踝关节周围稳定韧带的形态及性别差异

Morphology and gender differences of stabilizing ligaments around the ankle joint

目的:解剖观测男、女性踝关节稳定韧带——距腓前/后韧带(ATFL/PTFL)、跟腓韧带(CFL),分析数据差异,为踝关节疾病的预防和诊治提供依据。方法:解剖观测男、女性踝关节韧带,精准测量韧带前、后缘长度,韧带起止点、最宽距、厚度等,并进行统计分析;MRI断层扫描踝关节,观测外侧韧带。结果:男、女性踝部韧带的部分形态学数据差异具有统计学意义,男性CFL和PTFL长于女性,ATFL长度无差异;女性ATFL和CFL宽于男性,PTFL则相反;厚度无差异。结论:女性踝关节稳定韧带形态异于男性,女性更应重视对踝周韧带的保护和锻炼。对踝关节疾患的诊疗和复建应考虑性别差异。

Objective:To observe and measure normal stabilized ligaments around the ankle joint in male and female specimens including anterior talofibular ligament(ATFL),calcaneofibular ligaments(CFL),and posterior talofibular ligaments(PTFL),so as to find out the data differences between males and females,and provide an anatomic foundation for the precaution,diagnosis,and rehabilitation of the ankle injury.Methods:Anatomical observation was carried on male and female ligaments.Precision measure and statistics were done on the length of anterior and posterior borders,the ligament’s origin and insertion points,the widest distance,and the thickness.MRI scanning were performed to examine the lateral ligaments.Results:The morphological data differences of ankle ligaments between males and females were statistically significant.In males,CFL and PTFL were longer than in females,while there was no difference in ATFL length.In females,ATFL and CFL were wider than in males,whereas PTFL was the opposite.However,there was no difference in thickness.Conclusions:The morphology of ankle stabilizing ligaments differs between females and males,emphasizing the need for greater attention to ankle ligament protection and exercises in females.Gender differences should be considered in the diagnosis,treatment,and rehabilitation of ankle joint disorders.