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人体胫腓骨骨间膜的全息摄影研究。

Holographic investigations of the human tibiofibular interosseous membrane.

作者信息

Vukicević S, Stern-Padovan R, Vukicević D, Keros P

出版信息

Clin Orthop Relat Res. 1980 Sep(151):210-4.

PMID:7418307
Abstract

The interosseous membrane contributes to the function of the fibula by neutralizing the freedom of movement in the upper tibiofibular joint and by keeping the fibula from being passive. The main role of the membrane is indicated by its shearing capacity. As a result of dislocation and bending of the tibia (during axial loading), and the passivity of the fibula, the membrane slides in the direction of the leg's axis causing the zone of maximal shearing in its upper central part. This is the principal zone of strain and divides the upper portion of the membrane into the tibial and fibular area. Damage of the upper part of the membrane, perpendicular to the main fiber bundles, causes an irregular deformation of the talus, while complete damage of the membrane unburdens the fibula in load transference by more than 30%. The interosseous membrane is important in the normal function of the lower leg by maintaining the axis of balanced loading of the foot.

摘要

骨间膜通过抵消上胫腓关节的活动自由度以及防止腓骨被动活动,对腓骨的功能起到作用。该膜的主要作用由其剪切能力体现。由于胫骨的脱位和弯曲(在轴向负荷期间)以及腓骨的被动性,该膜沿小腿轴线方向滑动,导致其中央上部出现最大剪切区域。这是主要应变区域,将膜的上部划分为胫骨区和腓骨区。垂直于主要纤维束的膜上部损伤会导致距骨不规则变形,而膜的完全损伤会使腓骨在负荷传递中的负担减轻超过30%。骨间膜通过维持足部平衡负荷轴线,对小腿的正常功能至关重要。

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