한국인의 발허리뼈 특성과 길이 추정식 산출에 관한 연구
Morphometrics of the Metatarsal Bone and Regression Equation of the Metatarsal Length in Korean
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
최근 건강에 대한 관심이 높아지고 이에 따른 스포츠 여가 활동을 즐기는 인구가 증가하면서 나이와직업에 상관없이 발허리뼈의 피로골절이나 골절 또는 변형 등이 빈번하게 나타나고 있다. 발허리뼈 수술 및 치료로 절단술을 시행할 때 발허리뼈의 길이와 선열을 잘못 예측하였을 경우 합병증이 유발되므로 수술 부위에 대한 정확한 해부학적 구조의 이해는 필수적이다. 이에 본 연구자들은 한국인 발허리뼈의 특징을 구명하고 절단술시행 시 필요한 발허리뼈 길이의 추정식을 개발하기 위하여 본 연구를 실시하였다. 시신 27구(남자 15구, 여자 12구, 평균연령 69.2세)의 발 54쪽을 대상으로 각각의 발허리뼈의 전체길이와 관절면사이길이, 발허리뼈 머리에서 전체너비와 관절면너비, 발허리뼈 몸통에서 전체너비, 발허리뼈 바닥에서 전체너비와 관절면너비를 계측한 후 SPSS 13.0으로 통계처리하여 다음과 같은 발허리뼈 길이 추정식을 산출하였다. 첫째발허리뼈의 길이는 둘째발허리뼈 관절면길이×0.770+7.780이었고, 둘째발허리뼈 길이는 셋째발허리뼈 전체길이×0.976+6.050이며, 셋째발허리뼈 길이는 넷째발허리뼈 전체길이×1.000+0.922, 넷째발허리뼈 길이는 셋째발허리뼈 전체길이×0.917+4.167, 다섯째발허리뼈 길이는 넷째발허리뼈 전체길이×0.901+7.972로 나타났다. 이러한 결과들은 한국인의 발허리뼈의 구조적 특징을 구명하고 발허리뼈 수술 시 필요한 발허리뼈 길이의 추정식을 제시한 것으로 생각된다.
Abstract
As the interest in health is increasing and the population enjoyed the leisure sports is steadily increasing,the stress fracture, fracture or variant of metatarsal bone of foot has been shown frequently. The mistaken estimation about the length and rank of metatarsal bones during the osteotomy of the metatarsal bones of foot can be complicated. It is essential to have detailed knowledges about the anatomical structure of surgical region. This study aimed to investigate the metatarsal bones of foot and to develop a regression equation that can predict the length of metatarsal bones during the osteotomy. The subject of this study is fifty four feet (30M/224F). We measured the whole length and the article length of metatarsal bone. Also, we measured the whole width and the article width in the head, body, base of the metatarsal bone. The data was analyzed using SPSS win 13.0. The regression equation models of length of the metatarsal bones were developed by multiple regression analysis. The regression equation predicted first metatarsal length was second metatarsal articular length×0.770+7.780,second metatarsal length was third metatarsal length×0.976+6.050, third metatarsal length was fourth metatarsal length×1.000+0.922, fourth metatarsal length was third metatarsal length×0.917+4.167, fifth metatarsal length was fourth metatarsal length×0.901+7.972. The results of this study would be useful to clarify the characteristics of the metatarsal bone of the foot, to develop a regression equation for prediction of the length of the metatarsal bone.
참고문헌 (26)
- Aydinlioglu A, "Mathematical relations between the lengths of the metacarpal bones and phalanges: surgical significance", Tohoku J Exp Med, 185, pp.209~216 (1998)
- Bartolomei FJ, "Surgical correction of brachymetatarsia", J Am Podiatr Med Assoc, 80, pp.76~82 (1990)
- Brown GD, "Humans and Apes Compisd, Human Evolution, 1st edi", pp.59~60 (1995), Wm. C. Brown
- Byers S, "Determination of adult stature from metatarsal length", Am J Phys Anthropol, 79, pp.275~279 (1989)
- Case DT, "Sex determination from hand and foot bone lengths", J Forensic Sci, 52, pp.264~270 (2007)
- Choi IH, "Metatarsal lengthening in congenital brachymetatarsia: one-stage lengthening versus lengthening by callotasis", J Pediatr Orthop, 19, pp.660~664 (1999)
- Chuckpaiwong B, "Second metatarsal stress fracture in sport: comparative risk factors between proximal and non-proximal locations", Br J Sports Med, 41, pp.510~514 (2007)
- Cobey JC, "Standardizing methods of measurement of foot shape by including the effects of subtalar rotation", Foot Ankle, 2, pp.30~36 (1981)
- Nawoczenski DA, "Measurement of the medial longitudinal arch", Arch Phys Med Rehabil, 76, pp.45~49 (1995)
- Davidson G, "The influence of second toe and metatarsal length on stress fractures at the base of the second metatarsal in classical dancers", Foot Ankle Int, 28, pp.1082~1086 (2007)
- Davitt JS, "An association between functional second metatarsal length and midfoot arthrosis", J Bone Joint Surg Am, 87, pp.795~800 (2005)
- Dogan A, "Morphometric study of the human metatarsals and phalanges", Clin Anat, 20, pp.209~214 (2007)
- ElSaid AG, "First metatarsal bone: an anatomic study", Foot Ankle Int, 27, pp.1041~1048 (2006)
- Erdem M, "Lengthening of short bones by distraction osteogenesis-results and complications", Int Orthop, 33, pp.807~813 (2009)
- Ferrández L, "Congenital brachymetatarsia: three cases", Foot Ankle, 14, pp.529~533 (1993)
- Friderun Ankel-Simons, "Postcranial Skeleton, Primate Anatomy An Introduction, 3rd edi", pp.335~365 (2007), Elsevier
- Iwamoto J, "Stress fractures in athletes: review of 196 cases", J Orthop Sci, 8, pp.273~278 (2003)
- Kim HT,Lee SH,Yoo CI, "The management of brachymetatarsia", Bone Joint Surg Br, 85, pp.683~690 (2003)
- Largey A, "Three-dimensional analysis of the intrinsic anatomy of the metatarsal bones", J Foot Ankle Surg, 46, pp.434~441 (2007)
- Lee KT, "Stress fractures in foot and ankle, Foot and Ankle Surgery, 1st edi", pp.486~495 (2004), Koonja Publication
- Magnan B, "Metatarsal lengthening by callotasis during the growth phase", J Bone Joint Surg Br, 77, pp.602~607 (1995)
- McFadden D, "The relative lengths and weights of metacarpals and metatarsals in baboons (papio hamadryas)", Horm Behav, 43, pp.347~355 (2003)
- Munuera PV, "Length of the first metatarsal and hallux in hallux valgus in the initial stage", Int Orthop, 32, pp.489~195 (2008)
- Nigg BM, "Effects of arch height of the foot on angular motion of the lower extremities in running", J Biomech, 26, pp.909~916 (1993)
- Saltzman CL, "Measurement of the medial longitudinal arch", Arch Phys Med Rehabil, 76, pp.45~49 (1995)
- Torg JS, "Fracture of the base of the fifth metatarsal distal to the tuberosity", Orthopedics, 13, pp.731~737 (1990)