Bade H, Strickling H, Rütt J
Institut II für Anatomie, Universität zu Köln.
Aktuelle Traumatol. 1991 Dec;21(6):274-8.
Posttraumatic angular and rotatory deformities of radius or ulna or both frequently cause a restriction of supination-pronation. The loss of motion is determined by the direction and the degree of angulation and by location of fracture. The dorsopalmar angulation and radioulnar deviation of the radius in an anatomic forearm specimen are simulated and the motions of the radius during supination-pronation are investigated. Dorsal angulation and radial deviation produce a considerable loss of pronation. However, supination losses are much less affected. The reduction of the interosseous gap is an important morphological reason of this effect. The angle of torsion is measured in left and right intact radii between transversal epiphyseal and diaphyseal axes. The torsion of the distal radial epiphysis varies from 0 to 16 degrees. Left and right radius of a single individual show very small differences in their torsion; therefore a comparison to the intact contralateral bone is indicated.
创伤后桡骨或尺骨或两者的角形和旋转畸形常导致旋前-旋后受限。运动丧失取决于成角的方向和程度以及骨折的位置。在解剖学前臂标本中模拟桡骨的背掌成角和桡尺偏斜,并研究旋前-旋后过程中桡骨的运动。背侧成角和桡侧偏斜会导致明显的旋前丧失。然而,旋后丧失受影响较小。骨间隙减小是产生这种影响的重要形态学原因。在完整的左右桡骨中测量横向骨骺轴和骨干轴之间的扭转角。桡骨远端骨骺的扭转角度在0至16度之间变化。单个个体的左右桡骨在扭转方面差异非常小;因此,有必要与完整的对侧骨进行比较。