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膝关节后内侧角的解剖三维研究。

An anatomical three-dimensional study of the posteromedial corner of the knee.

机构信息

Department of Orthopedics and Traumatology, Universidade Federal de São Paulo (UNIFESP), Rua Borges Lagoa, 783, 5º andar, Vila Clementino, São Paulo, CEP 04038-032, Brazil.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2011 Oct;19(10):1614-9. doi: 10.1007/s00167-011-1615-9. Epub 2011 Jul 22.

DOI:10.1007/s00167-011-1615-9
PMID:21779796
Abstract

PURPOSE

For many years, the anatomy of the medial knee corner has been reported. However, it is not exactly clear how all these structures function together. The purpose of this study is to identify and try to understand the relationship between the posteromedial corners of the knee using three-dimensional visualization techniques.

MATERIALS AND METHODS

This study comprises of 10 knees from adult corpses. Images were acquired from the dissection of different layers of the posteromedial compartment of the knee using a camera Nikon D40 and AF-S Nikkor 18-55 mm (Nikon Corp., Japan) placed on a slide bar. The pair of images was processed using Callipyan 3D or Anabuilder software (Ana builder, France) that transforms the two different images of the same structure with the intrapupillary distance proportion into one anaglyphic image.

RESULTS

During knee dissection, pictures were taken and transformed into three-dimensional images that become more realistic with the use of special glasses. The images were made during the dissection of the three layers of the posteromedial compartment of the knees.

CONCLUSIONS

Posteromedial corner ligament structures are quite complex and are not always clearly described in the literature. Three-dimensional images of these structures can help better understanding its anatomy.

摘要

目的

多年来,人们一直对膝关节内侧角的解剖结构进行报道。然而,这些结构如何协同作用尚不完全清楚。本研究的目的是使用三维可视化技术来识别和尝试理解膝关节后内侧角之间的关系。

材料和方法

本研究包括 10 个来自成人尸体的膝关节。使用尼康 D40 和 AF-S Nikkor 18-55mm 相机(日本尼康公司)放置在滑杆上,从膝关节后内侧隔室的不同层进行解剖获取图像。使用 Callipyan 3D 或 Anabuilder 软件(法国 Ana builder)处理这对图像,该软件将同一结构的两个不同图像与瞳孔间距离比例转换为一个立体图像。

结果

在膝关节解剖过程中,拍摄了图片并将其转换为三维图像,使用特殊眼镜后图像变得更加逼真。这些图像是在膝关节后内侧隔室的三个层进行解剖时拍摄的。

结论

后内侧角韧带结构非常复杂,在文献中并不总是能清楚地描述。这些结构的三维图像可以帮助更好地理解其解剖结构。

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本文引用的文献

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Medial and posteromedial instability of the knee: evaluation, treatment, and results.膝关节内侧及后内侧不稳定:评估、治疗及结果
Sports Med Arthrosc Rev. 2010 Dec;18(4):263-8. doi: 10.1097/JSA.0b013e3181eaf713.
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Some anatomical details of the knee joint.膝关节的一些解剖学细节。
J Bone Joint Surg Br. 1948 Nov;30B(4):683-8.
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Force measurements on the posterior oblique ligament and superficial medial collateral ligament proximal and distal divisions to applied loads.对后斜韧带以及内侧副韧带浅层近端和远端分支施加负荷时的力测量。
One-Stage Repair of Posterior Oblique Ligament Avulsion Fracture Combined with Medial Collateral Ligament Injury.
一期修复后斜韧带撕脱骨折合并内侧副韧带损伤
Orthop Surg. 2020 Aug;12(4):1084-1091. doi: 10.1111/os.12697. Epub 2020 Jun 9.
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Lack of evidence to support present medial release methods in total knee arthroplasty.缺乏证据支持目前全膝关节置换术中的内侧释放方法。
Knee Surg Sports Traumatol Arthrosc. 2014 Dec;22(12):3100-12. doi: 10.1007/s00167-014-3148-5. Epub 2014 Jul 5.
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Distal insertions of the semimembranosus tendon: MR imaging with anatomic correlation.半膜肌腱的远端附着点:与解剖学对照的磁共振成像
Skeletal Radiol. 2014 Jun;43(6):781-91. doi: 10.1007/s00256-014-1830-9. Epub 2014 Feb 19.
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The role of the posterior oblique ligament in controlling posterior tibial translation in the posterior cruciate ligament-deficient knee.后斜韧带在控制后交叉韧带损伤膝关节中胫骨后移方面的作用。
Am J Sports Med. 2008 Mar;36(3):495-501. doi: 10.1177/0363546507310077. Epub 2008 Jan 8.
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The anatomy of the medial part of the knee.膝关节内侧部分的解剖结构。
J Bone Joint Surg Am. 2007 Sep;89(9):2000-10. doi: 10.2106/JBJS.F.01176.
6
Surgical treatment of acute medial collateral ligament and posteromedial corner injuries of the knee.膝关节急性内侧副韧带和后内侧角损伤的手术治疗
Sports Med Arthrosc Rev. 2006 Jun;14(2):78-83. doi: 10.1097/01.jsa.0000212301.80496.dc.
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Evaluation and treatment of medial collateral ligament and medial-sided injuries of the knee.膝关节内侧副韧带及内侧损伤的评估与治疗
Sports Med Arthrosc Rev. 2006 Jun;14(2):58-66. doi: 10.1097/01.jsa.0000212305.47323.58.
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The role of the medial collateral ligament and posteromedial capsule in controlling knee laxity.内侧副韧带和后内侧关节囊在控制膝关节松弛方面的作用。
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Anatomic dissection and classic three-dimensional documentation: a unit of education for neurosurgical anatomy revisited.解剖 dissection 和经典三维记录:神经外科解剖学教育单元再探讨
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The posteromedial corner revisited. An anatomical description of the passive restraining structures of the medial aspect of the human knee.后内侧角再探讨。人膝关节内侧被动约束结构的解剖学描述。
J Bone Joint Surg Br. 2004 Jul;86(5):674-81. doi: 10.1302/0301-620x.86b5.14853.