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胫骨近端后部与腘动脉解剖关系的磁共振研究

Magnetic resonance study on the anatomical relationship between the posterior proximal region of the tibia and the popliteal artery.

作者信息

de Araujo Goes Rogério Franco, Filho Augusto Cardoso, de Oliveira Castro Gabriel Novaes Pillar, Loures Fabricio Bolpato, Da Palma Idemar Monteiro, Kinder André, Labronici Pedro José

机构信息

"Prof. Dr. Donato D'Ângelo" Orthopedics and Traumatology Service, Hospital Santa Teresa, Petrópolis, RJ, Brazil.

Knee Group, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brazil.

出版信息

Rev Bras Ortop. 2015 Jul 30;50(4):422-9. doi: 10.1016/j.rboe.2015.07.005. eCollection 2015 Jul-Aug.

DOI:10.1016/j.rboe.2015.07.005
PMID:26417569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4563072/
Abstract

OBJECTIVE

To analyze and describe the distance from the popliteal artery to three specific areas of the proximal region of the tibia, with the knee extended, by means of magnetic resonance.

METHODS

Images of 100 knees of patients who underwent magnetic resonance examinations were analyzed. The location of the popliteal artery was measured in three different areas of the posterior proximal region of the tibia. The first measurement was made at the level of the knee joint (tibial plateau). The second was 9 mm distally to the tibial plateau. The third was at the level of the anterior tuberosity of the tibia (ATT).

RESULTS

The distances between the popliteal artery and the tibial plateau and ATT region were significantly greater in males than in females. The distances between the popliteal artery and the regions 9 mm distally to the tibial plateau and the ATT were significantly greater in the age group over 36 years than in the group ≤36 years.

CONCLUSION

Knowledge of the anatomical position of the popliteal artery, as demonstrated through magnetic resonance studies, is of great relevance in planning surgical procedures that involve the knee joint. In this manner, devastating iatrogenic injuries can be avoided, particularly in regions that are proximal to the tibial plateau and in young patients.

摘要

目的

通过磁共振成像分析并描述膝关节伸直时腘动脉至胫骨近端三个特定区域的距离。

方法

对100例接受磁共振检查患者的膝关节图像进行分析。在胫骨近端后侧的三个不同区域测量腘动脉的位置。第一次测量在膝关节水平（胫骨平台）进行。第二次在胫骨平台远侧9毫米处。第三次在胫骨前结节（ATT）水平进行。

结果

男性腘动脉与胫骨平台及ATT区域之间的距离显著大于女性。年龄大于36岁组腘动脉与胫骨平台远侧9毫米处及ATT区域之间的距离显著大于年龄≤36岁组。

结论

通过磁共振研究显示的腘动脉解剖位置知识，在规划涉及膝关节的外科手术中具有重要意义。通过这种方式，可以避免严重的医源性损伤，特别是在胫骨平台近端区域和年轻患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/e61aaf452ff9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/b5a78d9f7116/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/ae54c75cfbd2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/aac742d8c184/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/2c0ec70c414b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/c69764f84978/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/e61aaf452ff9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/b5a78d9f7116/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/ae54c75cfbd2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/aac742d8c184/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/2c0ec70c414b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/c69764f84978/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/4563072/e61aaf452ff9/gr6.jpg

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