Bassett韧带的解剖学研究及其临床意义

目的　通过对Bassett韧带的精细解剖，明确其解剖特点，探讨其功能及临床意义。 方法　取10例成人完整踝关节标本，观察韧带的起止点，走行,毗邻关系，并对相应解剖参数进行精细测量(包括它们的长度、宽度和厚度)。 结果　8例踝关节标本存在Bassett韧带，起自胫骨远端前侧止于腓骨外踝前侧，形状呈四方形，走行与下胫腓前韧带平行，长17.86~18.56 mm，宽3.22~3.89 mm，厚0.67~1.47 mm。 结论　Bassett韧带是一正常韧带组织结构，通过模拟此韧带损伤机制可探讨其造成踝关节前外侧胫距撞击综合征机制。

The anatomical features and the clinical significance of the Bassett's ligament

Objective The purpose of the study is to describe the precise anatomical characteristics of the Bassett's ligament, and to explore the physiological function and the clinical significance. Methods The study was performed on 10 ankle joints of frozen-fresh cadaveric ankles. The precise location of origin,insertion points, and topogeography were carefully observed，and the precise anatomical parameters（their length, width and thickness）were also recorded. Result The Bassett's ligament was present in 8 of 10 ankles, and ran obliquely from anterior tibial tubercles to anterior peroneal tubercles. The shape was quardrangular. Its orientation was parallel and distal to the anterior tibiofibular ligament, its length ranged from 17.86 to 18.56 mm, its width from 3.22 to 3.89 mm，and its thickness from 0.67 to 1.47 mm. Conclusions The Bassett's ligament reflects a normal anatomical finding, and the cause of tibiotalar impingement syndrome can be explored by investigating the simulated mechanism of injury of the ligament.