鹅足区肌腱止点的形态学特点及其意义

汪淼; 冯泽坤; 陆子轩; 周睿; 张喜; 郭晓丹

doi:10.13418/j.issn.1001-165x.2016.01.013

中国临床解剖学杂志 ›› 2016, Vol. 34 ›› Issue (1) : 46-49. DOI: 10.13418/j.issn.1001-165x.2016.01.013

应用解剖

鹅足区肌腱止点的形态学特点及其意义

汪淼¹，　冯泽坤²，　陆子轩¹，　周睿¹，　张喜³，　郭晓丹³

作者信息 +

The morphologic features and meaning of the tendons in pesanserinus

WANG Miao¹, FENG Ze-kun²， LU Zi-xuan¹, ZHOURui¹, ZHANG Xi³, GUO Xiao-dan³

Author information +

文章历史 +

摘要

目的　通过对鹅足区3肌止点位置、排列关系, 及其表面的神经分布进行解剖学测量和分析，临床改良股薄肌腱、半腱肌腱自体移植的手术入路提供解剖学基础。方法　选用69例经福尔马林防腐固定的成人尸体下肢标本，解剖观测鹅足区表面神经走行及肌腱排列关系。结果　鹅足区肌腱止点处排列成3种形态，腱蹼胫骨下界位于胫骨结节下缘以下(1.765±0.759) cm处，半腱肌、股薄肌、缝匠肌距胫骨嵴内侧缘平均距离分别为(1.550±0.557)、(1.376±0.551)、(1.294±0.629) cm。该区表面主要有隐神经及其发出的髌下支走行，在胫骨结节水平，隐神经主干和髌下支距胫骨嵴内侧缘距离分别为(7.071±0.696)、(4.033±0.991)cm。结论　熟悉鹅足区肌腱止点的形态学特点，可以改进该区域肌腱移植时手术入路，提高手术质量，减少并发症的发生率。

Abstract

Objective　The aim of this study was to delineate the consistent anatomical structures in the pesanserinus and to provide an applied anatomic data for location the tendons on pesanserinus in autograft surgery.　Methods　Sixty-nine lower extremities from fixed cadavers were dissected to expose the pesanserinus. The locations of end point of sartorius, semitendinosus, and gracilis were measured.　Results　Three types of array pattern of the tendons in pesanserinus were found. The lower bound of tendons in pesanserinus was located (1.765±0.759) cm below the transverse plane of tibial tubercle. And the horizontal range between ending point of semitendinosus, gracilis, sartorius, to tibial crest was (1.550±0.557), (1.376±0.551), and (1.294±0.629) cm, the horizontal range between Saphenous nerve，Infrapatellar branch to tibial crest was (7.071±0.696)，(4.033±0.991) cm.　Conclusion　Knowledge of the microsurgical features of the tendons in pesanserinus would help to better the approach in autograft surgery, which can improve the quality of in autograft surgery.

导出引用

汪淼，冯泽坤，陆子轩，周睿，张喜，郭晓丹. 鹅足区肌腱止点的形态学特点及其意义[J]. 中国临床解剖学杂志. 2016, 34(1): 46-49 https://doi.org/10.13418/j.issn.1001-165x.2016.01.013

The morphologic features and meaning of the tendons in pesanserinus[J]. Chinese Journal of Clinical Anatomy. 2016, 34(1): 46-49 https://doi.org/10.13418/j.issn.1001-165x.2016.01.013

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