解剖学报

解剖学报 ›› 2020, Vol. 51 ›› Issue (4): 561-565.doi: 10.16098/j.issn.0529-1356.2020.04.015

• 解剖学 • 上一篇    下一篇

基于防腐标本的胫腓连结解剖特点及临床意义

杨晋1 王萍2 张磊3,4* 程翰文5 罗蓓5 王俊秋6 奉琦5 贾文利5   

  1. 1.遵义医科大学附属医院关节外科，贵州 遵义 563003; 2.西南医科大学临床医学院2017级，四川 泸州 646000; 3.西南医科大学附属中医医院骨伤科，四川 泸州 646000;   4.泸州市院士工作站，四川 泸州 646000; 5.西南医科大学临床医学院2016级，四川 泸州 646000;6.西南医科大学中西医结合学院2016级，四川 泸州 646000
  • 收稿日期:2019-05-13 修回日期:2019-05-24 出版日期:2020-08-06 发布日期:2020-08-06
  • 通讯作者: 张磊 E-mail:307501597@qq.com
  • 基金资助:
    2017年西南医科大学科技成果转化类项目：关节肢段封闭式熏洗仪

Anatomy and clinical significance of the tibiofibular syndesmosis on anticorrosive specimens#br#

YANG Jin1 WANG Ping2 ZHANG Lei3,4* CHENG Han-wen5 LUO Bei5 WANG Jun-qiu6 FENG Qi5 JIA Wen-li5

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  1. 1.Department of Joint Surgery, Affiliated Hospital of Zunyi Medical University, Guizhou Zunyi 563003, China; 2. Grade 2017, School of Clinical Medicial Sciences, Southwest Medical University, Sichuan Luzhou 646000, China;   3.Department of Orthopedics, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Sichuan Luzhou 646000, China; 4.Academician Workstation in Luzhou, Sichuan Luzhou 646000, China;  5. Grade 2016, School of Clinical Medicial Sciences, Southwest Medical University, Sichuan Luzhou 646000, China; 6. Grade 2016, School of Integrated Chinese and Western Medicine, Southwest Medical University, Sichuan Luzhou 646000,China
  • Received:2019-05-13 Revised:2019-05-24 Online:2020-08-06 Published:2020-08-06
  • Contact: ZHANG Lei E-mail:307501597@qq.com

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摘要：

目的 基于防腐标本胫腓连结的解剖特点，探讨胫腓连结的临床意义。  方法 选取西南医科大学的51份胫腓连结防腐标本，通过对标本进行解剖，观察其结构解剖特点，并测量胫腓连结相关几何数据。  结果 分别测量胫腓前、后、下横韧带的几何数据，用均值±标准差描述，包括：胫腓前韧带近端长度、远端长度、宽度分别为（8.53±0.69、19.06±1.34、15.99±1.44）mm；胫腓后韧带近端长度、远端长度、宽度分别为（9.34±0.63、16.92±1.76、14.36±0.89）mm；胫腓横韧带近端长度、远端长度、宽度分别为（18.42±2.48、21.93±2.59、4.56±0.17）mm；胫腓前韧带与冠状面夹角、与水平面夹角分别为（20.49±4.86、42.20±3.42）°；胫腓后韧带与冠状面夹角、与水平面夹角分别为（13.2±2.06、40.92±3.13）°；胫腓横韧带与冠状面夹角、与水平面夹角分别为（13.45±1.57、32.73±3.70）°；数据分析显示，胫腓前、后、横韧带在男女之间差异存在统计学意义，而在左右足之间差异无统计学意义。  结论 胫腓连结对踝关节的稳定性具有重要意义，其解剖结构对临床治疗有重要指导意义。

关键词:  胫腓连结, 踝关节, 防腐标本, 局部解剖学, 人

Abstract:

Objective To research the clinical significance of the tibiofibular syndesmosis based on the anatomical characteristics of the tibiofibular syndesmosis.   Methods A total of 51 tibiofibular syndesmosis collected from Southwest Medical University were measured based on the anatomical characteristics of the lower tibia and fibula of anticorrosive specimens.   Results The geometrical data of the anterior tibiofibular ligament, posterior tibiofibular ligament and transverse tibiofibular ligament were measured respectively, and mean ± standard deviation was described. Include: the length, width, thickness of the anterior tibiofibular ligament (8.53±0.69, 19.06±1.34, 15.99±1.44) mm, the length, width, thickness of the posterior tibiofibular ligament (9.34±0.63, 16.92±1.76, 14.36±0.89) mm, the length, width, thickness of the transverse tibiofibular ligament (18.42±2.48, 21.93±2.59, 4.56±0.17) mm. The angel between the anterior tibiofibular ligament and the coronal surface and the angle of the horizontal plane were (20.49±4.86, 42.20±3.42)°. The angel between the posterior tibiofibular ligament and the coronal surface and the angle of the horizontal plane were (13.2±2.06, 40.92±3.13) °. The angel between the transverse tibiofibular ligament and the coronal surface and the angle of the horizontal plane were (13.45±1.57, 32.73±3.70)°. According to the data analysis, the anterior, posterior and transverse tibiofibular ligaments have statistical difference between men and women, but there is no statistical difference between left and right feet.   Conclusion The tibiofibular syndesmosis is of great significance to the stability of the ankle joint and the anatomical structure has important guiding significance for clinical treatment.

Key words: Tibiofibular syndesmosis, Ankle joint, Anticorrosive specimen, Local anatomy, Human

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