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人类肘关节的发育与功能解剖(作者译)

[Development and functional anatomy of the human elbow joint (author's transl)].

作者信息

Tillmann B

出版信息

Z Orthop Ihre Grenzgeb. 1978;116(3):392-400.

PMID:685395
Abstract

According to the general function of the upper limb the importance of the human elbow joint is discussed including phylogenetic aspects. The ontogenesis of this joint is analysed by serially sectioned human embryos of different stages. The important period is at the end of the second month, as the articular elements are formed at this time. The density distribution of the subchondral bone of the elbow joint corresponds to the results from photoelastic models. They are compared with the stress diagrams calculated by Pauwels. The density distribution of the articulating elements corresponds to the local stress. The analysis of the elbow joint of children of different ages shows, that there is no basis connection between the shape of the different formed articular surfaces of the ulna and the orientation of the epiphyseal plate. For the structural changes of the articular surfaces in the incisura trochlearis ulnae functional explanations are given with regard to Pauwels' deductions on the mechanical stress and the hypothesis on the causal histogenesis.

摘要

根据上肢的一般功能,探讨了人类肘关节的重要性,包括系统发育方面。通过对不同阶段的连续切片人类胚胎分析该关节的个体发生。重要时期是在第二个月末,因为此时关节元件形成。肘关节软骨下骨的密度分布与光弹性模型的结果相对应。将它们与 Pauwels 计算的应力图进行比较。关节元件的密度分布与局部应力相对应。对不同年龄儿童的肘关节分析表明,尺骨不同形成的关节面形状与骨骺板的方向之间没有基础联系。关于尺骨滑车切迹中关节面的结构变化,根据 Pauwels 对机械应力的推论和因果组织发生假说给出了功能解释。

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