在中立位置和足部屈曲期间对侧侧带复合体进行解剖分析
Zhimin Chen1, Han Yang2, Xuequan Zhang3
1Department of Imaging Diagnostics, Nanfang Hospital, Southern Medical University, Guangzhou, China.
BMC musculoskeletal disorders
|May 6, 2025
概括
这项研究详细介绍了前额状带 (ATFL),前额状带 (ATiFL) 和状带 (CFL) 的解剖变异. 研究结果突出了不同类型的ATFL宽度的显著差异,这对于关节损伤的手术规划至关重要.
科学领域:
- 整形外科解剖学 整形外科解剖学
- 运动医学运动医学
- 生物力学 生物力学
背景情况:
- 关节带损伤很常见,特别影响前额带带 (ATFL).
- 了解ATFL,前额带带带 (ATiFL) 和带带带 (CFL) 的详细解剖学对于有效的治疗和手术重建至关重要.
- 带形态的变化可以影响脚的稳定性和受伤模式.
研究的目的:
- 为了记录ATFL,ATiFL和CFL的解剖学特征.
- 为了分析这些带在中性和脚的足位置.
- 为ATFL损伤和慢性脚不稳定性提供解剖学重建和外科考虑的数据.
主要方法:
- 从七十个脚标本上进行了解剖测量.
- 基于单段,双段或三段的ATFL分为A,B和C类别.
- 测量包括带的长度,宽度,ATFL/CFL角度,ATFL/ATiFL角度,以及丝插入中心 (fCOI) 的距离.
- 数据采集在中性和20°脚部曲位置.
主要成果:
- 在B型ATFL中观察到长度,宽度和ATFL/ATiFL角度的显著变化.
- 类型A/B和A/C的ATFL的总宽度显示出显著的差异.
- 姿势变化 (中性与脚部曲) 导致所有ATFL类型 (A,B和C) 的ATFL/ATiFL角度发生显著变化.
结论:
- 不同的ATFL类型之间的ATFL宽度变化需要在手术过程中仔细考虑.
- ATiFL看起来相对独立,而ATFL和CFL表现出一种合作关系,为外科手术方法提供了信息.
- 收集的ATFL,CFL和ATiFL的解剖学数据对于解剖学重建和ATFL损伤和慢性脚不稳定性的手术规划非常有价值.
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