Shatsillo O I, Ariél' B M
Morfologiia. 1996;110(6):112-5.
32 femurs and 23 cotyloid cavities of people who died in accidents and also 29 locked hip joints of just-received cadavers of patients died from somatic diseases were studied by macroscopic methods. The results confirmed that femur head is being nourished from the obturator artery basin. Shape and other parameters of ligament of the costal head so as its possible absence in the hip joint were found to result from interrelations between cotyloid cavity and head of the femur. Ligament of the costal head is maximally strained in extreme femur adduction and in all other positions it is more or less relaxed. This indicates the lack of essential mechanical role of ligament of costal head in hip joint biomechanics. The data obtained substantiate the possibility of using the ligament as a nutritive vascular peduncle of an osteochondral autograft, excised from lower internal region of femur head.
对32例死于意外事故者的股骨及23个髋臼,以及29例刚接收的死于躯体疾病患者尸体的锁定髋关节进行了宏观研究。结果证实股骨头由闭孔动脉供血。发现肋骨头韧带的形态及其他参数以及其在髋关节中可能不存在是髋臼与股骨头之间相互关系的结果。肋骨头韧带在股骨极度内收时处于最大张力状态,在所有其他位置或多或少处于松弛状态。这表明肋骨头韧带在髋关节生物力学中缺乏重要的机械作用。所获得的数据证实了将该韧带用作从股骨头下部内侧区域切取的骨软骨自体移植物的营养血管蒂的可能性。