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距跟舟关节骨结构的生物力学研究:尸体研究。

Biometry of bone components in the talonavicular joint: a cadaver study.

机构信息

Laboratoire d'Anatomie, 4, rue de l'École-de-Médecine, 34000 Montpellier cedex 5, France.

出版信息

Orthop Traumatol Surg Res. 2011 Oct;97(6 Suppl):S66-73. doi: 10.1016/j.otsr.2011.06.005. Epub 2011 Jul 31.

DOI:10.1016/j.otsr.2011.06.005
PMID:21807576
Abstract

INTRODUCTION

Exhaustive biometric data of the talus and the navicular bones have not been reported in the classical anatomy treatises.

HYPOTHESIS

The radiographic measurements, being variable according to the X-ray beam inclination, have no real value. This biometric analysis aimed to specify the characteristics of the constitutive bone components of the talonavicular joint.

MATERIAL AND METHODS

This anatomic study investigated the biometry of the talus and the navicular bones separated from anatomic specimens with no previous disease history from adult subjects whose sex was unknown. It was completed by in situ dissection and evaluation of talonavicular and talocalcaneal joints conducted to gain an understanding of the bone specimens in three dimensions. The measurements were taken using a highly precise measuring tape and a comparator providing the length and the width of the articular surfaces. The comparator determined the surface pattern and the radii of curvature in the two main axes.

RESULTS

The results emphasize the variations in the bone specimens. Three morphotypes emerged, which had never been identified before.

DISCUSSION AND CONCLUSION

These biometric data make up a database designed to improve clinical exploration. They can be used as landmarks for fundamental comparative research between all the bone structures of the hindfoot and thus provide a logical classification of the different pathological conditions and a reasoned adaptation of therapeutic protocols.

LEVEL OF EVIDENCE

Experimental study, level IV.

摘要

简介

经典解剖学著作中并未详细描述距骨和舟骨的全面生物测量数据。

假设

由于 X 射线束倾斜,放射测量值没有实际价值。这项生物测量分析旨在确定距舟关节固有骨成分的特征。

材料和方法

这项解剖学研究对来自性别未知的成年受试者的无既往病史的解剖标本进行了距骨和舟骨的生物测量,包括对距舟和距跟关节进行原位解剖和评估,以了解骨骼标本的三维结构。使用高精度的卷尺和比较器进行测量,以获取关节面的长度和宽度。比较器确定了两个主要轴上的表面形态和曲率半径。

结果

研究结果强调了骨骼标本的变化。出现了三种以前从未确定过的形态类型。

讨论和结论

这些生物测量数据构成了一个旨在改善临床探索的数据库。它们可以用作基本比较研究所有后足骨结构的标志,并为不同病理状况提供合理的分类和治疗方案的合理调整。

证据等级

实验研究,四级。

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