Three-dimensional digital analysis of the trajectory of scaphoid bone

doi:10.3969/j.issn.2095-4344.0551

Chinese Journal of Tissue Engineering Research ›› 2018, Vol. 22 ›› Issue (31): 4965-4969.doi: 10.3969/j.issn.2095-4344.0551

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Three-dimensional digital analysis of the trajectory of scaphoid bone

Zhang Zhi-feng¹, Li Da-wei², Zhang Yuan-zhi³, Huang Jian¹, Wei Jing⁴, Wang Xing⁵, Zheng Lei-gang⁶

¹Department of Joint Surgery, ⁴Second Department of Hand and Foot Microsurgery, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, Inner Mongolia Autonomous Region, China; ²Department of Orthopedics, the Fourth Affiliated Hospital of Inner Mongolia Medical University, Baotou 014030, Inner Mongolia Autonomous Region, China; ³Department of Orthopedics, the Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China; ⁵Department of Human Anatomy, School of Basic Medicine, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China; ⁶Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine, Hohhot 010020, Inner Mongolia Autonomous Region, China

Online:2018-11-08 Published:2018-11-08
Contact: Zhang Yuan-zhi, Department of Orthopedics, the Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China Corresponding author: Huang Jian, Department of Joint Surgery, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, Inner Mongolia Autonomous Region, China
About author:Zhang Zhi-feng, Master, Attending physician, Department of Joint Surgery, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, Inner Mongolia Autonomous Region, China Li Da-wei, Master, Attending physician Department of Orthopedics, the Fourth Affiliated Hospital of Inner Mongolia Medical University, Baotou 014030, Inner Mongolia Autonomous Region, China Zhang Zhi-feng and Li Da-wei contributed equally to this work.
Supported by:
the Youth Innovation Foundation of Inner Mongolia Medical University, No. YKD2015QNCX043

Abstract

Abstract:

BACKGROUND: Scaphoid fracture is commonly seen in wrist fracture, but its nonunion rate is high. Therefore, studying trajectory of normal scaphoid bone is of great significance for selecting optimal fixation way and position.

OBJECTIVE: To study the trajectory of normal scaphoid bone, and to provide method for three-dimensional kinematics analysis.

METHODS: Twenty normal adults (n=10 in either sexes) were enrolled, and the right wrist underwent spiral CT scan in neutral, palmar flexion, dorsiflexion at 15, 30, 45 and 60 degrees, radial deviation at 10 and 20 degrees and ulnar deviation at 15 and 30 degrees, respectively. The original DICOM data were imported into Materialise Mimics Innovation Suite 15.0 to reconstruct distal radius and scaphoideum, and three-dimensional registration. The centroid of each bone was measured, and trajectory of scaphoideum was reconstructed to calculate the displacement value.

RESULTS AND CONCLUSION: In palmar flexion and dorsiflexion or radial/ulnar deviation, the distance between centroid of scaphoideum and distal radius was different. In the 60 degrees of dorsiflexion and 30 degrees of ulnar deviation, the displacement was largest. In the 30 degrees of dorsiflexion and 20 degrees of radial deviation, the displacement was smallest. The displacement value in different positions showed significant differences between sexes. In summary, the accurate determination of the centroid of scaphoid bone provides a new scientific method for the reconstruction of scaphoid movement.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Imaging, Three-dimensional, Scaphoid Bone, Anatomy, Tissue Engineering

CLC Number:

R318

Zhang Zhi-feng, Li Da-wei, Zhang Yuan-zhi, Huang Jian, Wei Jing, Wang Xing, Zheng Lei-gang. Three-dimensional digital analysis of the trajectory of scaphoid bone[J]. Chinese Journal of Tissue Engineering Research, 2018, 22(31): 4965-4969.

Figures/Tables 2

2.1 参与者数量分析纳入志愿者20名，测量过程顺利，数据全部进入结果分析。 2.2 腕关节屈伸运动时舟骨质心相对于桡骨远端质心之间的距离的测量结果见表1。从表1可以看出，舟骨质心相对于桡骨远端质心之间的距离随着腕关节屈曲及背伸运动的变化而变化，在腕关节背伸60°位时，舟骨质心相对于桡骨距离最大；各位置桡骨远端质心与舟骨质心间距离男女间比较差异有显著性意义(P < 0.05)。 2.3 腕关节屈伸运动时舟骨质心相对于桡骨远端质心之间的距离的测量结果见表1。从表1可以看出，舟骨质心相对于桡骨远端质心之间的距离随着腕关节屈曲及背伸运动的变化而变化，在腕关节背伸30°位时，舟骨质心相对于桡骨距离最小；各位置桡骨远端质心与舟骨质心间距离男女间比较差异有显著性意义(P < 0.05)。 2.4 腕关节侧向运动时舟骨质心相对于桡骨远端质心之间的距离见表2。从表2可以看出，舟骨质心相对于桡骨远端质心之间的距离随着腕关节尺偏及桡偏运动的变化而变化，在腕关尺偏30°位舟骨质心相对于桡骨距离最大；各位置桡骨远端质心与舟骨质心间距离男女间比较差异有显著性意义(P < 0.05)。 2.5 腕关节侧向运动时舟骨质心相对于桡骨远端质心之间的距离见表2。从表2可以看出，舟骨质心相对于桡骨远端质心之间的距离随着腕关节尺偏及桡偏运动的变化而变化，在腕关节桡偏20°位时舟骨质心相对于桡骨距离最大；各位置桡骨远端质心与舟骨质心间距离男女间比较差异有显著性意义(P < 0.05)。 2.6 腕舟状骨屈伸运动轨迹见图2。从图2可以看出，建立的正常舟骨的三维运动轨迹立体显示感强。 "

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Three-dimensional digital analysis of the trajectory of scaphoid bone

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