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前外侧韧带:解剖学、长度变化及其与 Segond 骨折的关系。

The anterolateral ligament: Anatomy, length changes and association with the Segond fracture.

机构信息

Imperial College London, Biomechanics Group, Mechanical Engineering Department, London SW7 2AZ, UK.

出版信息

Bone Joint J. 2014 Mar;96-B(3):325-31. doi: 10.1302/0301-620X.96B3.33033.

Abstract

There have been differing descriptions of the anterolateral structures of the knee, and not all have been named or described clearly. The aim of this study was to provide a clear anatomical interpretation of these structures. We dissected 40 fresh-frozen cadaveric knees to view the relevant anatomy and identified a consistent structure in 33 knees (83%); we termed this the anterolateral ligament of the knee. This structure passes antero-distally from an attachment proximal and posterior to the lateral femoral epicondyle to the margin of the lateral tibial plateau, approximately midway between Gerdy's tubercle and the head of the fibula. The ligament is superficial to the lateral (fibular) collateral ligament proximally, from which it is distinct, and separate from the capsule of the knee. In the eight knees in which it was measured, we observed that the ligament was isometric from 0° to 60° of flexion of the knee, then slackened when the knee flexed further to 90° and was lengthened by imposing tibial internal rotation.

摘要

关于膝关节的前外侧结构有不同的描述,并非所有的结构都有明确的命名或描述。本研究旨在对这些结构进行清晰的解剖学解释。我们解剖了 40 个新鲜冷冻的尸体膝关节,以观察相关的解剖结构,并在 33 个膝关节(83%)中发现了一个一致的结构;我们将其命名为膝关节前外侧韧带。该结构从前向后、从股骨外上髁近端和后方延伸至胫骨外侧平台的边缘,大约位于 Gerdy 结节和腓骨头之间的中间位置。该韧带在近端位于外侧(腓侧)副韧带的浅层,与外侧副韧带明显分开,并且与膝关节囊分开。在我们测量的八个膝关节中,我们观察到该韧带在膝关节 0°至 60°的屈曲时等长,然后在膝关节进一步屈曲至 90°时松弛,并通过施加胫骨内旋而延长。

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