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动态腓骨功能:一个新概念。

Dynamic fibular function: a new concept.

作者信息

Scranton P E, McMaster J G, Kelly E

出版信息

Clin Orthop Relat Res. 1976 Jul-Aug(118):76-81.

PMID:954295
Abstract

Fibular function has long been a point of controversy in the literature. Until recently the fibula's role during gait has been thought of as entirely static. A review of the literature reveals an important dynamic function for the fibula in maintaining ankle mortise stability during weight bearing. Roentgenographic and anatomical studies confirm the hypothesis of progressive distal fibular descent. A taut interosseous membrane and deepened mortise result when be flexors of the foot contract during stance phase. Congenital deformities of the ankle may stem from aberration in the dynamic role of the fibula. Stress fractures and problems resulting from impaired distal migration and synostosis formation are interpreted as disorders of the dynamic role of the fibula.

摘要

腓骨的功能长期以来一直是文献中的一个争议点。直到最近,腓骨在步态中的作用一直被认为完全是静态的。文献综述揭示了腓骨在负重期间维持踝关节榫眼稳定性方面的重要动态功能。X线摄影和解剖学研究证实了腓骨远端进行性下降的假说。当足部屈肌在站立期收缩时,会导致骨间膜拉紧和榫眼加深。踝关节的先天性畸形可能源于腓骨动态作用的异常。应力性骨折以及由远端移位受损和骨桥形成导致的问题被解释为腓骨动态作用的紊乱。

相似文献

1
Dynamic fibular function: a new concept.动态腓骨功能:一个新概念。
Clin Orthop Relat Res. 1976 Jul-Aug(118):76-81.
2
Isolated congenital pseudoarthrosis of the fibula: a comparison of fibular osteosynthesis with distal tibiofibular synostosis.孤立性先天性腓骨假关节:腓骨骨固定术与胫腓骨远端融合术的比较
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3
[Function of fibula in stability of ankle joint].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2002 Jul;16(4):245-7.
4
Distal tibiofibular synostosis and late sequelae of an ankle sprain.
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5
Role of the fibula in weight-bearing.腓骨在负重中的作用。
Clin Orthop Relat Res. 1984 Apr(184):289-92.
6
Dynamic function of the fibula. Gait analysis evaluation of three different parts of the shank after fibulectomy: proximal, middle and distal.腓骨的动态功能。腓骨切除术后小腿三个不同部位(近端、中段和远端)的步态分析评估。
Arch Orthop Trauma Surg. 2005 Dec;125(10):713-20. doi: 10.1007/s00402-005-0054-9. Epub 2005 Nov 3.
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[Biomechanics of the upper ankle joint].
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Clin Orthop Relat Res. 1992 Jun(279):223-8.
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Holographic investigations of the human tibiofibular interosseous membrane.人体胫腓骨骨间膜的全息摄影研究。
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A biomechanical study of the ankle syndesmosis after fibular graft harvest.腓骨取骨后踝关节下胫腓联合的生物力学研究。
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EFORT Open Rev. 2021 Sep 14;6(9):816-822. doi: 10.1302/2058-5241.6.210003. eCollection 2021 Sep.
2
Correlation of stress radiographs to injuries associated with lateral ankle instability.应力位X线片与外侧踝关节不稳相关损伤的相关性
World J Orthop. 2021 Sep 18;12(9):710-719. doi: 10.5312/wjo.v12.i9.710.
3
Suture-Button Versus Syndesmotic Screw Fixation of Ankle Fractures: A Comparative Retrospective Review Over One Year.
踝关节骨折的缝线纽扣与下胫腓联合螺钉固定:一年的比较性回顾研究
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4
Anatomic Repair vs Closed Reduction of the Syndesmosis.下胫腓联合解剖修复与闭合复位的比较。
Foot Ankle Int. 2021 Jul;42(7):877-885. doi: 10.1177/1071100721990008. Epub 2021 Feb 9.
5
When is indicated fibular fixation in extra-articular fractures of the distal tibia?在胫骨远端关节外骨折中,何时需要进行腓骨固定?
Acta Biomed. 2019 Jan 15;89(4):558-563. doi: 10.23750/abm.v89i4.7775.
6
Correlation factors for distal syndesmosis ossification following internal fixation of ankle fracture.踝关节骨折内固定术后远侧胫距关节骨化的相关因素。
Sci Rep. 2018 Aug 23;8(1):12698. doi: 10.1038/s41598-018-30672-7.
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A New Intraoperative Syndesmosis Instability Classification System: Utility and Medium-term Results in Closed Displaced Ankle Fractures.一种新的术中下胫腓联合不稳定分类系统:在闭合性移位踝关节骨折中的应用及中期结果
Orthop Surg. 2017 Nov;9(4):365-371. doi: 10.1111/os.12355.
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Shapes of distal tibiofibular syndesmosis are associated with risk of recurrent lateral ankle sprains.下胫腓联合远侧的形态与复发性外踝扭伤的风险相关。
Sci Rep. 2017 Jul 24;7(1):6244. doi: 10.1038/s41598-017-06602-4.
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The Role of Fibular Fixation in Distal Tibial Fractures.腓骨固定在胫骨远端骨折中的作用。
J Clin Diagn Res. 2016 Apr;10(4):RC12-4. doi: 10.7860/JCDR/2016/7249.7833. Epub 2016 Apr 1.
10
Progressive valgus deformity of the donor-site ankle after extraperiosteal harvesting the fibular shaft in children. Treatment with osteotomy and synostosis at one session.儿童腓骨干骨膜外取骨后供区踝关节渐进性外翻畸形。一期截骨并融合治疗。
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