| 三维CT测量肩关节复发前脱位肩胛盂轨迹的可靠性研究 |
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投稿时间：2021-04-08
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| 作者 | Author | 单位 | Address | E-Mail |
| 代飞 |
DAI Fei |
四川省骨科医院上肢科, 四川 成都 610041 |
Department of Upper Limb, Sichuan Provincial Orthopaedic Hospital, Chengdu 610041, Sichuan, China |
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| 杨金松 |
YANG Jin-song |
四川省骨科医院上肢科, 四川 成都 610041 |
Department of Upper Limb, Sichuan Provincial Orthopaedic Hospital, Chengdu 610041, Sichuan, China |
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| 张清 |
ZHANG Qing |
四川省骨科医院上肢科, 四川 成都 610041 |
Department of Upper Limb, Sichuan Provincial Orthopaedic Hospital, Chengdu 610041, Sichuan, China |
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| 陈君蓉 |
CHEN Jun-rong |
四川省骨科医院放射科, 四川 成都 610041 |
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| 向明 |
XIANG Ming |
四川省骨科医院上肢科, 四川 成都 610041 |
Department of Upper Limb, Sichuan Provincial Orthopaedic Hospital, Chengdu 610041, Sichuan, China |
josceph_xm@sina.com |
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| 期刊信息：《中国骨伤》2021年，第34卷，第6期，第492-496页 |
| DOI：10.12200/j.issn.1003-0034.2021.06.002 |
| 基金项目:四川省卫生健康委员会科研课题（编号：19PJ258） |
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中文摘要:
目的： 本研究旨在评估三维CT测量肩盂轨迹的可靠性和可重复性。
方法： 由3位独立观察者（肩关节专科医生）通过三维CT评估60例单侧肩关节复发前脱位患者的肩胛盂及Hill-Sachs骨缺损情况，并按Di Giacomo等的方法，将损伤分类，制定手术方案。所有观察者在1周后重复测量。采用组内相关系数（intraclass correlation coefficient，ICC）及变异系数（coefficient of variation，COV）进行可靠性分析。
结果： 在肩胛盂直径及肩胛盂骨缺损的测量中，观察者间的可靠性均为"非常好"，对Hill-Sachs间隙的测量，观察者间的可靠性为"好"；在肩胛盂缺损程度的评估上观察者间的一致性很高，在Hill-Sachs损伤on-track/off-track的评估上观察者间的一致性较差。肩胛盂直径、肩胛盂骨缺损、Hill-Sachs间隙测量观察者内的可靠性均为"非常好"。肩胛盂直径、肩胛盂骨缺损的COV分别为4.1%和4.4%，Hill-Sachs间隙的COV为21.1%。
结论： 三维CT测量肩胛盂骨缺损的可靠性、可重复性高，但对肱骨头骨缺损的评估显示出较大的可变性，可靠性较差。 |
| 【关键词】肩关节 肩脱位 肩盂轨迹 成像,三维 |
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| Reliability of three-dimensional CT measurement of glenoid track in patients with recurrent anterior dislocation of shoulder |
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ABSTRACT
Objective: To evaluate the reliability and repeatability of three-dimensional (3D)-CT measurement of glenoid track.
Methods: Glenoid and Hill-Sachs bone defects in 60 patients with recurrent anterior dislocation of the unilateral shoulder were evaluated by 3D-CT and analyzed by three independent observers(shoulder orthopedists) according to the Di Giacomo method. These injuries were classified to formulate a surgical protocol. All the patients were repeatedly measured 1 week later. Intraclass correlation coefficient (ICC) and coefficient of variation (COV) were used for reliability analysis.
Results: Interobserver reliability was "very good" for both measurements of glenoid diameter and glenoid bone defects,and "good" for measurements of Hill-Sachs interval. Interobserver agreement was high on the assessment of the extent of the glenoid defect, and poor on track/off track assessment of the Hill-Sachs lesion. Intraobserver reliability for measurements of glenoid diameter,glenoid defect,and Hill-Sachs interval was "very good". The COV was 4.1% for glenoid diameter,4.4% for glenoid defect,and 21.1% for Hill-Sachs interval.
Conclusion: The reliability and reproducibility of 3D-CT measurements of glenoid bone defects are good,but the assessment of humeral head bone defects shows large variability with poor reliability. |
| KEY WORDS Shoulder joint Shoulder dislocation Glenoid track Imaging,three-dimensional |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 代飞,杨金松,张清,陈君蓉,向明.三维CT测量肩关节复发前脱位肩胛盂轨迹的可靠性研究[J].中国骨伤,2021,34(6):492~496 |
| 英文格式: | DAI Fei,YANG Jin-song,ZHANG Qing,CHEN Jun-rong,XIANG Ming.Reliability of three-dimensional CT measurement of glenoid track in patients with recurrent anterior dislocation of shoulder[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(6):492~496 |
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