中国临床解剖学杂志 ›› 2013, Vol. 31 ›› Issue (4): 369-372.

• 应用解剖 •    下一篇

肘关节尺侧副韧带前束等长重建的定位点解剖研究

潘昭勋, 崔岩, 管清丽, 王业鑫,  张洪鑫, 王昌德    

  1. 解放军第89医院骨科,   山东   潍坊    261021
  • 收稿日期:2013-06-20 出版日期:2013-07-25 发布日期:2013-07-24
  • 作者简介:潘昭勋(1962-),男,山东寿光人,主任医师,研究生导师,研究方向:关节外科、运动医学,Tel:0536-8439101

Anatomic study of the anchor points of anterior bundle isometric reconstruction of elbow ulnar collateral ligament

PAN Zhao-xun, CUI Yan, GUAN Qing-li, WANG Ye-xin, ZHANG Hong-xin, WANG Chang-de   

  1. Department of Orthopedics, The eighty-ninth Hospital of PLA, Weifang 261021, Shandong Province, China
  • Received:2013-06-20 Online:2013-07-25 Published:2013-07-24

摘要:

目的 通过解剖研究探讨肘关节尺侧副韧带前束等长重建的最佳定位点。  方法  8具成人尸体完整肘关节标本,在尺侧副韧带前束上、下止点区域分别取各3个定位点,两两配对后分别测量上、下两点之间的距离在各个角度的变化,并进行统计学分析。  结果 肘关节旋转中心至冠突下方尺骨粗隆最高点的距离变化与其他各组相比最小 (P<0.0001)。上止点定位于肘关节旋转中心时距离变化最小,与其它两个上定位点相比差异有显著性(P<0.0001)。  结论 等长重建肘关节尺侧副韧带前束的最佳定位点位于肘关节旋转中心点到冠突下方尺骨粗隆最高点。

关键词: 肘关节, 尺侧副韧带, 等长性, 解剖研究

Abstract:

Objective To find the optimal anchor points of anterior bundle isometric reconstruction of the elbow ulnar collateral ligament through anatomic study. Methods 3 anchor points were marked near both proximal and distal ends of the anterior bundle of the elbow ulnar collateral ligament on 8 intact human adult elbow specimens. The distance variation was measured in each pair of points on both sides while flexing the elbow from 0 degree to 120 degree and was analysed statistically. Results Distance variation of the pair from the elbow rotation center on the humeral medial epicondyle to ulnar subcoronoid tubercle was minimal (P<0.0001). When proximal points were fixed on elbow rotation center, the distance variation was significantly less than the other 2 proximal points with significant difference (P<0.0001). Conclusion The optimal anchor points of the anterior bundle isometric reconstruction of the elbow ulnar collateral ligament is elbow rotation center on the humeral medial epicondyle and ulnar subcoronoid tubercle;

Key words: Elbow joint, Ulnar collateral ligament, Isometric, Anatomic study

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