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内侧副韧带横断后实验性肘关节不稳定

Experimental elbow instability after transection of the medial collateral ligament.

作者信息

Søjbjerg J O, Ovesen J, Nielsen S

出版信息

Clin Orthop Relat Res. 1987 May(218):186-90.

PMID:3568478
Abstract

In 12 osteoligamentous autopsy elbow preparations, the stability of the elbow was independent of the collateral ligament with flexion of less than 20 degrees and greater than 120 degrees. The anterior part of the collateral medial ligament was the prime stabilizer of the elbow in this range of motion, i.e., the flexion range of function. The maximum valgus and internal rotatory instability after transection of the medial collateral ligament, 20.2 degrees and 21.0 degrees, respectively, were found at elbow flexions from 60 degrees to 70 degrees. Selective repair or reconstruction of the anterior part of the elbow medial collateral ligament may prove to be effective in the treatment of acute or chronic elbow instability.

摘要

在12例骨韧带联合的肘关节尸体标本中,当肘关节屈曲小于20度和大于120度时,肘关节的稳定性与侧副韧带无关。在这个运动范围内,即功能屈曲范围内,内侧副韧带的前部是肘关节的主要稳定结构。在内侧副韧带横断后,最大外翻和内旋不稳定分别为20.2度和21.0度,出现在肘关节屈曲60度至70度时。选择性修复或重建肘关节内侧副韧带的前部可能被证明对治疗急性或慢性肘关节不稳定有效。

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