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髌内侧支持带的解剖观测及临床意义

Anatomic study of the medial patellar retinaculum and its clinical implication

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【作者】 于春水宣芸李坤成李云生廉宗澂

【Author】 YU Chun-shui*,XUAN Yun,LI Kun-cheng,et al.* Department of Radiology,Xuan Wu Hospital of Capital Medical University,Beiji ng 100053,China

【机构】 首都医科大学宣武医院放射科天津医科大学解剖教研室天津医科大学解剖教研室 北京100053天津300070北京100053天津300070

【摘要】 目的:观察髌内侧支持带的解剖学特点,探讨其对髌股关节稳定性的作用。方法:采用50例经福尔马林固定的成人尸膝标本,观测髌内侧支持带的形态学特点。结果:髌内侧支持带包括浅、深两层。浅层较薄,深层又包括内侧髌股韧带(100%)、内侧髌胫韧带(100%)和内侧髌半月板韧带(80%)三个独立结构,其中内侧髌股韧带是将髌骨固定于股骨的主要结构。结论:在髌内侧支持带中,内侧髌股韧带对限制髌骨外移起决定性作用。

【Abstract】 Objective: To investigate the anatomic features of the medial pate llar retinaculum and its role in patellofemoral joint stabilization. Methods: Fi fty adult cadaver knees fixed with formalin were used for anatomic study, and th e medial patellar retinaculum were observed and measured. Results: The medial pa tellar retinac ulum was composed of two layers, superficial and deep layer. Th e superficial layer was very thin. The deep layer included three discrete struct ures: the medial patellofemoral ligament (100%), the medial patellotibial liga ment(100%) and the medial patellomeniscal ligament (80%). Among them, the medi al patellofemoral ligaent was the key structure to fix the patella to the femora l bone. Conclusion: Among the medial patellar retinacula, the medial patellofem oral ligament plays a crucial role in restraining lateral displacement of the pa tellar.

【关键词】 膝关节髌内侧支持带解剖学
【Key words】 knee jointmedial patellar retinaculumanatomy
  • 【文献出处】 中国临床解剖学杂志 ,Chinese Journal of Clinical Anatomy , 编辑部邮箱 ,2004年03期
  • 【分类号】R322.7
  • 【被引频次】54
  • 【下载频次】449
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