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髌股内侧韧带的起源、结构及止点的解剖学研究

An anatomical study of the origin, structure and insertion of the medial patellofemoral ligament.

作者信息

Li C-H, Ricketts D, Wang X-S, Yu T-B, Qi C, Zhu Y-L

机构信息

Department of Orthopedics, Affiliated Hospital of Qingdao University, Qingdao, China.

出版信息

Folia Morphol (Warsz). 2018;77(2):356-361. doi: 10.5603/FM.a2018.0028. Epub 2018 Mar 23.

DOI:10.5603/FM.a2018.0028
PMID:29569702
Abstract

BACKGROUND

Repair and reconstruction of the medial patellofemoral ligament (MPFL) has been undertaken for the treatment of patellar instability. For successful surgery detailed knowledge of the anatomy of the ligament is required. The aim of this study was to describe the origin, structure and insertion of the MPFL.

MATERIALS AND METHODS

We studied cadaveric knees from 30 Chinese adults. We studied the origin, course and insertion of the MPFL.

RESULTS

We found that the MPFL was composed of two main strands, superficial and deep. We also found that the insertion of the MPFL into the femur had three common patterns. All three were located between the adductor tubercle and the proximal part of superficial medial collateral ligament.

CONCLUSIONS

We have added to the anatomical knowledge of the structure of the MPFL. Our study has implications for guiding bone tunnel positioning during MPFL reconstruction surgery. (Folia Morphol 2018; 77, 2: 356-361).

摘要

背景

内侧髌股韧带(MPFL)的修复与重建已用于治疗髌骨不稳。要成功进行手术,需要详细了解该韧带的解剖结构。本研究的目的是描述MPFL的起源、结构和附着点。

材料与方法

我们研究了30例中国成年人的尸体膝关节。我们研究了MPFL的起源、走行和附着点。

结果

我们发现MPFL由两条主要束组成,即浅层和深层。我们还发现MPFL在股骨上的附着点有三种常见模式。所有三种模式均位于内收肌结节与浅层内侧副韧带近端之间。

结论

我们增加了对MPFL结构的解剖学认识。我们的研究对指导MPFL重建手术中的骨隧道定位具有重要意义。(《形态学杂志》2018年;77卷,第2期:356 - 361页)

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An anatomical study of the origin, structure and insertion of the medial patellofemoral ligament.髌股内侧韧带的起源、结构及止点的解剖学研究
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[Effectiveness of modified single patellar tunnel medial patella femoral ligament reconstruction for recurrent patellar dislocation].改良单髌腱隧道内侧髌股韧带重建治疗复发性髌骨脱位的疗效
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2025 Jan 15;39(1):20-25. doi: 10.7507/1002-1892.202409002.
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Isolated medial patellofemoral ligament reconstruction significantly improved quality of life in patients with recurrent patella dislocation.
孤立性内侧髌股韧带重建术显著改善复发性髌骨脱位患者的生活质量。
Knee Surg Sports Traumatol Arthrosc. 2019 Nov;27(11):3513-3517. doi: 10.1007/s00167-019-05447-w. Epub 2019 Feb 28.