Astur Diego Costa, Arliani Gustavo Gonçalves, Kaleka Camila Cohen, Jalikjian Wahy, Golano Pau, Cohen Moises
Department of Orthopedics and Traumatology, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
Open Access J Sports Med. 2012 Jan 23;3:1-5. doi: 10.2147/OAJSM.S28705. eCollection 2012.
Recently, an interest has developed in understanding the anatomy of the posterior and posterolateral knee. The posterolateral compartment of the knee corresponds to a complex arrangement of ligaments and myotendinous structures. Undiagnosed lesions in this compartment are the main reason for failure of the anterior and posterior cruciate ligament reconstructions. Understanding the anatomy of these structures is essential to assist in the diagnosis and treatment of these lesions. The aim of this study was to better understand the relationship between these structures of the knee using three-dimensional technology.
Ten knees were included from cadaver lower limbs of adult patients. The skin and subcutaneous tissue were removed leaving only the muscle groups and ligaments. The neurovascular bundles and their ramifications were preserved. Images were acquired from the dissections using a Nikon D40 camera with AF-S Nikkor 18-55 mm (1:3.5 5.6 GII ED) and Micro Nikkor 105 mm (1:2.8) lenses. The pair of images were processed using Callipyan 3D and AnaBuilder software, which transforms the two images into one anaglyphic image.
During the dissection of the knees, twelve pictures were acquired and transformed into anaglyphic images.
The use of three-dimensional images in this study demonstrates that this technique is useful to improve the knowledge in anatomy of the knee as well as for knee reconstruction surgery.
最近，人们对了解膝关节后方及后外侧的解剖结构产生了兴趣。膝关节后外侧间室对应着韧带和肌腱结构的复杂排列。该间室中未被诊断出的损伤是前交叉韧带和后交叉韧带重建失败的主要原因。了解这些结构的解剖对于辅助诊断和治疗这些损伤至关重要。本研究的目的是使用三维技术更好地了解膝关节这些结构之间的关系。
纳入成年患者尸体下肢的10个膝关节。去除皮肤和皮下组织，仅保留肌肉群和韧带。保留神经血管束及其分支。使用配备AF-S尼克尔18 - 55毫米（1:3.5 - 5.6 GII ED）和微距尼克尔105毫米（1:2.8）镜头的尼康D40相机从解剖中获取图像。使用Callipyan 3D和AnaBuilder软件处理这对图像，将这两张图像转换为一张立体图像。
在膝关节解剖过程中，获取了12张图片并转换为立体图像。
本研究中三维图像的使用表明，该技术有助于增进对膝关节解剖结构的了解以及用于膝关节重建手术。
