Lardé Hélène, Nichols Sylvain, Babkine Marie, Desrochers André
Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, St-Hyacinthe, Québec, Canada.
Vet Surg. 2017 Jan;46(1):145-157. doi: 10.1111/vsu.12591.
To determine arthroscopic approaches to the dorsal and plantar synovial compartments of the tarsocrural joint in adult cattle, and to describe the arthroscopic intra-articular anatomy from each approach.
Ex vivo study.
Fresh adult bovine cadavers (n = 7).
Two tarsocrural joint were injected with latex to determine arthroscopic portal locations and arthroscopy of the tarsocrural joint of 12 tarsi was performed. The dorsolateral approach was made through the large pouch located between the long digital extensor and peroneus longus tendons. The dorsomedial approach was made just medial to the common synovial sheath of the tibialis cranialis, peroneus tertius, and long digital extensor tendons. The plantarolateral and plantaromedial approaches were made lateral and medial to the tarsal tendon sheath, respectively.
Each approach allowed visualization of the distal tibia articulating with the proximal trochlea of the talus. Consistently observed structures included the distal intermediate ridge of the tibia, and the medial and lateral trochlear ridges and trochlear groove of the talus. Lateral and medial malleoli were best assessed from dorsal approaches. From the lateral approaches evaluation of the abaxial surface of the lateral trochlear ridge allowed visualization of the fibulocalcaneal joint. From the plantar approaches additional observed structures included the coracoid process of the calcaneus, plantar trochlea of the talus, and plantar talotibial and talofibular ligaments.
In cattle, the dorsolateral and plantarolateral approaches allowed for the best evaluation of the dorsal and plantar aspects of the tarsocrural joint, respectively.
确定成年牛跗关节背侧和跖侧滑膜腔的关节镜入路,并描述每种入路的关节镜下关节内解剖结构。
离体研究。
新鲜成年牛尸体(n = 7)。
向两个跗关节注射乳胶以确定关节镜入口位置,并对12个跗骨的跗关节进行关节镜检查。背外侧入路通过位于趾长伸肌腱和腓骨长肌腱之间的大囊袋进行。背内侧入路在胫骨前肌、第三腓骨肌和趾长伸肌腱的共同滑膜鞘内侧进行。跖外侧和跖内侧入路分别在跗肌腱鞘的外侧和内侧进行。
每种入路都能观察到胫骨远端与距骨近端滑车的关节。持续观察到的结构包括胫骨远端中间嵴、距骨的内侧和外侧滑车嵴以及滑车沟。从背侧入路能最好地评估内、外踝。从外侧入路评估外侧滑车嵴的远轴面可观察到腓骨跟骨关节。从跖侧入路观察到的其他结构包括跟骨喙突、距骨跖侧滑车以及跖侧距胫和距腓韧带。
在牛中,背外侧和跖外侧入路分别能对跗关节的背侧和跖侧进行最佳评估。