摘要
目的 探讨人类上胫腓关节坡度对关节本身的稳定性是否有影响。方法 采用两种方法分别对 10 9根干腓骨的上胫腓关节坡度进行测量。结果 腓骨干纵轴与关节面的夹角 (∠A)为 5 9 93°± 9 2 9° ,左右侧比较差异无显著性 (P =0 2 5 )。该角度越大 ,坡度越平坦 ;角度越小 ,坡度越陡直。关节面与水平线的夹角 (∠B)为 30 2 5°± 9 32°,左右侧比较差异无显著性 (P =0 2 5 )。该角度越大 ,坡度越陡直 ;角度越小 ,坡度则越平坦。两种方法测量结果之间呈负相关 (r =- 0 396 2 ,t =4 47,P <0 0 0 1)。结论 测量上胫腓关节坡度可了解国人上胫腓关节解剖结构和类型 ,估价上胫腓关节的稳定性 ,对上胫腓关节不稳 (半脱位 )的诊断具有参考价值。
Objective To investigate if the stability of human proximal tibiofibular joint is influenced by its slope. Methods The joint inclinations were measured with two methods on 109 dried fibula. Results The angle between the longitudinal axis of the fibula and the articular surface (angle A ) was 59 93°±9 29°, both the left and the right fibula showed no significant difference ( P =0 25),the larger the angle was, the less the slope would be, it is same the other way round. The angle between horizontal line and the articular surface (angle B) was 30 25°±9 32°, both sides revealed no statistically significanct difference ( P =0 25). The larger the angle was, the more precipitous the slope would be, it is also same the other way round. There was negative relationship between the angle A and the angle B( r= -0 396 2 ,t=4 47,P<0 001 ). Conclusion Measuring the slope of proximal tibiofibular joint can learn its anatomical structures and type,and estimate its stability, especially for the reference value in the diagnosis of superior tibiofibular joint instability (subluxation).
出处
《临床骨科杂志》
2000年第1期4-5,共2页
Journal of Clinical Orthopaedics
关键词
腓骨
上胫腓关节脱位
测量
诊断
fibula
proximal tibiofibular joint dislocation
