Quantitative measurements of facets on the ulnar coronoid process from reformatted CT images

基于重建CT图像对尺骨冠突关节面进行定量测量

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Abstract

BACKGROUND: To quantify the size and angle of the medial and lateral facets of the ulnar coronoid process by reformatted computed tomography (CT) imaging. METHODS: Elbow CT images were retrospectively selected from the picture archiving and communication system in our hospital over a 5-year period (January 2011 to December 2015). The widths, heights, gradient and tilt angles of both the medial and lateral facet of the ulnar coronoid process were measured using two-dimensional (2D) reformations of CT images. RESULTS: Our database research yielded 120 elbow joints (53 right, 67 left) of 120 patients (54 males, 66 females) which fulfilled our criteria. The average width of the two facets of the ulnar coronoid process were 13.34±1.85 mm for the medial facet and 8.39±1.29 mm for the lateral facet. The average height of the medial facet was 18.45±3.38 mm and the lateral facet was 17.55±3.81 mm. The average tilt angles of medial and lateral facet were 80.34°±7.71° and 98.78°±5.71° respectively. The average gradient angles of the medial and lateral facet ridge were 60.02°±8.78° and 36.97°±4.99° respectively. The length of the lateral facet ridge was longer than the medial facet ridge. CONCLUSIONS: Reformatted CT images allow for multiple, accurate measurements of facets on the ulnar coronoid process. These measurements can be applied to guiding appropriate surgical interventions for fractures in this area.

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