中国临床解剖学杂志 ›› 2010, Vol. 28 ›› Issue (5): 533-.

• 断层影像解剖 • 上一篇    下一篇

膝关节交叉韧带和侧副韧带的断面解剖学研究及其意义

盛华均1, 徐 伟1, 周庭永1, 钱学华1
刘本菊1, 张 慧1, 李林宏1, 吕发金2   

  1. 1.重庆医科大学解剖学教研室,法医学与生物医学信息研究室; 2.重庆医科大学附属第一医院放射科,  重庆    400016
  • 收稿日期:2009-12-09 出版日期:2010-09-25 发布日期:2010-10-18
  • 通讯作者: 周庭永,教授,硕士生导师,E-mail:ztychina@126.com E-mail:shjxxh@ sina.com
  • 作者简介:盛华均 (1964-), 男,四川彭州市,讲师,主要从事临床应用解剖与断层解剖学研究,Tel:13008322181

Sectional anatomy and clinical significance of the cruciate ligaments and collateral ligaments of knee joint

SHENG Hua-jun, XU Wei, ZHOU Ting-yong, et al.   

  1. Department of Anatomy, Laboratory of Forensic Medicine and Biomedicine Information, Chongqing Medical University, Chongqing 400016, China
  • Received:2009-12-09 Online:2010-09-25 Published:2010-10-18

摘要:

目的 研究膝关节交叉韧带和侧副韧带的断面形态特征和变化规律,为诊断膝部韧带病变提供更为详尽的形态学资料。 方法 利用27例正常成人膝关节标本制作连续断面,其中矢状断面9例,冠状断面12例,横断面6例。通过横、矢、冠状断面标本,观测膝关节韧带的断面形态特征及定量测量。 结果 矢状面上测量前、后交叉韧带长度分别为(29.66±4.21)mm、(40.26±6.81)mm,厚度分别为(10.03±1.97)mm、(11.24±3.50)mm。冠状面上前、后交叉韧带长径分别为(15.18±3.25)mm、(18.79±3.35) mm,短径分别为(6.37±1.32)mm、(8.03±1.46)mm;胫、腓侧副韧带长度分别为(102.85±19.64)mm、(45.52± 14.91)mm,厚度分别为(2.63±0.72)mm、(3.43±1.04)mm。髁间隆起的横断面上胫、腓侧副韧带长径分别为(21.98±11.95)mm、(5.25±1.93)mm,短径分别为(2.03±0.59)mm、(2.87±0.64)mm。 结论 (1)观测交叉韧带最好的断面是膝关节正中矢状面,其次是正中旁开1个矢状断面。除厚度外,在矢状面上前后交叉韧带长度、股、胫骨附着区宽度均有明显差异。(2)胫、腓侧副韧带在连续的冠状断面及横断面上均可显示,以冠状断面配合横断面相对为佳。

关键词: 膝关节, 交叉韧带, 侧副韧带, 断面解剖

Abstract:

Objective To provide morphological basis for the imaging diagnosis of the ligament diseases of knee joint. Methods A total of 27 sides of adult genicular specimens were used in this study. 6 serial transverse,9 sagittal,and 12 coronal sections of 5mm in thickness were made respectively. The features and parameters of different ligaments on three-dimensional sections was observed and measured. Results On sagittal plane, the lengths of anterior and posterior cruciate ligaments were (29.66±4.21)mm and (40.26±6.81)mm, the thickness of anterior and posterior cruciate ligament were (10.03±1.97)mm and (11.24±3.50)mm respectively. On coronal plane, the longitudinal diameters of the two ligaments were (15.18±3.25)mm and (18.79±3.35)mm, and the transverse diameters (6.37±1.32)mm and (8.03±1.46)mm respectively. The lengths of tibial and fibular collateral ligament were (102.85±19.64)mm and (45.52±14.91)mm, and the thickness of them (2.63±0.72)mm and (3.43±1.04)mm respectively. On serial transverse plane passed through intercondylar eminence, the longitudinal diameter of tibial collateral ligament was (21.98±11.95)mm and the transverse one  (2.03±0.59)mm, as well the fibular collateral ligament  (5.25±1.93)mm and (2.87±0.64)mm respectively. Conclusions (1)The adequate plane for observing the cruciate ligament was the mid-sagittal plane and the lateral sagital plane. The lengths and the widths of the attachment region from femur to tibia between anterior cruciate ligament and posterior cruciate ligament were different, however, the thickness is the exception. (2)The collateral ligament can be seen clearly on transverse and coronal planes, especially on coronal ones. (3) Sagittal and coronal planes are better for observing the cruciate ligaments, otherwise, coronal and transverses planes for collateral ligaments.

Key words: Knee joint, Cruciate ligaments, Collateral ligaments, Sectional anatomy

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