期刊文献+

静态加载时肌力对膝关节稳定性的影响 被引量:4

Impact of muscle strength on knee joint stability in static loading
下载PDF
导出
摘要 目的对ACL正常和损伤膝关节进行麻醉前后的静态加载在体稳定性检测,评价肌力对膝关节稳定性的影响。方法 8名志愿者单侧膝关节ACL断裂而对侧正常,连续硬膜外麻醉效果充分后在0°、30°、60°和90°时分别对其进行134N前加载下的在体稳定性测试,测量胫骨前移值并进行统计分析。结果 ACL正常膝关节麻醉后和麻醉前比胫骨前移在各角度间比均有显著性差异(P<0.5);麻醉后胫骨前移距离在0°时增加了1.7mm,在30°增加最明显,增加了2.7mm,60°时增加2.6mm。在90°增加了2.3mm。ACL断裂膝关节麻醉后和麻醉前比胫骨前移在各角度间比均有显著性差异(P<0.05);麻醉后胫骨前移距离在0°时增加了2.6mm,在30°增加了3.7mm,60°时增加4.3mm。在90°增加了3.5mm。结论肌力对膝关节的稳定性有明显的影响。 Objective To study the in vivo stability of normal and anterior cruciate ligament (ACL)-injured knee joint before and after epidural anesthesia under 134 N pre-loading and evaluate the influence of muscular tension on the knee stability. Methods Eight volunteers with unilateral ACL rupture and normal contralateral knee were enrolled in this study. CT (3D) images and 2 orthogonal images of the knee were captured at 0°,30°,60°,and 90° under 134 N pre-loading. The orthogonal images were used to recreate the in vivo knee positions at each of the targeted flexion angles by 2D/3D registration to analyze the tibial translation data. Results The anterior tibia translation of both the intact and ACL-injured knees after anesthesia was significantly different from that before anesthesia at all the angles (P0.05). The anterior tibial translation of the intact knee after anesthesia increased by 1.7 mm at 0° ,2.7 mm at 30°,2.6 mm at 60°,and 2.3 mm at 90°,as compare to the increase of ACL-injured knee by 4.2 mm,2.6 mm,1.2 mm,and 1.6 mm,respectively. Conclusion The muscular tension has evident influence on the knee stability in static loading.
出处 《南方医科大学学报》 CAS CSCD 北大核心 2010年第12期2625-2628,共4页 Journal of Southern Medical University
基金 国家自然科学基金(30600302)~~
关键词 稳定性测试 膝关节 稳定性 stability test stability knee
  • 相关文献

参考文献8

  • 1李鉴轶,焦培峰,张美超,赵卫东,聂兰英.膝关节在体稳定性评价系统的建立[J].中国骨与关节损伤杂志,2007,22(6):471-473. 被引量:14
  • 2Andriacchi TP, Dyrby CO. Interactions between kinematics and loadingduring walking for the normal and ACL deficient knee [J ]. J Biomech, 2005, 38(2):293-8.
  • 3陈鸿辉,Y.M.Goudarzi.前交叉韧带损伤术前膝关节稳定性测试[J].中华骨科杂志,1997,17(6):370-372. 被引量:13
  • 4夏春,周江南.半腱肌腱/股薄肌腱在前交叉韧带重建术中应用[J].中国微创外科杂志,2003,3(4):366-367. 被引量:18
  • 5Nicholas SJ, D'Amato MJ, Mullaney MJ, et al. A prospectively randomized double-blind study on the effect of initial graft tension on knee stability after anterior cruciate ligament reconstruction [J]. Am J Sports Med, 2004, 32(8): 1881-6.
  • 6Mishima S, Takahashi S, Kondo S, et al. Anterior tibial subluxation in anterior cruciate ligament-deficient knees: quantification using magnetic resonanceimaging [J]. Arthroscopy, 2005, 21 (10): 1193-6.
  • 7Semen N, Kartus J, Kohler K, et al. Evaluation of the reproducibility of the KT- 1000 arthrometer [J]. Scand J Med Sci Sports, 2001, 11 (2): 120-5.
  • 8Daniel DM. Instrumented measurement of anterior laxity of the knee [J]. J Bone Joint Surg Am, 1985, 67(5): 720-6.

