摘要
目的:观测成人踝关节的相关形态学指标,为踝关节损伤修复、关节置换等提供解剖学依据,同时积累国人人体解剖学资料.方法:利用游标卡尺、量角器、求积仪等,对53具成人出土骨骼的完整踝关节进行形态学测量.结果踝关节面积:腓骨踝关节面面积(3.7±0.41)c㎡,胫骨踝关节面面积(2.5±1.56)c㎡,距骨滑车面积(10.6±1.87)c㎡,距骨内踝关节面面积(2.2±1.86)c㎡、外踝关节面面积(3.3±0.61)c㎡;距骨滑车测量:距骨滑车关节凹深度(0.3±0.18)cm、内、外侧唇的高度分别为(0.5±0.21)cm、(0.9±0.12)cm,前缘宽度(2.7±0.33)cm,后缘宽度(2.0±0.58)cm;踝关节各面间以及与下肢轴线的交角:内外踝关节面与距骨滑车平面交角分别为(109±1.58)°、(116±1.21)°,内外踝关节面与下肢轴线交角分别为(18±1.08)°、(26±1.36)°.结论踝关节损伤修复、关节置换等均应以踝关节的形态学为依据方能达到良好的治疗效果.
Abstract
Objective:The related morphological index of adult ankle joint which would supply the anatomy basis to repair the injured ankle joint,and replace the joint.Also,collect the Chinese anatomy data.Methods: Measure morphological complete ankle joints of the 53 adults with the vernier calipers,protractor and planimeter.Results:The area of the ankle joints the area of fibula ankle articular surface (3.7±0.41)cm2,the area of tibia ankle articular surface (2.5±1.56)cm2,the area of talus articular surface (10.6±1.87)cm2,the area of inside talus articular surface (2.2±1.86) cm2,the area of lateral ankle articular surface (3.3±0.61)cm2,measure the area of talus: depth of concave of talus area (0.3±1.18)cm2,the height apex of medical and lateral labrum (0.5±0.21)cm and (0.9±0.12)cm,respectively,the width of the anterior and posterior (2.7±0.33)cm and (2.0 ±0.58) cm.The cut angle of each surface of the ankle joint and axis line in lower limbs.The cut angle of the surface the interior and posterior ankle joint and the surface of talus,(109±1.58)°,(116±1.21)°,respectively.The cut angle of the surface of the interior and posterior ankle joint and axis line of the lower limbs (18±1.08)°and (26 ±1.36)° respectively.Conclusion; To repair the injured ankle joint and replace the joint can be based on the morphological ankle joint,In this way,the best treatment result can be achieved