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距骨:正常解剖、解剖变异与临床关联。

Talus bone: normal anatomy, anatomical variations and clinical correlations.

机构信息

Orthopedic Surgery Department, Faculty of Medicine, Zagazig University, Zagazig City, 44519, Egypt.

Basic Medical Science Department, Faculty of Dentistry, Zarqa University, Zarqa City, 13110, Jordan.

出版信息

Anat Sci Int. 2023 Jul;98(3):391-406. doi: 10.1007/s12565-023-00712-y. Epub 2023 Apr 5.

DOI:10.1007/s12565-023-00712-y
PMID:37017903
Abstract

Talus is a pivotal bone that assists in easy and correct locomotion and transfers body weight from the shin to the foot. Despite its small size, it is implicated in many clinical disorders. Familiarity with the anatomy of the talus and its anatomical variations is essential for the diagnosis of any disorder related to these variations. Furthermore, orthopedic surgeons must be fully aware by this anatomy during podiatry procedures. In this review, we attempt to present its anatomy in a simple, updated and comprehensive manner. We have also added the anatomical variations and some clinical points relevant to the unique and complex anatomy of talus. The talus has no muscle attachment. However, it does have many ligaments attached to it and others around it to keep it in place. Moreover, the bone plays a pig role in movements due to its involvement in many joints. Most of its surface is covered with articular cartilage. Therefore, its blood supply is relatively poor. This puts the talus at greater risk for poor healing as well as more complications in the event of injury than any other bone. We hope this review will make it easier for clinicians to pursue and understand the updated essential knowledge of one of the most complex bone anatomies that they need in their clinical practice.

摘要

距骨是一块重要的骨骼,有助于实现轻松、正确的运动,并将身体重量从胫骨传递到足部。尽管它体积较小,但与许多临床疾病有关。熟悉距骨的解剖结构及其解剖变异对于诊断与这些变异相关的任何疾病至关重要。此外,足病医生在进行足部手术时必须充分了解这些解剖结构。在这篇综述中,我们试图以简单、更新和全面的方式呈现其解剖结构。我们还增加了与距骨独特而复杂的解剖结构相关的解剖变异和一些临床要点。距骨没有肌肉附着。但是,它有许多韧带附着在上面,周围还有其他韧带来固定它的位置。此外,由于其参与了许多关节,骨骼在运动中起着重要作用。其大部分表面都覆盖着关节软骨。因此,其血液供应相对较差。这使得距骨在愈合方面的风险更大,并且在受伤时比其他任何骨骼更容易出现并发症。我们希望这篇综述能使临床医生更容易掌握和理解他们在临床实践中所需的最复杂骨骼解剖之一的最新必要知识。

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Calcaneofibular ligament may act as a tensioner of peroneal tendons as revealed by a contactless three-dimensional scan system on cadavers.跟骨-腓骨韧带可作为腓骨肌腱的紧张结构,这一作用在尸体的无接触三维扫描系统中得到了揭示。
Sci Rep. 2022 Oct 5;12(1):16650. doi: 10.1038/s41598-022-21115-5.
3
Congenital talipes equinovarus: A literature review.
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Cureus. 2024 Apr 26;16(4):e59060. doi: 10.7759/cureus.59060. eCollection 2024 Apr.
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Influence of Talar and Calcaneal Morphology on Subtalar Kinematics During Walking.距骨和跟骨形态对行走时距下关节运动学的影响。
Foot Ankle Int. 2024 Jun;45(6):632-640. doi: 10.1177/10711007241231981. Epub 2024 Mar 15.
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Three-dimensional Mapping Analysis of Talus Fractures and Demonstration of Different Surgical Approaches for Talus Fractures.距骨骨折的三维测绘分析及不同手术入路治疗距骨骨折的疗效展示。
Orthop Surg. 2024 May;16(5):1196-1206. doi: 10.1111/os.14033. Epub 2024 Mar 14.
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Healthcare (Basel). 2024 Feb 26;12(5):547. doi: 10.3390/healthcare12050547.
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