Kolts I, Busch L C, Tomusk H, Rajavee E, Eller A, Russlies M, Kühnel W
Institute of Anatomy, University of Tartu, Estonia.
Ann Anat. 2001 Jan;183(1):53-9. doi: 10.1016/S0940-9602(01)80012-1.
Twelve right cadaver shoulder joints were investigated after alcohol-formalin-glycerol fixation. The tendons of the "rotator cuff" were separated from the joint capsule. The capsulo-ligamentous structures: Lig. coracohumerale, Lig. coracoglenoidale and Ligg. glenohumeralia were dissected. In addition to the Ligg. glenohumerale superius, medium et inferius, an "unknown glenohumeral ligament" coursed in the midline of the superficial layer of the anterior shoulder joint capsule. It arose from the axillary part of the Lig. glenohumerale inferius and the insertion tendon of the Caput longum m. tricipitis brachii, coursed upwards laterally and fused with the Lig. glenohumerale medium. Between the Ligg. glenohumerale medium et inferius it was connected with the shoulder joint capsule by loose connective tissue. Craniolaterally it melted into the superior portion of the M. subscapularis and inserted together with its tendon to the Tuberculum minus of the Humerus. The ascending fibres of the "unknown glenohumeral ligament" and the oblique, descending fibres of the Ligg. glenohumeralia medium et inferius crossed twice and formed X-shape connections between the ligaments. In external rotation and abduction or anteversion the course of fibres of the "unknown glenohumeral ligament" was spiral. According to the shape and anatomical position of the "unknown glenohumeral ligament" we propose to name it "Lig. glenohumerale spirale".
对 12 个经酒精 - 福尔马林 - 甘油固定的右侧尸体肩关节进行了研究。“肩袖”肌腱与关节囊分离。对关节囊韧带结构:喙肱韧带、喙盂韧带和肱盂韧带进行了解剖。除了肱盂上、中、下韧带外,在前肩关节囊浅层中线处有一条“无名肱盂韧带”。它起自肱盂下韧带的腋部和肱三头肌长头的止腱,向上外侧走行并与肱盂中韧带融合。在肱盂中韧带和肱盂下韧带之间,它通过疏松结缔组织与肩关节囊相连。在颅外侧,它融入肩胛下肌的上部并与其肌腱一起附着于肱骨小结节。“无名肱盂韧带”的上行纤维与肱盂中、下韧带的斜行下行纤维交叉两次,在韧带之间形成 X 形连接。在肩关节外旋、外展或前屈时,“无名肱盂韧带”的纤维走行呈螺旋状。根据“无名肱盂韧带”的形态和解剖位置,我们建议将其命名为“肱盂螺旋韧带”。