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[上踝关节的功能解剖学]

[Functional anatomy of the upper ankle joint].

作者信息

Hawe W, Lippert M J, Bernett P

机构信息

Klinik und Poliklinik für Sportverletzungen, TU München.

出版信息

Sportverletz Sportschaden. 1989 Mar;3(1):1-5. doi: 10.1055/s-2007-993622.

Abstract

The ankle joint is regarded as a hinged joint with a range of motion of about 60 degrees. The shape of the trochlea tali varies, so the axis of rotation and the compensative movements of the fibula do. The ligamentous stabilizers of the medial side are thicker than the lateral ones. At the other hand, the lateral malleolus is more voluminous than the medial one. The lig. fibulotalare ant. is a reinforcement of the joint capsule, the lig. fibulocalcaneare has no connection to the jointcapsule, the lig. fibulotalare post. is partially running through the joint. In neutral- and plantarflexed position, the lig. fibulocalcaneare forms a groove which takes up the tendon sheat of the peroneal tendson. In dorsalextended position the tendons are pushed laterally by the tense ligament. This mechanism supports the peroneal tendon luxation in dorsal extension.

摘要

踝关节被视为一个活动范围约为60度的铰链关节。距骨滑车的形状各异,因此旋转轴以及腓骨的代偿运动也各不相同。内侧的韧带稳定结构比外侧的更厚。另一方面,外踝比内踝更粗大。腓距前韧带是关节囊的加强结构,腓跟韧带与关节囊没有连接,腓距后韧带部分穿过关节。在中立位和跖屈位时,腓跟韧带形成一个凹槽,容纳腓骨肌腱的腱鞘。在背伸位时,紧张的韧带将肌腱推向外侧。这种机制促使腓骨肌腱在背伸时发生脱位。

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