Tsukahara T
Department of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan.
Nihon Seikeigeka Gakkai Zasshi. 1990 Dec;64(12):1195-201.
Eighty-two joints out of 41 cadavers were studied grossly in order to evaluate degenerative changes in talocrural articular cartilage with age. Cartilage degeneration was seen in 97.6% of joints. Cartilage degeneration associated with cartilage defects were seen at the age of 50 years. Thereafter, the severity of degeneration became more marked with aging. This severe cartilage degeneration was mainly found in medial and anterior regions in the talocrural joints. The anterior tibiofibular, deltoid, calcaneofibular and anterior talofibular ligaments of 40 joints of out 20 cadavers were grossly studied in order to establish the relationship between the degree of degeneration of these ligaments and that of articular cartilage. Grossly severe degeneration was present only in the anterior talofibular ligaments of 2 joints. Both joints presented severe cartilage degeneration in the medial region of the talocrural joint. Severe cartilage degeneration was present in 7 out of 30 joints (23%) whose ligaments were apparently normal upon gross observation. These cartilage degenerations were present in the medial and anterior regions of the talocrural joints.
为了评估距小腿关节软骨随年龄的退变情况,对41具尸体的82个关节进行了大体研究。97.6%的关节出现了软骨退变。50岁时可见伴有软骨缺损的软骨退变。此后,退变的严重程度随年龄增长而更加明显。这种严重的软骨退变主要见于距小腿关节的内侧和前部区域。对20具尸体中40个关节的胫腓前韧带、三角韧带、跟腓韧带和距腓前韧带进行了大体研究,以确定这些韧带的退变程度与关节软骨退变程度之间的关系。大体上仅在2个关节的距腓前韧带中出现严重退变。这两个关节在距小腿关节内侧区域均出现严重的软骨退变。在30个关节中有7个(23%)的韧带在大体观察时明显正常,但存在严重的软骨退变。这些软骨退变见于距小腿关节的内侧和前部区域。