腘腓韧带解剖观察及其临床意义
Morphological study and clinical significance of popliteofibular ligament
目的 为临床腘腓韧带损伤的诊治提供解剖学基础。 方法 对61侧成人膝关节标本进行解剖，观察腘腓韧带形态及与周围结构关系。 结果 腘腓韧带出现恒定，位于腘肌腱与腓骨头之间。 88.5%（54）的腘腓韧带为明显增厚的韧带，前宽后窄；11.5%（7）则呈筋膜形态。腘腓韧带前缘长（10.47±2.38）mm，后缘长（6.24±1.71）mm，宽（8.90±3.12）mm，厚（1.23±0.48）mm。其与腘肌腱的夹角为（120.2± 15.2）°，距腓侧副韧带距离为（9.67±3.87）mm。 结论 腘腓韧带是组成膝关节后外侧重要结构之一，但其形态变异较大；了解其解剖特点，对腘腓韧带损伤诊断及解剖重建有重要意义。
Objective To provide anatomic basis of the popliteofibular ligament (PFL) for clinical diagnosis and surgical treatment on its injury. Methods We performed this anatomical study on the PFL and its surrounding structures using 61 formalin-fixed knees, observing and measuring its length, width, thickness, and relationship with surrounding structures. Results The PFL consistently existed, it originated from popliteal tendon and inserted into styloid process of the fibular. It was fan-like shaped. PFL presented as ligament (89.5%) or fascia (11.5%). It was on an average (10.47±2.38)mm in posterior margin length, (6.24±1.71)mm in anterior margin length, (8.90±3.12)mm in width, 1.23±0.48mm in thickness. The angle between PFL and popliteal tendon was(120.2±15.2)°, the distance between anterior margin of PFL and posterior margin of lateral collateral ligament was (9.67±3.87) mm. Conclusions The PFL was one of posterolateral structure of knee, and it constantly existed but variable. So, with a good knowledge of its anatomic characteristics can be useful for the diagnosis and treatment for the PFL injuries.
[1] Higgins H. The popliteus muscle
[J]. J Anat Physiol, 1895, 29(Pt 4):568-573.
[2] Ishigooka H, Sugihara T. Anatomical study of the popliteofibular ligament and surrounding structures
[J]. Orthop Sci, 2004, 9(1):51-58.
[3] Oransky M, Canero G, Maiotti M. Embryonic development of the posterolateral structures of the knee
[J]. Anat Rec, 1989, 225(4):347-354.
[4] 宣 芸，于春水，李云生. 腘腓韧带的形态特点及功能
[J]. 中国临床解剖杂志, 2003, 21(2):150-151.
[5] Maynard MJ, Deng X, Wickiewicz TL, et al. The popliteofibular ligament: Rediscovery of a key element in posterolateral stability
[J]. Am J Sports Med, 1996, 24(3):311-316.
[6] Suda Y, Fujikawa K, Matsumoto H, et al. Anatomical functional study of lateral structures of the knee: morphology of posterolateral structures
[J]. Central Jpn J Orthop Surg Trauma, 1993, 36:1411-1412
[7] Aronowiz ER, Parker RD, Gatt CJ. Arthroscopic identification of the popliteofibular ligament
[J]. Arthroscopy, 2001, 17(9):932-939.
[8] Raheem O, Philpott J, Ryan W, et al. Anatomical variations in the anatomy of the posterolateral corner of the knee
[J]. Knee Surg Sports Traumatol Arthrosc, 2007, 15(7):895-900.
[9] Wadia FD, Pimple M, Gajjar SM, et al. An anatomic study of the popliteofibular ligament
[J]. Int Orthop, 2003, 27(3):172-174.
[10] 陈疾忤, 陈世益, 吴伟. 腘腓韧带的解剖生物力学特点及其临床意义
[J]. 中国临床解剖杂志, 2005, 23(5):490-493.
[11]Jacobson K. Technical pitfalls of collateral ligament surgery
[J]. Clin Sports Med, 1999, 18(4):847-882.
[12]Moorman C, LaPrade R F. Anatomy and biomechanics of the posterolateral corner of the knee
[J]. J Knee Surg, 2005, 18(2):137-145.
[13]Mariania PP, Beckerb R. Surgical treatment of posterior cruciate ligament and posterolateral corner injuries.An anatomical, biomechanical and clinical review
[J]. Knee, 2003, 10(4):311-324.
[14]Hughston JC, Andrews JR, Cross MJ, et al. Classification of knee ligament instabilities.Part ii. the lateral compartment
[J]. J Bone Joint Surg Am, 1976, 58(2):173-178.
[15]Haslama PG, Bickerstaffb DR. Postero-lateral rotatory instability
[J]. Curr Orthop, 2007, 21:451-456.
[16]Zhang H, Feng H, Hong L. Popliteofibular ligament reconstruction for posterolateral external rotation instability of the knee
[J]. Knee Surg Sports Traumatol Arthrosc, 2009, 17(9):1070-1077.
第二军医大学创新能力培养基金（ZD2010014）
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