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跟腓韧带切断术后距下关节外侧不稳定:一项运动学研究

Lateral talocalcaneal instability following section of the calcaneofibular ligament: a kinesiologic study.

作者信息

Kjaersgaard-Andersen P, Wethelund J O, Nielsen S

出版信息

Foot Ankle. 1987 Jun;7(6):355-61. doi: 10.1177/107110078700700612.

DOI:10.1177/107110078700700612
PMID:3609987
Abstract

In the evaluation of the role of the calcaneofibular ligament in stabilizing the talocalcaneal joint, an experimental set-up was prepared. In 10 osteoligamentous specimens, the talocalcaneal motion was measured under a constant well defined moment by using a specially constructed apparatus. By using a moment of 1.5 Nm, increment in adduction in the talocalcaneal joint after section of the calcaneofibular ligament was found between 3.1 degrees and 4.6 degrees, still increasing with dorsiflexion. This increment, shown to constitute 61 to 77% of the total increment in adduction in the hindfoot after section of the calcaneofibular ligament, was found to increase gradually with dorsiflexion. The study has shown the calcaneofibular ligament as an important structure in stabilizing the talocalcaneal joint. Increment in adduction in the hindfoot after section of the calcaneofibular ligament was shown primarily to take place in the talocalcaneal joint.

摘要

在评估跟腓韧带在稳定距跟关节中的作用时,准备了一个实验装置。在10个骨韧带标本中,使用特制的仪器在恒定且明确界定的力矩下测量距跟关节的运动。通过使用1.5 Nm的力矩,发现切断跟腓韧带后距跟关节内收增加3.1度至4.6度,且随着背屈仍在增加。这一增加量占切断跟腓韧带后后足内收总增加量的61%至77%,并发现随着背屈逐渐增加。该研究表明跟腓韧带是稳定距跟关节的重要结构。切断跟腓韧带后后足内收增加主要发生在距跟关节。

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