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内侧楔骨与第2跖骨底间韧带的解剖研究及临床意义
  • ISSN号:1001-165X
  • 期刊名称:中国临床解剖学杂志
  • 时间:2012.3.3
  • 页码:119-122
  • 分类:R323.72[医药卫生—人体解剖和组织胚胎学;医药卫生—基础医学]
  • 作者机构:[1]同济大学附属同济医院骨科,上海200065
  • 相关基金:国家自然科学基金(81071471)
  • 相关项目:人体足横弓内在维持结构的应用解剖及生物力学研究
中文摘要:

目的测量内侧楔骨至第2跖骨底间韧带的相关参数,为临床治疗Lisfranc损伤提供解剖学依据。方法 20例新鲜成人足部标本,解剖测量背侧韧带、Lisfranc韧带和跖侧韧带的长、宽,并观测Lisfranc韧带的走行方向和其在内侧楔骨的起点位置。结果背侧韧带长为(5.44±0.83)mm,宽为(4.20±0.64)mm;跖侧韧带长为(7.07±1.05)mm,宽为(5.23±1.10)mm;Lisfranc韧带长为(9.33±1.34)mm,宽为(8.00±1.23)mm,其与第2跖骨干中轴近端夹角为(61.45±5.03)°,其在内侧楔骨外侧面起点距关节面背侧(10.89±0.84)mm,跖侧(8.31±0.92)mm,远端(5.35±0.60)mm,近端(12.04±0.85)mm。结论 Lisfranc韧带最为粗大,跖侧韧带次之,背侧韧带最为薄弱。内固定治疗Lisfranc损伤,可参照Lisfranc韧带起点位置和走行方向的解剖数据。

英文摘要:

Objective To explore anatomic features of the ligaments between the first cuneiform and the second metatarsal base,and provide basis for the treatment of Lisfranc injury.Methods 20 normal adult fresh foot specimens were dissected.The length and width of the ligaments between the first cuneiform and second metatarsal base,including dorsal ligament,plantar ligament and Lisfranc ligament,the included angle between Lisfranc ligament and the shaft of the second metatarsal bone,and the distance between the origin of Lisfranc ligament and the border of the first cuneiform,were measured and analyzed respectively.Results The lengths and widths of dorsal ligament,plantar ligament and Lisfranc ligament were(5.44±0.83)mm and(4.20±0.64)mm,(7.07±1.05)mm and(5.23±1.10)mm,(9.33±1.34)mm and(8.00±1.23)mm,respectively.The included angle between Lisfranc ligament and the shaft of the second metatarsal bone was(61.45±5.03)°.The distances from the origin of Lisfranc ligament to the dorsum of the first cuneiform,the planta of the first cuneiform,the distal and proximal end of the first cuneiform,were(10.89±0.84)mm,(8.31±0.92)mm,(5.35±0.60)mm,and(12.04±0.85)mm respectively.Conclusions Within the Lisfranc complex,the Lisfranc ligament is the largest one,the dorsal ligament is the smallest and the plantar ligament is in the middle among them.The origin site of Lisfranc ligament and the included angle between Lisfranc ligament and the shaft of the second metatarsal bone can provide reference for the treatment of Lisfranc injury.

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期刊信息
  • 《中国临床解剖学杂志》
  • 中国科技核心期刊
  • 主管单位:中国科学技术协会
  • 主办单位:中国解剖学会
  • 主编:欧阳均
  • 地址:广州市沙太南路1023号南方医科大学解剖学教研室
  • 邮编:510515
  • 邮箱:chjcana@126.com
  • 电话:020-61648203
  • 国际标准刊号:ISSN:1001-165X
  • 国内统一刊号:ISSN:44-1153/R
  • 邮发代号:46-108
  • 获奖情况:
  • 国内外数据库收录:
  • 被引量:19213