|
人干腓骨上胫腓关节坡度测量 |
| |
陈新刚 朱建民 方浩 陈光忠
【摘要】 目的 探讨人类上胫腓关节坡度对关节本身的稳定性是否有影响。方法 采用两种方法分别对109根干腓骨的上胫腓关节坡度进行测量。结果 腓骨干纵轴与关节面的夹角(∠A)为59.93°±9.29°，左右侧比较差异无显著性(P＝0.25)。该角度越大，坡度越平坦；角度越小，坡度越陡直。关节面与水平线的夹角(∠B)为30.25°±9.32°，左右侧比较差异无显著性(P＝0.25)。该角度越大，坡度越陡直；角度越小，坡度则越平坦。两种方法测量结果之间呈负相关(r＝-0.396 2，t＝4.47，P＜0.001)。结论 测量上胫腓关节坡度可了解国人上胫腓关节解剖结构和类型，估价上胫腓关节的稳定性，对上胫腓关节不稳(半脱位)的诊断具有参考价值。
【关键词】 腓骨；上胫腓关节脱位
【中图分类号】 R684.7 【文献标识码】 A 【文章编号】 1008-0287(2000)01-0004-02
Measurement of the slope of proximal joint on human dried fibula
Chen Xingang,Zhu Jianmin, Fang Hao, Chen Guangzhong
(Dept of Orthopaedics,The 8th People＇s Hospital of Shanghai, Shanghai 200233)
【Abstract】 Objective To investigate if the stability of human proximal tibiofibular joint is influenced by its slope. Methods The joint inclinations were measured with two methods on 109 dried fibula. Results The angle between the longitudinal axis of the fibula and the articular surface (angle A ) was 59.93°±9.29°, both the left and the right fibula showed no significant difference (P＝0.25)，the larger the angle was, the less the slope would be, it is same the other way round. The angle between horizontal line and the articular surface (angle B) was 30.25°±9.32°, both sides revealed no statistically significanct difference (P＝0.25). The larger the angle was, the more precipitous the slope would be, it is also same the other way round. There was negative relationship between the angle A and the angle B(r＝-0.396 2,t=4.47,P<0.001)． Conclusion Measuring the slope of proximal tibiofibular joint can learn its anatomical structures and type,and estimate its stability, especially for the reference value in the diagnosis of superior tibiofibular joint instability (subluxation).
【Key words】 fibula; proximal tibiofibular joint dislocation
上胫腓关节是滑动关节，由两个椭圆形关节面、滑膜和关节囊组成。上胫腓关节的运动包括上下移动和旋转运动，其运动方式和幅度各人差异很大。对于上胫腓[1] [2] [3] 下一页
上一个医学论文： 老年大鼠骨痂中转化生长因子
下一个医学论文： 选择性动脉栓塞在脊柱肿瘤治疗中应用
|
|
|
|
|
|
|
您现在的位置： 绿色健康网 >> 医学论文 >> 外科论文 >> 正文