Feipel V, Rooze M
Laboratory for Functional Anatomy, University of Brussels, Belgium.
Eur J Morphol. 1997 Apr;35(2):87-94. doi: 10.1076/ejom.35.2.87.13069.
Variable descriptions and nomenclatures of the ligaments of the wrist can be found in the literature. To verify the multiple concepts advanced about this subject and to provide a basis for a better understanding of the individual variations of carpal biomechanics, and of the numerous pathomechanical concepts found in the literature, this study attempted to report the gross anatomy of the capsular carpal ligaments and their variations. Precise dissection of 66 anatomical preparations enabled to observe the origin, insertion, and number of fascicles of the capsular ligaments of the wrist. The anatomy of the capsular ligaments of the wrist displayed, besides relatively constant structures, considerable individual variations that concerned particularly the ulnocarpal and dorsal ligaments. A classification of the specimens according to variations in the important wrist ligaments has been advanced and has to be refined by a more extensive analysis. The possible influence of these variable configurations upon carpal biomechanics, diagnosis, classification and treatment of carpal pathologies seems conceivable but still has to be determined.
腕关节韧带的变量描述和命名可在文献中找到。为了验证关于该主题提出的多种概念,并为更好地理解腕骨生物力学的个体差异以及文献中众多的病理力学概念提供依据,本研究试图报告腕关节囊韧带的大体解剖结构及其变异情况。对66个解剖标本进行精确解剖,得以观察腕关节囊韧带的起点、止点和束数。腕关节囊韧带的解剖结构除了相对恒定的结构外,还存在相当大的个体差异,尤其涉及尺腕韧带和背侧韧带。根据重要腕关节韧带的变异情况对标本进行了分类,且必须通过更广泛的分析加以完善。这些可变结构对腕骨生物力学、腕骨病变的诊断、分类和治疗可能产生的影响似乎是可以想象的,但仍有待确定。