論文

査読有り 責任著者 国際誌
2021年2月

Morphological divergence in the curvature of human femoral diaphyses: Tracing the central mass distributions of cross‐sections

Journal of Anatomy
  • Takeshi Imamura
  • Keiko Ogami‐Takamura
  • Kazunobu Saiki
  • Ayami Hamamoto
  • Daisuke Endo
  • Kiyohito Murai
  • Keita Nishi
  • Junya Sakamoto
  • Keishi Okamoto
  • Joichi Oyamada
  • Yoshitaka Manabe
  • Toshiyuki Tsurumoto
  • 全て表示

239
1
開始ページ
46
終了ページ
58
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1111/joa.13399
出版者・発行元
Wiley

The diaphysis of the human femoral bone has a physiological anterior curvature; additionally, there is a curvature to the medial side or lateral side. In addition to compression stress from gravity during standing, walking, and running, these bones are continuously exposed to complex stresses from the traction forces of the various strong muscles attached to them. The femoral diaphysis is subjected to these mechanical stresses, and the direction and size of its curvature are defined according to Wolff's law and the mechanostat theory of Frost. The purpose of this study was to quantitatively evaluate the curvature of the femoral diaphysis in Japanese skeletons by determining the curve connecting the central mass distributions (CMD) of cross-sectional images. A total of 90 right femora (46 males and 44 females) were randomly selected from modern Japanese skeletal specimens. Full-length images of these bones were acquired using a clinical computed tomography scanner. The range between the lower end of the lesser trochanter and the adductor tubercle of each femur was divided at regular intervals to obtain ten planes, and nine levels were analyzed. The CMD curve was determined by connecting the CMDs of each of the nine cross-sections. First, the CMD of a cross-section in each of the nine slices was calculated, and the nine trajectories were superimposed from above. Then, by converting the shape of the entire CMD curve to superimpose the coordinates of the endpoint on the starting point, a closed arc representing the curvature of the femur was determined. For both males and females, the patterns varied from mostly medial to largely lateral curvature. The size of the curvature also varied for individuals. By analyzing only the coordinates of the vertex of the CMD curve of each femoral bone, the outlines of the diaphyseal curvatures could be recognized. The femora were thereby divided into two groups: medial bending and lateral bending. Considering males and females together, the number in the lateral-curvature group (n = 51) was larger than that in the medial-curvature group (n = 39). Moreover, the average age of the lateral-curvature group was significantly higher than that of the medial-curvature group (p < 0.05). In males, with an increase in the cortical bone proportion of the cross-sectional area, the anterior vertex of diaphyseal bending tended to be more prominent. This cortical proportion was significantly higher in the medial-curvature groups than in the lateral-curvature group (p < 0.01). The phenomena observed in this study may be related to pathophysiologies such as atypical fractures of the femur and osteoarthritis of the knee joints.

リンク情報
DOI
https://doi.org/10.1111/joa.13399
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33527352
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8197953
URL
https://onlinelibrary.wiley.com/doi/pdf/10.1111/joa.13399
URL
https://onlinelibrary.wiley.com/doi/full-xml/10.1111/joa.13399
ID情報
  • DOI : 10.1111/joa.13399
  • ISSN : 0021-8782
  • eISSN : 1469-7580
  • PubMed ID : 33527352
  • PubMed Central 記事ID : PMC8197953

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