基于MRI下胫腓联合韧带的解剖学特点及临床意义

doi:10.16098/j.issn.0529-1356.2022.05.013

解剖学报 ›› 2022, Vol. 53 ›› Issue (5): 628-632.doi: 10.16098/j.issn.0529-1356.2022.05.013

基于MRI下胫腓联合韧带的解剖学特点及临床意义

张磊¹ 杨思艺² 张小红² 曹兴旺² 夏章容³ 周鑫^1*

1. 西南医科大学附属中医医院骨伤科，四川泸州 646600; 2. 西南医科大学中西医结合学院，四川泸州 646600; 3. 西南医科大学临床医学院，四川泸州 646600

收稿日期:2021-08-08 修回日期:2021-10-08 出版日期:2022-10-06 发布日期:2022-10-06
通讯作者: 周鑫 E-mail:285522951@qq.com
基金资助:
2020年四川省卫生健康委员会科研课题（普及应用项目）;2019年泸州市人民政府-西南医科大学钟世镇院士人才团队子项目;2020年西南医科大学校级科研项目

Anatomical characteristics and clinical significance of the syndesmosis based on MRI

ZHANG Lei¹ YANG Si-yi² ZHANG Xiao-hong² CAO Xing-wang² XIA Zhang-rong³ ZHOU Xin^1*

1. Department of Orthopedics, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Sichuan Luzhou 646600, China; 2. School of Integrated Traditional Chinese and Western Medicine, Southwest Medical University, Sichuan Luzhou 646600, China; 3.School of Clinical Medicine, Southwest Medical University, Sichuan Luzhou 646600, China

Received:2021-08-08 Revised:2021-10-08 Online:2022-10-06 Published:2022-10-06
Contact: ZHOU Xin E-mail:285522951@qq.com
Supported by:
Health Commission of Sichuan Province Science and Research Project (Popularization and Application Project);Government-Southwest Medical University Shi-zhen Zhong Academician Talent Team Sub-project;Southwest Medical University Research Project

摘要/Abstract

摘要：

目的基于MRI图像探讨下胫腓联合韧带的解剖特征，为下胫腓联合韧带相关损伤提供解剖学根据。方法对2010年1月至2021年5月西南医科大学附属中医院骨伤科门诊收治的228例患者的MRI图像资料进行回顾性分析，测量下胫腓联合韧带的相关几何数据。结果下胫腓联合前韧带平均长度（9.75±3.54）mm，平均宽度（7.27±3.09）mm，平均厚度（2.50±0.93）mm，与水平面的夹角为(47.49±14.60)°；下胫腓联合后韧带平均长度（8.94±2.43）mm，平均宽度（6.70±2.80）mm，平均厚度（2.32±1.10）mm，与水平面的夹角为(40.84±13.13)°；下横韧带平均长度（9.81±3.21）mm，平均宽度（2.28±1.51）mm，与水平面的夹角为(14.59±8.02)°；下胫腓联合骨间韧带平均长度（12.92±4.77）mm，平均宽度（3.28±1.99）mm。结论探讨下胫腓联合的解剖学特征并分析其对踝关节稳定性的作用，可以为下胫腓联合损伤的临床诊断和治疗提供有效的方式和建议。

关键词: 下胫腓联合韧带, 磁共振成像, 韧带重建, 解剖学, 人

Abstract:

Objective To discuss the anatomical characteristics of the syndesmotic ligament based on MRI images, and to provide anatomical basis for clinical syndesmotic ligament injury and ligament reconstruction. Methods Totally 228 cases of MRI data from diseased person enrolled in the Orthopedics and Traumatology Department of the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University from January 2010 to May 2021 were retrospectively studied. Measurement of corresponding geometrical data of the ligaments in syndesmosis were analysed. Results The average length of the syndesmosis anterior ligament was (9.75±3.54) mm, the average width (7.27±3.09) mm, and the average thickness (2.50±0.93) mm. The angle with the horizontal plane was (47.49±14.60)°; The average length of the posterior syndesmosis ligament of the lower tibia and fibula was (8.94±2.43) mm, the average width was (6.70±2.80) mm, the average thickness was (2.32±1.10) mm, and the angle with the horizontal plane was (40.84±13.13)°; the average length of the inferior transverse ligament was (9.81±3.21) mm, the average width was (2.28±1.51) mm, and the angle with the horizontal plane was 14.59°±8.02°; the average length of the inferior tibiofibular syndesmosis interosseous ligament was (12.92±4.77) mm, and the average width was (3.28±1.99) mm. The anatomical data of the anterior, posterior, inferior transverse, and interosseous ligaments of the lower tibiofibular syndesmosis, male and female, were compared, and the differences were not statistically significant. Conclusion Studying the anatomical structures and characteristics of the syndesmotic ligament and analyzing the effect of the syndesmotic ligament on the stability of the ankle joint can offer effective diagnostic means or suggestions of syndesmosis injuries in the clinically diagnose and treat.

Key words: Inferior tibiofibular syndesmosis ligament, Magnetic resonance imaging, Ligament reconstruction, Anatomy, Human

中图分类号:

R445.2

张磊杨思艺张小红曹兴旺夏章容周鑫. 基于MRI下胫腓联合韧带的解剖学特点及临床意义[J]. 解剖学报, 2022, 53(5): 628-632.

ZHANG Lei YANG Si-yi ZHANG Xiao-hong CAO Xing-wang XIA Zhang-rong ZHOU Xin. Anatomical characteristics and clinical significance of the syndesmosis based on MRI[J]. Acta Anatomica Sinica, 2022, 53(5): 628-632.

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基于MRI下胫腓联合韧带的解剖学特点及临床意义

Anatomical characteristics and clinical significance of the syndesmosis based on MRI

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