Fiacco Regina C, Ream Garen M, Wilson Charlotte, Tubbs R Shane, Loukas Marios, Kozlowski Piotr B, DiLandro Anthony C, Jules Kevin T, D'Antoni Anthony V
New York College of Podiatric Medicine.
Seattle Science Foundation.
Cureus. 2017 Nov 3;9(11):e1819. doi: 10.7759/cureus.1819.
There is heterogeneity in the literature regarding the anatomy, exact location, and definition of the intersesamoid ligament (IL). Anatomic knowledge of the IL and its variations are important for surgeons who undertake corrective surgery for hallux abducto valgus (HAV). The IL was dissected in 16 feet from 32 formalin-fixed cadavers (12 females, four males; 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 suggest that the size of the sesamoids may change as a result of HAV deforming forces, which may cause lengthening of the IL. The IL stabilizes the sesamoid apparatus of the firstmetatarsophalangeal joint (MPJ) and should be evaluated in HAV correction. Anatomic knowledge of the complex morphology and relations between the IL and sesamoids is critically important for surgeons correcting HAV deformities.
关于籽骨间韧带（IL）的解剖结构、确切位置和定义，文献中存在异质性。对于进行拇外翻（HAV）矫正手术的外科医生来说，了解IL的解剖结构及其变异情况非常重要。从32具福尔马林固定的尸体（12名女性，4名男性；平均死亡年龄76.6岁）的16只足中解剖出IL，以检查其形态。用数字卡尺记录其组成带的长度、宽度和厚度。采用描述性和相关性统计方法来研究带的大小、死亡年龄和性别的关系。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。结果表明，籽骨的大小可能因HAV的变形力而改变，这可能导致IL延长。IL稳定第一跖趾关节（MPJ）的籽骨装置，在HAV矫正中应予以评估。对于矫正HAV畸形的外科医生来说，了解IL与籽骨之间复杂的形态和关系的解剖学知识至关重要。
