Bassett韧带的解剖学研究及其临床意义

李锋侦; 刘志刚

doi:10.13418/j.issn.1001-165x.2018.01.004

中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (1) : 14-16. DOI: 10.13418/j.issn.1001-165x.2018.01.004

应用解剖

Bassett韧带的解剖学研究及其临床意义

李锋侦¹，　刘志刚²

作者信息 +

The anatomical features and the clinical significance of the Bassett's ligament

LI Feng-zhen¹, LIU Zhi-gang²

Author information +

文章历史 +

摘要

目的　通过对Bassett韧带的精细解剖，明确其解剖特点，探讨其功能及临床意义。方法　取10例成人完整踝关节标本，观察韧带的起止点，走行,毗邻关系，并对相应解剖参数进行精细测量(包括它们的长度、宽度和厚度)。结果　8例踝关节标本存在Bassett韧带，起自胫骨远端前侧止于腓骨外踝前侧，形状呈四方形，走行与下胫腓前韧带平行，长17.86~18.56 mm，宽3.22~3.89 mm，厚0.67~1.47 mm。结论　Bassett韧带是一正常韧带组织结构，通过模拟此韧带损伤机制可探讨其造成踝关节前外侧胫距撞击综合征机制。

Abstract

Objective The purpose of the study is to describe the precise anatomical characteristics of the Bassett's ligament, and to explore the physiological function and the clinical significance. Methods The study was performed on 10 ankle joints of frozen-fresh cadaveric ankles. The precise location of origin,insertion points, and topogeography were carefully observed，and the precise anatomical parameters（their length, width and thickness）were also recorded. Result The Bassett's ligament was present in 8 of 10 ankles, and ran obliquely from anterior tibial tubercles to anterior peroneal tubercles. The shape was quardrangular. Its orientation was parallel and distal to the anterior tibiofibular ligament, its length ranged from 17.86 to 18.56 mm, its width from 3.22 to 3.89 mm，and its thickness from 0.67 to 1.47 mm. Conclusions The Bassett's ligament reflects a normal anatomical finding, and the cause of tibiotalar impingement syndrome can be explored by investigating the simulated mechanism of injury of the ligament.

导出引用

李锋侦,刘志刚. Bassett韧带的解剖学研究及其临床意义[J]. 中国临床解剖学杂志. 2018, 36(1): 14-16 https://doi.org/10.13418/j.issn.1001-165x.2018.01.004

LI Feng-zhen, LIU Zhi-gang. The anatomical features and the clinical significance of the Bassett's ligament[J]. Chinese Journal of Clinical Anatomy. 2018, 36(1): 14-16 https://doi.org/10.13418/j.issn.1001-165x.2018.01.004

参考文献

[1] 于涛，俞光荣. 踝关节外侧不稳定的生物力学研究进展[J]. 中国骨与关节损伤杂志, 2010, 25(1):94-96.
[2] Hermans JJ, Beumer A, de Jong TA, et al. Anatomy of the distal tibiofibular syndesmosis in adults: a pictorial essay with a multimodality approach [J]. J Anat, 2010,217(6):633-45.
[3] 许涛, 刘志刚, 宋良松, 等. 距腓前韧带与踝间后韧带的解剖学研究及其临床意义[J]. 中国临床解剖学杂志, 2012, 30(04):379-381, 384.
[4] Nikolopoulos CE, Tsirikos AI, Sourmelis S, et al. The accessory anteroinferior tibiofibular ligament as a cause of talar impingement: a cadaveric study[J]. Am J Sports Med, 2004, 32(2), 389-395.
[5] Bassett FH 3rd, Gates HS 3rd, Billys JB, et al. Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain[J]. J Bone Joint Surg Am, 1990, 72(1):55-59.
[6] Right RW, Barile RJ, Surprenant DA, et al. Ankle syndesmosis sprains in National Hockey League players[J]. Am J Sports Med, 2004, 32(8):1941-1945.
[7] Ogl TJ, Hochmuth K, Diebold T, et al. Magnetic resonance imaging in the diagnosis of acute injured distal tibiofibular syndesmosis[J]. Invest Radiol 1997, 32(7):401-409.
[8] 杨小军, 郗艳, 姚伟武. 健康人Bassent’s韧带的MRI最佳扫描层面的探索及测量[J]. 医学影像学杂志, 2016, 26(3):503-506.
[9] Ray RG, Kriz BM. Anterior inferior tibiofibular ligament. Variations and relationship to the talus[J]. J Am Podiatr Med Assoc, 1991, 81(9):479-485.