
该文针对长大跨度桥梁的特点,根据大量风速资粒的极值统计分析,论证了考虑风向的重要性,并附有显然有卓越风向的二连浩特台站记录的统计实例。关于地震作用,该文考虑到长周期地震
会议
目的:应用普适性SF-36量表和专用性de Campos量表评估原发性手汗症患者术后生活质量。方法:回顾性分析本院2015年8月至2018年4月收治的80例原发性手汗症患者病历资料,均行胸腔
广州华南理工大学文体活动中心是一座圆型的大跨度多功能体育建筑,采用钢筋砼屋盖结构,跨度达54米,由16组向心的斜拉索悬吊在16根突出屋面的柱上。该文介绍了在斜拉索张拉施工中对有关