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膝关节后交叉韧带前外侧束和后内侧束止点的解剖学研究
引用本文:刘敏,杨国敬,张力成,林瑞新,蔡春元,崔怀瑞,汤呈宣,王伟良. 膝关节后交叉韧带前外侧束和后内侧束止点的解剖学研究[J]. 解剖学报, 2009, 40(6): 1008-1011. DOI: 10.3969/j.issn.0529-1356.2009.06.033
作者姓名:刘敏  杨国敬  张力成  林瑞新  蔡春元  崔怀瑞  汤呈宣  王伟良
作者单位:1.温州医学院附属第三临床医院,浙江 瑞安 325200; 2.温州医学院解剖学教研室,浙江 温州 325000
基金项目:瑞安市科技局项目基金资助 
摘    要:目的 探讨国人后交叉韧带的分束情况,对前外侧束和后内侧束的止点进行观测,掌握更为详细的解剖学资料,为临床双束重建后交叉韧带提供解剖学基础。 方法 30例膝关节标本,将后交叉韧带分为前外侧束和后内侧束,对双束股骨及胫骨端止点进行标记和解剖学观测。 结果 后交叉韧带的双束股骨止点中点至股骨内髁关节软骨前缘的距离分别为(8.52±1.81)mm和(11.63±1.81)mm,至股骨髁间窝顶的垂直距离分别为(4.67±0.55)mm和(10.32±1.23)mm;胫骨止点中点至胫骨关节面的垂直距离分别为(8.43±1.21)mm和(14.52±2.31)mm,至胫骨内侧软骨边缘的距离分别为(47.44±6.23)mm和(45.95±6.32)mm。双束股骨附丽区面积分别为(107.12±15.25)mm2和(65.35±10.27)mm2;胫骨附丽区面积分别为(50.07±11.33)mm2和(51.08±10.22)mm2。 结论 揭示了后交叉韧带双束止点的解剖学特点,为临床应用提供解剖学基础。

关 键 词:膝关节  后交叉韧带  前外侧束  后内侧束  局部解剖  
收稿时间:2009-04-01
修稿时间:2009-05-23

Anatomical study of the femoral and tibial insertions of the anterolateral and posteromedial bundles of human posterior cruciate ligament
LIU Min,YANG Guo-jing,ZHANG Li-cheng,LIN Rui-xin,CAI Chun-yuan,Cui Huai-rui,TANG Cheng-xuan,Wang Wei-liang. Anatomical study of the femoral and tibial insertions of the anterolateral and posteromedial bundles of human posterior cruciate ligament[J]. Acta Anatomica Sinica, 2009, 40(6): 1008-1011. DOI: 10.3969/j.issn.0529-1356.2009.06.033
Authors:LIU Min  YANG Guo-jing  ZHANG Li-cheng  LIN Rui-xin  CAI Chun-yuan  Cui Huai-rui  TANG Cheng-xuan  Wang Wei-liang
Affiliation:1.The Third Affiliated Hospital of Wenzhou Medical College,Zhejiang Ruian 325200, China; BR>2.Department of Anatomy, Wenzhou Medical College, Zhejiang Wenzhou 325000,China
Abstract:Objective To provide an anatomic evidence for the double-bundle posterior cruciate ligament (PCL) reconstruction, the sizes and locations of the attachments of the PCL to the tibia and the femur were measured. Methods We studied 30 cadaveric knees. PCLs were divided into anterolateral and posteromedial bundles to the insertion footprint, and those locations were measured and described. Results The distances from the center of the femoral insertions of the anterolateral and posteromedial bundles to the anterior margin of the medial femoral condyle were (8.52±1.81)mm and (11.63±1.81)mm. The vertical distances from the center of the femoral insertions of the double-bundle to the intercondylar roof were (4.67±0.55)mm and (10.32±1.23) mm. The vertical distances from the tibial insertion of the center of the double-bundle to the plane of the tibial articular surface were (8.43±1.21)mm and (14.52±2.31)mm. The distances from the medial margin of the articular cartilage of the tibial plateau to the center of the tibial insertions of double-bundle were (47.44±6.23)mm and (45.95±6.32)mm. The areas of the insertions of the anterolateral and posteromedial bundles on the femur were (107.12±15.25)mm2 and (65.35±10.27)mm2. The areas of the insertions of the double-bundle on the tibia were (50.07±11.33)mm2 and (51.08±10.22)mm2. Conclusion The anatomic characteristic of the attachment of the anterolateral and posteromedial bundles was revealed, providing anatomical bases for surgery.
Keywords:Knee joint  Posterior cruciate ligament  Anterolateral bundle  Posteromedial bundle  Regional Anatomy  
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