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膝关节半月板的生物力学考量

Biomechanical considerations of the menisci of the knee.

作者信息

McBride I D, Reid J G

机构信息

School of Physical and Health Education, Queen's University Kingston, Ontario.

出版信息

Can J Sport Sci. 1988 Dec;13(4):175-87.

PMID:3064900
Abstract

The menisci of the knee are important structures for maintaining a healthy joint since they absorb shock and prevent rotatory instability. The shapes of the menisci and the orientations of their collagen fibres are naturally suited for bearing weight of the joint. Their shape also allows the tibial plateau contact area to be three times greater, thereby decreasing the stress by up to seven times. The medial and lateral menisci are able to move to different extents as a result of the variable laxities of the adjoining ligaments. Often a meniscus becomes injured and must be surgically removed by either a partial or total meniscectomy. Many meniscal injuries occur during sports activities and are caused predominantly by a twisting motion. A meniscectomy has been shown to have detrimental effects including increased joint laxity, osteoarthritis, and other structural changes. Approximately 25% of those who have had a total meniscectomy must stop or restrict their sports activities.

摘要

膝关节半月板是维持关节健康的重要结构,因为它们能吸收冲击并防止旋转不稳定。半月板的形状及其胶原纤维的方向自然适合承受关节的重量。它们的形状还使胫骨平台接触面积增大三倍,从而使应力降低多达七倍。由于相邻韧带的松弛程度不同,内侧和外侧半月板能够不同程度地移动。半月板常常受伤,必须通过部分或全半月板切除术进行手术切除。许多半月板损伤发生在体育活动中,主要是由扭转动作引起的。半月板切除术已被证明有不利影响,包括关节松弛增加、骨关节炎和其他结构变化。大约25%接受全半月板切除术的人必须停止或限制他们的体育活动。

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引用本文的文献

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Association between thigh muscle strength four years after partial meniscectomy and radiographic features of osteoarthritis 11 years later.半月板部分切除术四年后大腿肌肉力量与 11 年后骨关节炎的放射学特征之间的关联。
BMC Musculoskelet Disord. 2019 Nov 3;20(1):512. doi: 10.1186/s12891-019-2875-7.
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Analysis of displacement and deformation of the medial meniscus with a horizontal tear using a three-dimensional computer model.使用三维计算机模型分析水平撕裂的内侧半月板的位移和变形。
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内侧半月板后角的解剖学意义:其放射状撕裂与关节面软骨退变之间的关系。
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MRI evaluation of isolated arthroscopic partial meniscectomy patients at a minimum five-year follow-up.对接受关节镜下单纯半月板部分切除术的患者进行至少五年随访的MRI评估。
HSS J. 2007 Feb;3(1):35-43. doi: 10.1007/s11420-006-9031-2.
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