Alternative Title臨床用CTを用いた上腕骨大結節の領域別骨梁微細構造解析
Periodical titleBMC musculoskeletal disorders
Note (General)type:Thesis
BACKGROUND:In arthroscopic surgery, the suture anchor technique has become popular for rotator cuff repair. Preoperative evaluation of the bone microstructure is of utmost importance because, especially in elderly patients, osteoporotic changes may cause anchor pullout, which results in failure of rotator cuff repair. Many groups have reported humeral microstructural analysis; however, most studies were experiments using porcine specimens or human cadavers. In this study, we used multidetector row computed tomography to successfully perform in vivo evaluation of the bone microstructure of the humeral greater tuberosity in patients with rotator cuff tears.METHODS:Ten patients were examined. Regions of interest were defined in six quadrants of the greater tuberosity (medial, lateral, and far lateral rows of the anterior and posterior areas). The local bone mineral density and the trabecular microstructural parameters, including the mean bone volume to total volume (BV/TV), trabecular thickness, trabecular separation, and structure model index (SMI), were measured using bone analysis software.RESULTS:The BV/TV of the posteromedial region was highest and the SMI of the posteromedial region was lowest. These findings suggest that the bone quality of the posteromedial portion is the highest within the greater tuberosity.CONCLUSION:Because the bone quality may be correlated with the pullout strength of suture anchors, our method can help to understand the individual and regional variance in bone quality and may lead to the creation of personalized surgical protocols.
博士（医学）・乙第1360号・平成27年5月28日
© 2014 Sakamoto et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
identifier:BMC musculoskeletal disorders Vol.15 Article No.351(2014)
identifier:14712474
identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3073
identifier:BMC musculoskeletal disorders, 15: Article No.351
DOIinfo:doi/10.1186/1471-2474-15-351
Collection (particular)国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
Date Accepted (W3CDTF)2015-08-01T14:40:15+09:00
Data Provider (Database)国立国会図書館 : 国立国会図書館デジタルコレクション