Validation of the lesser sigmoid notch of the ulna as a reference point for accurate placement of a prosthesis for the head of the radius: a cadaver study
Autor: | J. Oemar, W. de Weerdt, H. Bortier, F. Van Glabbeek, R. P. Van Riet |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2007 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Prosthesis Implantation Ulna Prosthesis Cadaver Elbow Joint Humans Medicine Orthopedics and Sports Medicine Aged Aged 80 and over business.industry Reproducibility of Results Anatomy Radius Middle Aged medicine.anatomical_structure Orthopedic surgery Head (vessel) Surgery business Sigmoid notch |
Zdroj: | The journal of bone and joint surgery : British volume |
ISSN: | 0301-620X |
Popis: | We undertook a study on eight arms from fresh cadavers to define the clinical usefulness of the lesser sigmoid notch as a landmark when reconstructing the length of the neck of the radius in replacement of the head with a prosthesis. The head was resected and its height measured, along with several control measurements. This was compared with in situ measurements from the stump of the neck to the proximal edge of the lesser sigmoid notch of the ulna. All the measurements were performed three times by three observers acting independently. The results were highly reproducible with intra- and interclass correlations of > 0.99. The mean difference between the measurement on the excised head and the distance from the stump of the neck and the lesser sigmoid notch was −0.02 mm (−1.24 to +0.97). This difference was not statistically significant (p = 0.78). The proximal edge of the lesser sigmoid notch provides a reliable landmark for positioning a replacement of the radial head and may have clinical application. |
Databáze: | OpenAIRE |
Externí odkaz: |