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The relationship of femoral neck shaft angle and adiposity to greater trochanteric pain syndrome in women. A case control morphology and anthropometric study.
女性股骨颈干角和肥胖与大转子疼痛综合征的关系。病例对照形态学和人体测量研究。

摘要

OBJECTIVE:To evaluate if pelvic or hip width predisposed women to developing greater trochanteric pain syndrome (GTPS).
DESIGN:Prospective case control study.
PARTICIPANTS:Four groups were included in the study: those gluteal tendon reconstructions (n=31, GTR), those with conservatively managed GTPS (n=29), those with hip osteoarthritis (n=20, OA) and 22 asymptomatic participants (ASC).
METHODS:Anterior-posterior pelvic x-rays were evaluated for femoral neck shaft angle; acetabular index, and width at the lateral acetabulum, and the superior and lateral aspects of the greater trochanter. Body mass index, and waist, hip and greater trochanter girth were measured. Data were analysed using a one-way analysis of variance (ANOVA; posthoc Scheffe analysis), then multivariate analysis.
RESULTS:The GTR group had a lower femoral neck shaft angle than the other groups (p=0.007). The OR (95% CI) of having a neck shaft angle of less than 134°, relative to the ASC group: GTR=3.33 (1.26 to 8.85); GTPS=1.4 (0.52 to 3.75); OA=0.85 (0.28 to 2.61). The OR of GTR relative to GTPS was 2.4 (1.01 to 5.6). No group difference was found for acetabular or greater trochanter width. Greater trochanter girth produced the only anthropometric group difference (mean (95% CI) in cm) GTR=103.8 (100.3 to 107.3), GTPS=105.9 (100.2 to 111.6), OA=100.3 (97.7 to 103.9), ASC=99.1 (94.7 to 103.5), (ANOVA: p=0.036). Multivariate analysis confirmed adiposity is associated with GTPS.
CONCLUSION:A lower neck shaft angle is a risk factor for, and adiposity is associated with, GTPS in women.

译文

目的: 评估骨盆或臀部宽度是否易导致女性发生大转子疼痛综合征 (GTPS)。
设计: 前瞻性病例对照研究。
参与者: 四组被包括在研究中: 那些臀肌肌腱重建 (n = 31,GTR),那些保守管理的 GTPS (n = 29), 髋关节骨关节炎患者 (n = 20,OA) 和 22 名无症状参与者 (ASC)。
方法: 对骨盆前后段 x光片进行评估,包括股骨颈干角、髋臼指数、髋臼外侧的宽度以及大转子的上侧和外侧。测量体重指数以及腰围、臀围和大转子围。数据采用单因素方差分析 (ANOVA; posthoc Scheffe 分析),然后进行多因素分析。
结果: GTR 组股骨颈轴角低于其他组 (p = 0.007)。相对于 ASC 组,颈部轴角小于 95% ° 的 OR (134 CI): GTR = 3.33 (1.26 到 8.85); GTPS = 1.4 (0.52 到 3.75); OA = 0.85 (0.28 到 2.61)。GTR 相对于 GTPS 的 OR 为 2.4 (1.01 到 5.6)。髋臼或大转子宽度未发现组间差异。大转子周长产生了唯一的人体测量组差异 (平均 (95% CI) 在厘米) GTR = 103.8 (100.3 到 107.3),GTPS = 105.9 (100.2 到 111.6), OA = 100.3 (97.7 到 103.9),ASC = 99.1 (94.7 到 103.5),(方差分析: p = 0.036)。多变量分析证实肥胖与 GTPS 相关。
结论: 颈部下干角是女性 GTPS 的危险因素,肥胖与 GTPS 相关。

Femoral neck

骨科 股骨颈病变 临床研究术语
概述  :  

股骨颈是人体当中最大的一个长管状骨股骨中的一个重要的组成部分。其中股骨颈和股骨干两者间约形成130度的颈干角,也是受力最大的部位,若存在骨质疏松情况时容易发生骨折,因此临床中股骨颈骨折多数为老年患者股骨颈骨折。并且发生股骨颈骨折后,容易出现骨折不愈合,甚至股骨头坏死等情况。有权威资料统计发现,超过90%的股骨颈骨折患者是在其站立或行走过程中发生跌倒而出现的骨折情况,特别是由于老年人存在不同的骨质疏松以及骨量减少,因此即便是受到较为轻微的外力作用,也可能引发股骨颈骨折,因而股骨颈骨折多以老年人

Femoral  英 /'fɛmərəl/  美 /'femərəl/                

释义   adj. 股骨的;大腿的;大腿骨的

例句   While femoral offset directly influences the changes of tension in abductor. 而股骨偏心距直接影响了外展肌张力的变化。

 

neck 英 /nek/  美 /nek/               

释义   n. 脖子;衣领;海峡

vi. 搂著脖子亲吻;变狭窄

vt. 使变细;与…搂著脖子亲吻

n. (Neck)人名;(德、意、英) 内克

例句   They operate on the brain, neck and back. 他们对大脑、颈部和后背进行了手术。


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