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題 名 | 腕部尺骨差異與金培氏病及尺骨壓迫症候群的關連性=Ulnar Variance and Its Relationship with Kienbock's Disease and Ulnar Impaction Syndrome |
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作 者 | 李國樑; 郭光華; 潘蔚文; 譚芷峰; 秦作威; 鐘正國; | 書刊名 | 中華放射線技術學雜誌 |
卷 期 | 28:2 民93.12 |
頁 次 | 頁111-116 |
分類號 | 416.61 |
關鍵詞 | 尺骨差異; 金培氏病; 尺骨壓迫症候群; Ulnar variance; Kienbock's disease; Ulnar impaction syndrome; |
語 文 | 中文(Chinese) |
中文摘要 | 一般人尺骨端與腕骨端差距在±2 mm內,超過這範圍的將成為尺骨差異(ulnar variance)。有一些腕部疾病是常與尺骨差異有關的,如金培氏病與尺骨壓迫症候群等。本報告目的在回溯研究利用腕部素片,測量尺骨差異(ulnar variance)與金培氏病(kienbock's disease)及尺骨壓迫症候群(ulnar impaction syndrome)的相關性,在22位影像證實患有金培氏病與尺骨壓迫症候群的病人,測量其腕部素片的尺骨差異,正向尺骨差異(positive ulnar variance)易造成三角纖維軟骨及月狀腕骨壓迫,臨床上常有尺骨末端疼痛或壓痛,而負向尺骨差異(negative ulnar variance)易牽引尺骨端血管,可能導致月狀骨發生缺血性壞死。經由本組測量正向尺骨差異與正常值差異頗大,平均值為4.09 mm,p=0.002,顯示正向尺骨差異與尺骨壓迫症候群在統計學上有著顯著的意義;負向尺骨差異之平均值為2.91 mm,p<0.05,故統計學上亦有相關的意義。本研究結果顯示尺骨差異的測量,瞭解其正向或負向尺骨差異均與上述兩種疾病有相關程度的關連性。 |
英文摘要 | In normal population, the length difference of the ulna end from the radial end limited to ±2 mm. The difference beyond this limit becomes a ulnar variance. Ulnar variance is associated with some disorders of the wrist, for example, the Kienbock's disease and the ulnar impaction syndrome. This retrospective study is aimed to correlate the relationship of Kienbock's disease or ulnar impaction syndrome with the ulnar variance by the measurements on plain radiographs of the wrist. Twenty two patients were diagnosed to have Kienbock's disease or ulnar imapction syndrome by imaging studies. The ulnar variance was then measured. Positive ulnar variance trends to produce triangular fibrocartilage and lunate bone compression that presents with pain or local tenderness at the ulnar end clinically. Negative ulnar variance may cause vascular traction at the ulnar end and leads to avascular necrosis of the lunate bone. The positive ulnar variance measured in this study is quite large in range with a mean difference of 4.09 mm (p value=0.002). Positive ulnar variance and ulnar impaction is statistically significantly correlated. The mean negative ulnar variance measured is 2.91 mm. and p<0.05 suggesting a relationship also exists in negative ulnar variance with the Kienbock's disease. In conclusion, we believed there is a close relationship of ulnar variance (both positive and negative ulnar variance) with ulnar impaction syndrome and Kienbock's disease in the wrist. |
本系統中英文摘要資訊取自各篇刊載內容。