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[距骨滑车楔形所必需的腓骨代偿性运动]

[Compensatory movements of the fibula necessitated by the wedge shape of the trochlea tali].

作者信息

Reimann R, Anderhuber F

出版信息

Acta Anat (Basel). 1980;108(1):60-7.

PMID:7445954
Abstract

The lateral articular facet of the talus (Facies malleolaris lateralis) is slanting and irregularly shaped; therefore, the fibula shows compensative motions in transverse, sagittal, vertical and rotational directions when the ankle joint is moved. There are contradictory statements concerning the course of this compensative rotation, because the fibula shows individually different reactions. The fibula is not rotated during dorsiflexion in nearly 25% of legs; approximately one half of the remaining fibulae is rotated outward, the other half inward. The matter of fact is not surprising, when the shape of the lateral articular facet is inspected exactly: it resembles a flat saddle, the anterior part of which is screw-shaped. The fibula rotates outward during dorsiflexion, if the furrow of this screw-shaped area increases forward; it rotates inward, if the furrow diminishes forward; and it does not rotate at all, if the furrow is constant.

摘要

距骨的外侧关节面(外侧踝关节面)呈倾斜状且形状不规则;因此,当踝关节活动时,腓骨会在横向、矢状面、垂直和旋转方向上出现代偿性运动。关于这种代偿性旋转的过程存在相互矛盾的说法,因为腓骨表现出个体差异的反应。在近25%的腿部中,背屈时腓骨不发生旋转;其余腓骨中约一半向外旋转,另一半向内旋转。当精确检查外侧关节面的形状时,这一事实并不令人惊讶:它类似于一个扁平的鞍状面,其前部呈螺旋状。如果这个螺旋状区域的沟向前增加,背屈时腓骨向外旋转;如果沟向前减小,腓骨向内旋转;如果沟保持不变,腓骨则根本不旋转。

相似文献

1
[Compensatory movements of the fibula necessitated by the wedge shape of the trochlea tali].[距骨滑车楔形所必需的腓骨代偿性运动]
Acta Anat (Basel). 1980;108(1):60-7.
2
[Models of the geometry of the human ankle bone pulley: two series of geometric models for demonstrating the biomechanics of the ankle joint].[人体踝关节滑轮几何模型:用于展示踝关节生物力学的两系列几何模型]
Gegenbaurs Morphol Jahrb. 1988;134(3):351-80.
3
[The geometry of the human trochlea tali].[距骨滑车的几何学]
Acta Anat (Basel). 1986;127(4):271-8.
4
[Compensatory and stabilizing motions of the fibula].[腓骨的代偿性和稳定性运动]
Acta Anat (Basel). 1982;112(3):233-41.
5
[Morphology and clinical aspect of the lateral ligaments of the ankle joint (author's transl)].踝关节外侧韧带的形态学与临床研究(作者译)
Anat Anz. 1980;147(2):188-200.
6
[Functional anatomy of the upper ankle joint].[上踝关节的功能解剖学]
Sportverletz Sportschaden. 1989 Mar;3(1):1-5. doi: 10.1055/s-2007-993622.
7
[Registration of fibular movements in vivo in relation to the tibia at the level of the ankle joint].
Helv Chir Acta. 1979 May;46(1-2):7-11.
8
Effect of upper tibial osteotomy on fibula movement and ankle joint motion.胫骨上段截骨术对腓骨运动及踝关节活动的影响。
Arch Orthop Trauma Surg. 1993;112(5):239-42. doi: 10.1007/BF00451883.
9
[Function of fibula in stability of ankle joint].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2002 Jul;16(4):245-7.
10
Three-dimensional analysis of ankle instability after tibiofibular syndesmosis injuries: a biomechanical experimental study.胫腓联合损伤后踝关节不稳的三维分析:一项生物力学实验研究。
Am J Sports Med. 2008 Feb;36(2):348-52. doi: 10.1177/0363546507308235. Epub 2007 Oct 16.

引用本文的文献

1
An update on the evaluation and treatment of syndesmotic injuries.下胫腓联合损伤的评估与治疗进展
Eur J Trauma Emerg Surg. 2015 Dec;41(6):601-14. doi: 10.1007/s00068-014-0466-8. Epub 2014 Nov 12.
2
The trapezoid form of the trochlea tali.距骨滑车的梯形形态。
Surg Radiol Anat. 2003 Jul-Aug;25(3-4):216-25. doi: 10.1007/s00276-003-0122-1. Epub 2003 Jul 24.
3
Effect of upper tibial osteotomy on fibula movement and ankle joint motion.胫骨上段截骨术对腓骨运动及踝关节活动的影响。
Arch Orthop Trauma Surg. 1993;112(5):239-42. doi: 10.1007/BF00451883.
4
[Static stress of tibiofibular syndesmosis].[胫腓下联合的静态应力]
Unfallchirurgie. 1987 Jun;13(3):129-34. doi: 10.1007/BF02588416.