Femoral version, neck-shaft angle, and acetabular anteversion in Chinese Han population: a retrospective analysis of 466 healthy adults.
Femoral version, neck-shaft angle, and acetabular anteversion in Chinese Han population: a retrospective analysis of 466 healthy adults.
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中国汉族人群股骨角度、颈干角和髋臼前倾角466名健康成年人的回顾性分析
DOI：
10.1097/md.0000000000000891
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发表时间：
2015-05
期刊：
影响因子：
1.6
通讯作者：
Yu B
中科院分区：
文献类型：
--
作者：
Jiang N;Peng L;Al-Qwbani M;Xie GP;Yang QM;Chai Y;Zhang Q;Yu B
有关股骨翻转、颈干角和髋臼前倾角的解剖学数据在中国汉族成人中仍然有限。本研究的目的是探讨年龄、性别和身体偏侧对中国汉族健康成人3项重要解剖指标的影响。测量是由3名有经验的观察者使用图像存档和通信系统(PACS)独立完成的，这些人在2009年1月至2014年10月期间接受了股骨和髋臼的成像测试。对相关数据进行测量和分析。共纳入466名成年人(男353名，女113名)。平均股骨倾角为10.62，颈干角为133.02，髋臼前倾角为18.79。基于年龄的分析显示，60岁以下的成年人与60岁以上的成年人相比，颈干角显著增加(P <； 0.001)，髋臼前倾角显著降低(P <； 0.001)。性别分析显示，女性的股骨倾斜度(P <； 0.001)和髋臼前倾度(P <； 0.001)显著高于男性。基于偏侧性的分析发现，左侧髋臼前倾角明显低于右侧(P <； 0.001)。多元线性回归分析结果显示，股骨倾斜度可能与性别有关(P <； 0.001)，而与年龄(P = <； 0.076)或偏侧(P = 0.430)无关；颈干角可能与年龄(P <； 0.001)有关，但与性别(P = 0.378)或偏侧(P = 0.233)无关；髋臼前倾度可能与年龄(P <； 0.001)和性别(P <； 0.001)，但不是偏侧(P = 0.060)。在这一具有代表性的中国队列中，随着年龄的增长，颈干角可能减小，而髋臼前倾角可能增加，女性股骨倾角和髋臼前倾值可能高于男性，右侧髋臼前倾值可能高于左侧。
Anatomic data regarding femoral version, neck-shaft angle, and acetabular anteversion are still limited in Chinese Han adult population. The aim of this study was to investigate the effects of age, sex, and body laterality on the 3 important anatomic indicators in Chinese Han healthy adults. Measurements were performed independently by 3 experienced observers using the picture archiving and communication system (PACS) in healthy adults who had received imaging tests of the femur and acetabulum between January 2009 and October 2014. Relevant data were measured and analyzed. A total of 466 adults (353 males and 113 females) were included. The mean femoral version, neck-shaft angle, and acetabular anteversion for all were 10.62, 133.02, and18.79, respectively. Age-based analysis showed that adults younger than 60 years had a significantly higher neck-shaft angle (P < 0.001) but a significantly lower acetabular anteversion (P < 0.001) than those older than 60 years. Sex-based analysis revealed that females had significantly higher values of femoral version (P < 0.001) and acetabular anteversion (P < 0.001) than males. Laterality-based analysis found the left side had a significantly lower acetabular anteversion (P < 0.001) than the right side. Outcomes of multiple linear regression analysis indicated that femoral version may be associated with sex (P < 0.001) but not age (P = 0.076) or laterality (P = 0.430), neck-shaft angle may be associated with age (P < 0.001) but not sex (P = 0.378) or laterality (P = 0.233), and acetabular anteversion may be associated with age (P < 0.001) and sex (P < 0.001) but not laterality (P = 0.060). In this representative Chinese cohort, neck-shaft angle may decrease, whereas acetabular anteversion may increase with age, females may have higher values of femoral version and acetabular anteversion than males, and the right body side may have a higher value of acetabular anteversion than the left side.