二级参考文献29

  • 1梁玮,鲍旭东,罗立民.基于互信息的2D-3D医学图像配准[J].生物医学工程研究,2004,23(1):14-16. 被引量:11
  • 2储小兵,吴海山,徐长明,冯明光,何志勇,陶坤.全膝置换术治疗膝关节创伤性关节炎[J].中国骨与关节损伤杂志,2005,20(4):217-219. 被引量:12
  • 3[1]Ritchie JR,Parker RD.Grafts selection in anterior cruciate ligament revision surgery.Clin Orthop,1996,325:65-77.
  • 4[2]O`neil DB.Arthroscopically assisted reconstruction of anterior cruciate ligament:a prospective randomized analysis of three techniques.J Bone Joint Surg[Am],1996,78:803-813.
  • 5[3]Carter TR,Edinger S.Isokinetic evaluation of anterios cruciate ligament reconstruction:hamstring versus patellar tendon.Arthroscopy,1999,15:169-172.
  • 6[4]Buss DD,Warren RF,Wickiewicz TL.Arthroscopically assisted reconstruction of the anterior cruciate ligament with use of autogenous patellar-ligament grafts.J Bone Joint Surg[Am],1993,75:1346-1355.
  • 7[5]Eriksson K,Anderberg P,Hamberg P,et al.There are differences in early morbidity after ACL reconstruction when comparing patellar tendon and semitendinosus tendon graft:a prospective randomized study of 107 patients.Scand J Med Sci Sports,2001,11:170-177.
  • 8[6]Aglietti P,Buzzi R,Zaccherotti G,et al.Patellar tendon vs doubled semitendinosus and gracilis tendon for anterior cruciate ligament reconstruction.Am J Sports Med,1994,22:211-217.
  • 9[7]Ropke M,Becker R,Urbach D,et al.Semitendinosus tendon vs patellar ligament:results of a prospective randomized study after anterior cruciate ligament reconstruction.Unfallchirurg,2001,104:312-316.
  • 10[8]Zarzycki W,Mazarkicwicz S,Wisnicwski P.Research on strength of the grafts that are used in anterior cruciate ligament reconstruction.Chir Narzadow Ruchu Orthop Pol,1999,64:293-304.

共引文献42

同被引文献34

  • 1汤旭日,王秋根,纪方,张秋林,沈洪兴,汪滋民,唐昊,陆晴友,王万宗,吴剑宏,汪方,杜明奎.胫骨平台骨折非解剖复位对膝关节功能影响的研究[J].中华创伤骨科杂志,2005,7(3):210-213. 被引量:41
  • 2李鉴轶,焦培峰,张美超,赵卫东,聂兰英.膝关节在体稳定性评价系统的建立[J].中国骨与关节损伤杂志,2007,22(6):471-473. 被引量:14
  • 3李嘉祁,徐艳文,张卓,张奇,Kari Chow.膝关节角度对屈伸肌共同收缩及伸膝力矩的影响[J].中华物理医学与康复杂志,2007,29(6):405-408. 被引量:4
  • 4Aglietti P,Buzzi R,Menchetti PM,et al.Arthroscopically assisted semitendinosus and gracilis tendon graft in reconstruction for acute anterior cruciate ligament injuries in athletes.Am J Sports Med.1996;24:726-731.
  • 5Park SE,DeFrate LE,Suggs JF,et al.The change in length of the medial and lateral collateral ligaments during in vivo knee flexion.Knee.2005;12(5):377-382.
  • 6Georgoulis AD,Papadonikolakis A,Papageorgiou CD,et al.Three-dimensional tibiofemoral kinematics of the anteriorcruciate ligament-deficient and reconstructed knee during walking.Am J Sports Med.2003;31:75-79.
  • 7Sim JA,Gadikota HR,Li JS,et al.Biomechanical Evaluation of Knee Joint Laxities and Graft Forces After Anterior Cruciate Ligament Reconstruction by Anteromedial Portal,Outside-In,and Transtibial Techniques.Am J Sports Med.2011.
  • 8Gill TJ,Van de Velde SK,Wing DW,et al.Tibiofemoral and patellofemoral kinematics after reconstruction of an isolated posterior cruciate ligament injury:in vivo analysis during lunge.Am J Sports Med.2009;37(12):2377-2385.
  • 9张潜,章涛,王正义,薛黔,陈代雄.大鼠肱二、肱三头肌肌纤维型组成及分布研究[J].山东医药,2007,47(27):79-80. 被引量:1
  • 10Blalock D, Miller A, Tilley M, et al. Joint instability and osteoarthritis [J]. Clin Med Insights Arthritis Musculoskelet Disord, 2015, 19(8) : 15-23.

引证文献4

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部