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踝关节三角韧带的解剖学研究。

Anatomic study of the deltoid ligament of the ankle.

作者信息

Panchani Prakash N, Chappell Todd M, Moore Garrett D, Tubbs R Shane, Shoja Mohammadali M, Loukas Marios, Kozlowski Piotr B, Khan Khurram H, DiLandro Anthony C, D'Antoni Anthony V

机构信息

New York College of Podiatric Medicine, New York, NY, USA.

Pediatric Neurosurgery, Children's Hospital, Birmingham, AL, USA.

出版信息

Foot Ankle Int. 2014 Sep;35(9):916-21. doi: 10.1177/1071100714535766. Epub 2014 May 21.

DOI:10.1177/1071100714535766
PMID:24850164
Abstract

BACKGROUND

There is heterogeneity in the literature regarding the anatomy and number of ligamentous bands that form the deltoid ligament (DL). Anatomic knowledge of the DL and its variations are important for surgeons who repair ankle fractures.

METHODS

The DL was dissected in 33 ankles from 17 formalin-fixed cadavers (mean age at death, 76.6 years) to examine its morphology. The length, width, and thickness of its constituent bands were recorded with a digital caliper. Descriptive and correlational statistics were used to investigate the relationships between band size, age at death, and sex. A literature review was conducted to compare our data to those of previous studies.

RESULTS

The DL has superficial and deep layers with up to 8 different bands.

CONCLUSION

The DL stabilizes the medial ankle and should be evaluated in flatfoot deformities and severe ankle fractures.

CLINICAL RELEVANCE

Anatomic knowledge of DL variations should aid the surgeon in repairing torn DLs.

摘要

背景

关于构成三角韧带(DL)的韧带束的解剖结构和数量,文献中存在异质性。对于修复踝关节骨折的外科医生来说,DL的解剖学知识及其变异情况很重要。

方法

在17具福尔马林固定的尸体(平均死亡年龄76.6岁)的33个踝关节中解剖DL,以检查其形态。用数字卡尺记录其组成韧带束的长度、宽度和厚度。使用描述性和相关性统计方法来研究韧带束大小、死亡年龄和性别之间的关系。进行文献综述以将我们的数据与先前研究的数据进行比较。

结果

DL有浅层和深层,多达8条不同的韧带束。

结论

DL稳定踝关节内侧,在扁平足畸形和严重踝关节骨折中应予以评估。

临床意义

DL变异的解剖学知识应有助于外科医生修复撕裂的DL。

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