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人体膝关节内外侧副韧带的形态学研究

Morphologic study of the lateral and medial collateral ligaments of the human knee.

作者信息

Otake Norihiro, Chen Huayue, Yao Xianfeng, Shoumura Shizuko

机构信息

Department of Anatomy, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu, Japan.

出版信息

Okajimas Folia Anat Jpn. 2007 Feb;83(4):115-22. doi: 10.2535/ofaj.83.115.

Abstract

The collateral ligaments of the knee are important in maintaining knee stability. Numerous studies have been described the morphology and function of the ligaments of the knee. However, little data was given about the lateral and medial collateral ligaments simultaneously. The objective of the present study was to compare the morphology of the lateral (LCL) and medial (MCL) collateral ligaments in human knees. We dissected 34 cadaver knees and examined the size, attachment and inclination of the LCL and the MCL. In both of them, the posterior bundle was longer than that of the anterior bundle. The anterior and posterior bundles of the MCL were longer than that of the LCL. The proximal attachment of the MCL situated more anterior and superior than that of the LCL. As compared with the LCL, the distal attachment of the MCL located a little forward and inferior. The longitudinal diameter of the attachment of ligaments was longer than the transverse one, except for the proximal attachment of the MCL. The size of the attachments of the MCL was larger than that of the LCL except for the longitudinal diameter of the proximal attachment. At full extension of the knee, the inclination of the MCL was backward, while that of the LCL was forward. These data showed that the LCL and MCL had the different structural properties. It may provide a better understanding of the function of the collateral ligaments.

摘要

膝关节的侧副韧带对于维持膝关节稳定性至关重要。众多研究已描述了膝关节韧带的形态和功能。然而,关于外侧和内侧副韧带的同时性数据却很少。本研究的目的是比较人膝关节中外侧副韧带(LCL)和内侧副韧带(MCL)的形态。我们解剖了34具尸体膝关节,检查了LCL和MCL的大小、附着点和倾斜度。在两者中,后束均比前束长。MCL的前束和后束比LCL的长。MCL的近端附着点比LCL的更靠前且更高。与LCL相比,MCL的远端附着点略向前且向下。除MCL的近端附着点外,韧带附着点的纵向直径长于横向直径。除近端附着点的纵向直径外,MCL附着点的大小大于LCL的。在膝关节完全伸展时,MCL的倾斜度向后,而LCL的倾斜度向前。这些数据表明LCL和MCL具有不同的结构特性。这可能有助于更好地理解侧副韧带的功能。

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