本文選題：膝關(guān)節(jié) + 解剖��； 參考：《中國運動醫(yī)學雜志》2017年11期

【摘要】：目的:探討膝關(guān)節(jié)翼狀韌帶形態(tài)分型及其與后交叉韌帶上止點的解剖關(guān)系。方法:解剖13個新鮮冷凍膝關(guān)節(jié)(左膝6個,右膝7個),觀察記錄翼狀韌帶的不同形態(tài),并觀察翼狀韌帶股骨止點與后交叉韌帶上止點的解剖關(guān)系。并對后交叉韌帶上止點-翼狀韌帶股骨止點做組織切片,HE染色觀察。結(jié)果:通過解剖13個膝關(guān)節(jié),發(fā)現(xiàn)膝關(guān)節(jié)存在一個從前至后的縱隔結(jié)構(gòu),其前方與脂肪墊相連,通過翼狀韌帶,前、后交叉韌帶之間,向后方形成膝關(guān)節(jié)的后縱隔。13個膝關(guān)節(jié)中,翼狀韌帶均從后交叉韌帶的外緣繞過,通過前、后交叉韌帶之間連接后縱隔。通過解剖,發(fā)現(xiàn)翼狀韌帶從形態(tài)學上分為3型:完整型(膜型),2個,占15.4%;不完整型(分離型),10個,占76.9%;缺如型,1個,占7.7%。另外,還發(fā)現(xiàn)翼狀韌帶的股骨止點與后交叉韌帶的股骨止點連接靠近,組織切片上密切連接。結(jié)論:膝關(guān)節(jié)翼狀韌帶從形態(tài)學上可以分為完整型(膜型)、不完整型(分離型)和缺如型三種類型,并且與后交叉韌帶上止點的解剖關(guān)系密切。
[Abstract]:Objective: to study the morphological classification of the wingform ligament of the knee joint and its anatomic relationship with the insertion point of the posterior cruciate ligament. Methods: 13 fresh frozen knee joints (6 left knee and 7 right knee) were dissected to observe and record the different shape of the wingform ligament, and to observe the anatomical relationship between the femoral insertion point of the wingform ligament and the superior end point of the posterior cruciate ligament. The histopathological sections were stained with HE staining for the femoral insertion of the posterior cruciate ligament and the femur of the pterygoid ligament. Results: by dissecting 13 knee joints, we found that there is a mediastinal structure from front to back, the front of which is connected with fat pad, through the winglike ligament, between the anterior cruciate ligament, and between the anterior and posterior cruciate ligaments. The posterior mediastinum of the knee joint was formed to the rear. In 13 knee joints, the winglike ligament was circumvented from the outer edge of the posterior cruciate ligament and connected with the posterior mediastinum through the anterior and posterior cruciate ligaments. Anatomically, we found that the wingform ligament was divided into three types: intact type (membranous type, 2 types, accounting for 15.4%), incomplete type (separated type, 10 types, accounting for 76.9%), absent type, 1 type, accounting for 7.7%. In addition, it was found that the femoral insertion of the pterygoid ligament was close to that of the posterior cruciate ligament, and the tissue section was closely connected. Conclusion: the pterygoid ligament of the knee joint can be divided into three types: complete type (membrane type), incomplete type (separation type) and absence type, and it is closely related to the anatomical relationship between the apical point of the posterior cruciate ligament and the posterior cruciate ligament.
【作者單位】： 北京大學第三醫(yī)院運動醫(yī)學研究所;北京市運動醫(yī)學關(guān)節(jié)傷病重點實驗室;
【分類號】：R322;R87

【相似文獻】

相關(guān)期刊論文 前10條

1 閻明,雍宜民,王亦璁;膝關(guān)節(jié)后交叉韌帶的解剖學觀測[J];中國臨床解剖學雜志;1993年01期

2 容可;王友;;膝關(guān)節(jié)后交叉韌帶的解剖及生物力學特性的研究進展[J];醫(yī)用生物力學;2009年01期

3 崔憲春;聶鵬;;膝關(guān)節(jié)后交叉韌帶解剖及治療現(xiàn)狀研究進展[J];中醫(yī)學報;2009年06期

4 劉平;敖英芳;;膝關(guān)節(jié)后交叉韌帶及板股韌帶臨床解剖學研究[J];中國運動醫(yī)學雜志;2008年02期

5 劉秀梅;陶澄;肖東民;;人膝關(guān)節(jié)前、后交叉韌帶解剖研究及臨床意義[J];醫(yī)學臨床研究;2006年07期

6 陶澄;何愛詠;王萬春;;膝關(guān)節(jié)后交叉韌帶解剖研究及臨床意義[J];中國臨床解剖學雜志;2007年02期

7 謝漢國,張發(fā)惠,劉經(jīng)南,鐘桂午;股二頭肌部分肌腱轉(zhuǎn)位修復(fù)重建后交叉韌帶的解剖與臨床[J];解放軍醫(yī)學高等�？茖W校學報;1999年04期

8 許本柯,楊遠平,舒先濤,鞠家玉,劉兵;帶血供半腱肌肌腱條骨塊重建后交叉韌帶的應(yīng)用解剖[J];解剖學研究;2003年01期

9 張艷君;梅虎;蔣稼歡;謝靜;尹琳;陳榮富;許春明;王春莉;宋國立;;共培養(yǎng)下后交叉韌帶成纖維細胞中賴氨酰氧化酶的基因表達[J];中國組織工程研究;2013年20期

10 王剛;謝擁軍;陳開潤;;大收肌腱轉(zhuǎn)位修復(fù)膝關(guān)節(jié)后交叉韌帶的應(yīng)用解剖及生物力學分析[J];四川解剖學雜志;2008年04期

相關(guān)會議論文 前1條

1 劉敏;楊國敬;張力成;林瑞新;蔡春元;湯呈宣;王偉良;崔懷瑞;;膝關(guān)節(jié)后交叉韌帶前外側(cè)束和后內(nèi)側(cè)束止點的解剖學研究[A];2009年浙江省骨科學學術(shù)年會論文匯編[C];2009年

，

本文編號：1904010