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腓骨切迹形态测量及其在干骨上的临床意义。

Fibular notch morphometry and its clinical importance on dry bones.

机构信息

Department of Anatomy, Cukurova University Faculty of Medicine, Adana, Turkey.

出版信息

PLoS One. 2024 Aug 13;19(8):e0307387. doi: 10.1371/journal.pone.0307387. eCollection 2024.

DOI:10.1371/journal.pone.0307387
PMID:39137194
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11321577/
Abstract

The aim of the present study was to determine the morphometric characteristics of the fibular notch (FN). This study was carried out with 76 dry adult tibial bone specimens (right 38, left 38) with unknown age and sex collected from the Department of Anatomy, Cukurova University, Adana. The mean width of the FN was 23.04 ± 2.02 mm; the mean depth of the FN 3.63 ± 0.83 mm; the mean height of the FN was 41.76 ± 4.01 mm. The mean anterior facet length and posterior facet length was found to be 10.44 ± 1.94 mm and 13.93 ±1.63 mm, respectively. The mean value of the angle between the anterior and posterior facets was found to be 140.56° ± 11.72. The mean value of the angle between the anterior surface of the tibia and the intertubercular line was 75.5° ± 5.47. No statistically significant differences were detected between the right and left sides for all measurements. It is considered that knowing the morphometric and anatomical characteristics of the fibular notch in detail will help radiologists evaluate the talocrural region. It is also considered that these data will guide surgeons and help determine the appropriate size for ankle reconstruction operations.

摘要

本研究旨在确定腓骨切迹(FN)的形态特征。该研究共纳入 76 例来自阿达纳库鲁瓦大学解剖学系的、性别和年龄未知的成人干胫骨标本(右侧 38 例,左侧 38 例)。FN 的平均宽度为 23.04 ± 2.02mm;平均深度为 3.63 ± 0.83mm;平均高度为 41.76 ± 4.01mm。前关节面长度和后关节面长度的平均值分别为 10.44 ± 1.94mm 和 13.93 ± 1.63mm。前、后关节面之间的平均夹角为 140.56° ± 11.72°。胫骨前表面与髁间线之间的平均夹角为 75.5° ± 5.47°。所有测量值在右侧和左侧之间均无统计学差异。详细了解腓骨切迹的形态和解剖学特征将有助于放射科医生评估距小腿区域。还认为这些数据将指导外科医生并有助于确定踝关节重建手术的合适尺寸。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d6/11321577/4f9274d8e1ce/pone.0307387.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d6/11321577/b2f9668a728c/pone.0307387.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d6/11321577/4f9274d8e1ce/pone.0307387.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d6/11321577/b2f9668a728c/pone.0307387.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d6/11321577/4f9274d8e1ce/pone.0307387.g002.jpg

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本文引用的文献

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The Radiological Anatomy of the Distal Tibiofibular Joint: A Retrospective Computed Tomography Study.胫腓远侧关节的放射学解剖:一项回顾性计算机断层扫描研究
Cureus. 2024 Feb 4;16(2):e53540. doi: 10.7759/cureus.53540. eCollection 2024 Feb.
2
In Different Gender Groups, What Is the Impact of the Fibular Notch on the Severity of High Ankle Sprain: A Retrospective Study of 360 Cases.不同性别群体中,腓骨切迹对踝关节高位扭伤严重程度的影响:360 例回顾性研究。
Orthop Surg. 2023 Oct;15(10):2557-2565. doi: 10.1111/os.13833. Epub 2023 Aug 3.
3
The Relationship Between Fibular Notch Anatomy and ATFL Rupture.
腓骨切迹解剖结构与 ATFL 撕裂的关系。
J Foot Ankle Surg. 2023 Jul-Aug;62(4):666-670. doi: 10.1053/j.jfas.2023.02.004. Epub 2023 Feb 16.
4
A fibular notch approach for the treatment of ankle fractures involving the distal tibial plafond.腓骨切迹入路治疗累及胫骨远端关节面的踝关节骨折。
J Orthop Surg Res. 2021 Feb 8;16(1):120. doi: 10.1186/s13018-021-02270-3.
5
The fibular notch: an anatomical study.腓骨切迹:一项解剖学研究。
Surg Radiol Anat. 2020 Oct;42(10):1161-1166. doi: 10.1007/s00276-020-02476-w. Epub 2020 Apr 25.
6
Radiologic Evaluation of the Effect of Distal Tibiofibular Joint Anatomy on Arthroscopically Proven Ankle Instability.胫腓远侧关节解剖对关节镜下证实的踝关节不稳定的放射学评估。
Foot Ankle Int. 2020 Feb;41(2):223-228. doi: 10.1177/1071100719884555. Epub 2019 Oct 31.
7
Tibiofibular relationships of the normal syndesmosis differ by age on axial computed tomography-Anterior fibular translation with age.正常踝关节联合在轴位 CT 上的胫腓骨关系随年龄变化而不同-前腓骨随年龄发生移位。
Injury. 2019 Jun;50(6):1256-1260. doi: 10.1016/j.injury.2019.04.022. Epub 2019 Apr 22.
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J Foot Ankle Surg. 2017 Nov-Dec;56(6):1147-1150. doi: 10.1053/j.jfas.2017.05.020. Epub 2017 Sep 18.
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J Foot Ankle Res. 2015 Jul 25;8:32. doi: 10.1186/s13047-015-0093-6. eCollection 2015.
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Anatomy of the distal tibiofibular syndesmosis in adults: a pictorial essay with a multimodality approach.成人下胫腓联合的解剖:多模态成像方法的影像学研究。
J Anat. 2010 Dec;217(6):633-45. doi: 10.1111/j.1469-7580.2010.01302.x.