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Acta Orthopaedica et Traumatologica Turcica
Article . 2020 . Peer-reviewed
Data sources: Crossref
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Acta Orthopaedica et Traumatologica Turcica
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Dorsal apex curve of the proximal ulna

Authors: Adikrishna, Arnold; Kim, Je Yeon; Kekatpure, Aashay L.; Lee, Hyun-Joo; Kim, Minjae; Jeon, In-Ho;

Dorsal apex curve of the proximal ulna

Abstract

Abstract Objective: To analyze the apexes and angulations along the curvature in the posterior border of the proximal ulna–termed the “dorsal apex curve” (DAC)–using the computer-aided design software. Methods: Eight pairs of normal cadaveric ulnae were analyzed. The ulnar Cartesian coordinate system was standardized using a user-defined coordinate systems feature. DAC was defined by the best-fit curvature of serial apexes in the posterior border in axial cross-sections along the ulna, whereas the best-fit curvature was obtained using polynomials interpolation method. DAC apexes in three different planes were determined by calculating the second derivative value of curve function, and subsequently, DAC angulations were calculated. Statistical analysis was performed using analysis of variance with repeated measures with significance level set as 0.001. Results: The average ulnar length was 246±15 mm (224–274 mm). The average ratios of dorsal apex, varus apex, and edge point were 23±3% (17–27%), 33±4% (27–43%), and 10±1% (8–13%), respectively, relative to the ulnar length. The average amount of varus, dorsal, hook, and torsion angulation were 167±4° (157–172°), 176±1° (175–178°), 90±0°, and 31±10° (15–49°), respectively. We found no significant differences between left and right ulnae or between male and female ulnae. Conclusion: Dorsal apexes and angulations are important landmarks for surgeons when applying plates and attempting total elbow replacement surgery. This curve provides valuable information to medical manufacturers for modeling both plates and ulna components of artificial elbow joints.

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Keywords

Male, Dimensional Measurement Accuracy, Humans, Reproducibility of Results, Body Weights and Measures, Female, Ulna, Equipment Design, Middle Aged, Bone Plates, CAD; dorsal apex curve; proximal ulna; three-dimensional analysis

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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