拇指腕掌关节韧带的解剖学特点及其临床意义

李建峰,吴金英,李海雷,刘井达,赵亮,李大村

中国临床解剖学杂志 ›› 2016, Vol. 34 ›› Issue (6) : 605-608.

中国临床解剖学杂志 ›› 2016, Vol. 34 ›› Issue (6) : 605-608. DOI: 10.13418/j.issn.1001-165x.2016.06.002
应用解剖

拇指腕掌关节韧带的解剖学特点及其临床意义

  • 李建峰1 , 吴金英2 , 李海雷1 , 刘井达1 , 赵亮1 , 李大村1
作者信息 +

Anatomic characteristic and clinical significance of carpometacarpal ligament of thumb

  • LI Jian-feng1,WU Jin-ying2, LI Hai-lei1, LIU Jing-da1, ZHAO Liang1, LI Da-cun1
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文章历史 +

摘要

目的 研究拇指腕掌关节韧带的解剖学特点及各韧带在拇指运动中的作用,为韧带重建提供形态学基础。  方法 放大镜下解剖成人男性尸体20例新鲜手标本,观察拇指腕掌关节韧带的起止点及附着部位,分别测量各韧带在中立位下的长、宽、厚及最大拉伸长度,测量关节的活动范围。  结果 拇指腕掌关节周围共5条韧带,其中桡背韧带、后斜韧带、前斜韧带为囊内韧带,第1骨间韧带、尺侧韧带为囊外韧带。在囊内韧带中,最厚的是桡背韧带(2.08±0.27) mm,最薄的是前斜韧带(1.14±0.17) mm。最宽的是前斜韧带(9.33±1.09) mm,最窄的是后斜韧带(7.23±0.88) mm。延伸率最大的是桡背韧带(57.33±9.21%),最小的是前斜韧带(38.43±8.26%)。  结论 拇指腕掌关节存在三级稳定结构,在关节囊韧带中,桡背韧带厚韧而紧张,对维持关节稳定性起重要作用,前斜韧带薄而松弛,外伤或自发性劳损引起退行性变可能性较大,拇指腕掌关节炎应该首选重建前斜韧带。

Abstract

Objective To study the anatomical characteristics of the ligaments of the carpometacarpal joint of thumb and the role of the ligaments in the thumb movement. Methods  20 fresh hand specimens of adult male cadavers were dissected under the magnifying glass, and the starting and ending points and attachment sites of the carpometacarpal joint of thumb. The length, width, thickness and maximum length of each ligament in the neutral position were measured. The range of the motion of the joint was also measured. Results There are 5 ligaments around the carpometacarpal joint of thumb. Among these ligaments, the dorsal radial ligament, posterior oblique ligament, and anterior oblique ligament are the joint capsular ligament, while the first inter-metacarpal ligament, and the ulnar ligament are the extra capsular ligament. The dorsal radial ligament is the thickest (2.08±0.27 mm), and the thinnest is the anterior oblique ligament(1.14±0.17 mm).The anterior oblique ligament is the widest(9.33±1.09 mm), and the narrowest is the posterior oblique ligament(7.23±0.88 mm). The longest elongation is the dorsal radial ligament(57.33%±9.21%), and the shortest is the anterior oblique ligament(38.43%±8.26%). Conclusion The carpometacarpal joint of thumb has three stable structures. In the joint capsule and ligaments structure, the dorsal radial ligament is thickest and most tenacious. It is the main ligament to maintain the joint stability. The anterior oblique ligament is thin and loose,making it vulnerable to degenerative change when injured or spontaneously strained, which then should be reconstructed in the first place.

关键词

拇指 / 腕掌关节 / 韧带 / 解剖

Key words

Thumb / Carpometacarpal joint / Ligament / Anatomy

引用本文

导出引用
李建峰,吴金英,李海雷,刘井达,赵亮,李大村. 拇指腕掌关节韧带的解剖学特点及其临床意义[J]. 中国临床解剖学杂志. 2016, 34(6): 605-608 https://doi.org/10.13418/j.issn.1001-165x.2016.06.002
LI Jian-feng,WU Jin-ying, LI Hai-lei, LIU Jing-da, ZHAO Liang, LI Da-cun. Anatomic characteristic and clinical significance of carpometacarpal ligament of thumb[J]. Chinese Journal of Clinical Anatomy. 2016, 34(6): 605-608 https://doi.org/10.13418/j.issn.1001-165x.2016.06.002

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基金

北京市科委2015年首都临床特色应用研究 (Z151 100004015053 )


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