Proksimal Humerus ve Cavitas Glenoidealis'in Antropometrik Çalışması: Normal Glenohumeral İlişkiler

Year 2023, Volume: 6 Issue: 2, 184 - 191, 30.06.2023

Işık Tuncer , Ahmet Baytok , Mehmet Sedat Durmaz

https://doi.org/10.53446/actamednicomedia.1170631

Abstract

Amaç: Omuz eklemi benzersiz düzensiz şekli nedeniyle karmaşık bir anatomik yapıya sahiptir. Omuz eklem bozukluklarının cerrahi tedavisi ve artroskopik işlemler gibi cerrahi müdahaleler için omuz ekleminin anatomisinin detaylı olarak bilinmesi gerekir. Ayrıca omuz ekleminde ırk veya cinsiyete bağlı morfometrik farklılıkların olup olmadığının bilinmesi antropoloji ve bazı klinik alanlarda özellikle adli tıpta faydalı olabilir. Ancak konunun önemine rağmen omuz ekleminin kantitatif anatomisine ilişkin az sayıda çalışma bulunmaktadır. Bu çalışmanın amacı omuz eklemi ölçülerini detaylı olarak sunmaktır.
Gereç ve Yöntem: Toplam 107 kişiye (54 erkek, 53 kadın) ölçüm yapıldı. 6'sı humerus proksimalinde ve 12'si cavitas glenoidealis'te olmak üzere 18 ölçüm yapıldı. Ölçümlerde MR cihazı kullanıldı. Cavitas Glenoidalis'in şekli (gözyaşı damlası, armut biçimli, yuvarlak, oval, ters virgül biçimli) değerlendirildi ve yüzdeleri hesaplandı.
Bulgular: Humerus proksimalindeki tüm değerler erkeklerde daha yüksekti (p<0.05). Yaşa göre karşılaştırmalarda (>40 ve <40), humerus vertikal çapı ve BF uzunluğu dışındaki tüm değerler 40 yaş üzerinde daha yüksek bulundu.
Sonuç: Bu bulgular kemik antropometrisinde articulatio humeri için tekrarlanabilir bir referans noktası sağlayabilir, omuz replasman cerrahisinde değerli bir referans sunabilir ve kemikli glenohumeral instabiliteyi karakterize etmeye yardımcı olabilir.

Keywords

Proksimal humerus, cavitas glenoidealis, antropometri, omuz artroplastisi

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