| 膝关节半月板根部附着区的解剖学测量 |
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投稿时间：2019-11-06
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| 作者 | Author | 单位 | Address | E-Mail |
| 赵章伟 |
ZHAO Zhang-wei |
温州医科大学附属第三医院骨科, 浙江 瑞安 325200 |
Department of Orthopaedics, the Third Affiliated Hospital of Wenzhou Medical University, Ruian 325200, Zhejiang, China |
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| 周凯 |
ZHOU Kai |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
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| 李琪 |
LI-Qi |
温州医科大学附属第三医院骨科, 浙江 瑞安 325200 |
Department of Orthopaedics, the Third Affiliated Hospital of Wenzhou Medical University, Ruian 325200, Zhejiang, China |
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| 蔡春元 |
CAI Chun-yuan |
温州医科大学附属第三医院骨科, 浙江 瑞安 325200 |
Department of Orthopaedics, the Third Affiliated Hospital of Wenzhou Medical University, Ruian 325200, Zhejiang, China |
raccygk@126.com |
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| 期刊信息：《中国骨伤》2020年，第33卷，第3期，第234-237页 |
| DOI：10.12200/j.issn.1003-0034.2020.03.009 |
| 基金项目:温州卫生局课题（编号：2019A06） |
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中文摘要:
目的：测量国人膝关节内外侧半月板前后根部附着区的解剖学数据，为临床修复半月板根部损伤提供解剖学基础。
方法：选取30个国人成人尸体膝关节标本，其中男16例，女14例；死亡年龄35~68（55.6±7.8）岁。对半月板根部附着区结构进行解剖，测量内外侧半月板根部附着区中心点与胫骨内外侧髁间棘、后交叉韧带前缘、内侧胫骨平台软骨后方外侧缘及外侧胫骨平台软骨后方内侧缘等标志点的位置关系和各个附着区的面积。
结果：内侧半月板后根部附着区：中心点位于胫骨内侧髁间棘后方（11.73±3.10）mm、外侧（2.77±0.86）mm，后交叉韧带前缘前（2.76±0.76）mm，内侧平台软骨外侧缘外（3.92±0.22）mm，附着区面积（31.29±5.18）mm2。内侧半月板前根部附着区：中心点位于胫骨内侧髁间棘前方（25.40±5.27）mm、外侧（3.01±0.86）mm，附着区面积（46.18±11.60）mm2。外侧半月板后根部附着区：中心点位于胫骨外侧髁间棘后方（4.51±1.35）mm、内侧（1.85±0.34）mm，后交叉韧带前缘前（6.91±1.11）mm，外侧平台软骨内侧缘内（3.16±0.96）mm，附着区面积（44.10±6.23）mm2。外侧半月板前根部附着区：中心点位于胫骨外侧髁间棘前方（12.97±2.92）mm、外侧（1.31±0.22）mm，附着区面积（60.84±14.98）mm2。
结论：该试验定量描述内外侧半月板前后根部附着区的面积以及其中心点与相应标志点的位置关系，为临床修复半月板根部损伤提供一定的解剖学参考。 |
| 【关键词】膝关节 半月板 膝损伤 解剖学 |
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| Anatomical measurement of root attachments of the menisci |
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ABSTRACT
Objective: To measure anatomical data of anterior and posterior root attachments of the medial and lateral menisci for reconstruction of root tears.
Methods: Thirty cadaveric knee joints of human were chosen,including 16 males and 14 females,death age ranged from 35 to 68 years old with an average age of (55.6±7.8) years old. Structure of root attachments of the menisci was dissected and observed,then areas of the attachments and the distances from the centers of the attachments of each structure to specific landmarks were measured. These landmarks were medial tibial eminence apex,lateral tibial eminence apex,the anterior edge of posterior cruciate ligament(PCL),lateral margin of cartilage of medial tibial plateau,medial margin of cartilage of lateral tibial plateau.
Results: The attachment of posterior root of medial meniscus:the central point was located on posterior about(11.73±3.10) mm and lateral about(2.77±0.86) mm to the medial tibial eminence apex; anterior about (2.76±0.76) mm to the anterior edge of PCL;lateral about (3.92±0.22) mm to lateral margin of cartilage of medial tibial plateau; the area of the attachment was(31.29±5.18) mm2. The central point of attachment of anterior root of medial meniscus was located on anterior about (25.40±5.27) mm and lateral about (3.01±0.86) mm to the medial tibial eminence apex,and the attachment area was(46.18±11.60) mm2. The attachment of posterior root of lateral meniscus:the central point was located on posterior about (4.51±1.35) mm and medial about(1.85±0.34) mm to lateral tibial eminence apex;anterior about (6.91±1.11) mm to the anterior edge of PCL; medial about (3.16±0.96) mm to medial margin of cartilage of lateral tibial plateau;and the area of attachment was (44.10±6.23) mm2. The central point of attachment of anterior root of lateral meniscus was located on anterior about (12.97±2.92) mm and lateral about (1.31±0.22) mm to the lateral tibial eminence apex,and the attachment area was (60.84±14.98) mm2.
Conclusion: The study quantitatively describes the area of the attachments of the anterior and posterior roots of the medial and lateral menisci as well as the relationship between central points and corresponding landmarks,which could provide some anatomical reference for clinical repair of roots injury of menisci. |
| KEY WORDS Knee joint Meniscus Knee injuries Anatomy |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵章伟,周凯,李琪,蔡春元.膝关节半月板根部附着区的解剖学测量[J].中国骨伤,2020,33(3):234~237 |
| 英文格式: | ZHAO Zhang-wei,ZHOU Kai,LI-Qi,CAI Chun-yuan.Anatomical measurement of root attachments of the menisci[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(3):234~237 |
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