摘要
目的:测量踝关节外侧距腓前韧带、跟腓韧带的相关解剖学参数,为临床踝关节外侧韧带重建提供解剖学依据。方法:26例足部标本,解剖测量距腓前韧带、跟腓韧带的长度,插入角度,止点宽度及与骨性结构的毗邻关系。结果:标本距腓前韧带平均长度为(20.08±2.16)mm,腓骨侧止点宽为(8.75±1.8)mm,距骨侧止点宽度为(9.26±1.34)mm;影像学测量距腓前韧带的插入角度:足中立位侧位与腓骨长轴成角81°±11°,正位与腓骨长轴成角67°±7°。与外科标志的毗邻关系:距腓前韧带在距骨止点与距骨颈上缘的垂直距离为(12.92±0.93)mm,距腓前韧带腓骨侧止点与腓骨尖的距离为(11.44±0.61)mm。跟腓韧带平均长度为(32.72±9.17)mm,跟骨侧止点宽为(5.08±0.77)mm,腓骨侧止点宽为(4.76±0.62)mm。影像学的韧带插入角度:足中立位侧位上与腓骨长轴成角47°±16°。与外科标志的毗邻关系:跟腓韧带腓骨侧止点与腓骨尖的距离(3.74±0.55)mm;跟腓韧带跟骨侧止点与距下关节面的垂直距离(12.62±2.08)mm。结论:踝关节距腓前韧带、跟腓韧带长度及止点处宽度较为恒定,跟腓韧带插入角度变异较大。在进行踝关节外侧韧带重建时,需考虑其解剖学特点。
Objective :To measure anatomy of anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) and their relationship to adjacent osseous structures, in order to provide anatomical reference to surgical procedures. Methods: Twenty-six human ankle cadavers were used in this study. The mean value of length, insertion width, insertion angle and distance to adjacent osseous structures were measured. Results: The lengths of ATFL and CFL were (20.08 ±2.16) mm and (32.72 ±9.17) mm. The width of ATFL were (8.75 ± 1.8 ) mm (proximal) and ( 9.26 ± 1.34) mm (distal) respec- tively. The distanee of distal ATFL footprint to the upper-surface of talus neck were ( 12.92 ± 0.93 ) ram, the distance of proximal ATFL footprint to fibular tip were ( 11.44 ±0.61 ) mm. The width of CFL were (4.76 ±0.62) mm (proximal) and (5.08 ±0.77) mm (distal) respectively. The distance of proximal CFL footprint to fibular tip were (3.74 ± 0.55 ) mm, The distance of distal CFL footprint to the surface of subtalar joint were ( 12.62 ± 2.08 ) mm. The insertion angle with fibular axis in lateral view of ATFL and CFL were 81°± 11°and 47° ±16° respectively. ATFL in anterioposterior view had 67° ±7° angle with fibular axis. Conclusion: The length and width of ATFL and CFL were relatively constant. The lateral insertion angle was relatively with large variation. These data may provide reference for reconstruc- ting lateral ankle ligaments.
出处
《北京大学学报(医学版)》
CAS
CSCD
北大核心
2013年第5期679-683,共5页
Journal of Peking University:Health Sciences
关键词
踝关节
外侧韧带
踝
解剖学
Ankle joint
Lateral ligament, ankle
Anatomy