腘腓韧带解剖观察及其临床意义

中国临床解剖学杂志 ›› 2011, Vol. 29 ›› Issue (4): 386-388.

腘腓韧带解剖观察及其临床意义

曾蜀雄，　董喜乐，　伍国胜，　黄会龙，　郭晓丹，　王　栋，　党瑞山

第二军医大学解剖学教研室，上海 200433

收稿日期:2010-10-26 发布日期:2011-07-26
通讯作者: 党瑞山，副教授，E-mail: drs1954@163.com 王栋，讲师，E-mail: wangd100@yahoo.com.cn E-mail:wozengshuxiong@126.com
作者简介:曾蜀雄（1989-），男, 医学学士，四川内江人，研究方向：临床应用解剖，Tel:15901801682
基金资助:
第二军医大学创新能力培养基金（ZD2010014）

Morphological study and clinical significance of popliteofibular ligament

ZENG Shu-xiong, DONG Xi-le, WU Guo-sheng, HUANG Hui-long, GUO Xiao-dan, WANG Dong, DANG Rui-shan

Department of Anatomy, Second Military Medical University, Shanghai 200433, China

Received:2010-10-26 Published:2011-07-26

摘要/Abstract

摘要：

目的　为临床腘腓韧带损伤的诊治提供解剖学基础。方法　对61侧成人膝关节标本进行解剖，观察腘腓韧带形态及与周围结构关系。结果　腘腓韧带出现恒定，位于腘肌腱与腓骨头之间。　88.5%（54）的腘腓韧带为明显增厚的韧带，前宽后窄；11.5%（7）则呈筋膜形态。腘腓韧带前缘长（10.47±2.38）mm，后缘长（6.24±1.71）mm，宽（8.90±3.12）mm，厚（1.23±0.48）mm。其与腘肌腱的夹角为（120.2±　15.2）°，距腓侧副韧带距离为（9.67±3.87）mm。结论　腘腓韧带是组成膝关节后外侧重要结构之一，但其形态变异较大；了解其解剖特点，对腘腓韧带损伤诊断及解剖重建有重要意义。

关键词: 膝关节, 腘腓韧带, 应用解剖

Abstract:

Objective To provide anatomic basis of the popliteofibular ligament (PFL) for clinical diagnosis and surgical treatment on its injury. Methods We performed this anatomical study on the PFL and its surrounding structures using 61 formalin-fixed knees, observing and measuring its length, width, thickness, and relationship with surrounding structures. Results The PFL consistently existed, it originated from popliteal tendon and inserted into styloid process of the fibular. It was fan-like shaped. PFL presented as ligament (89.5%) or fascia (11.5%). It was on an average (10.47±2.38)mm in posterior margin length, (6.24±1.71)mm in anterior margin length, (8.90±3.12)mm in width, 1.23±0.48mm in thickness. The angle between PFL and popliteal tendon was(120.2±15.2)°, the distance between anterior margin of PFL and posterior margin of lateral collateral ligament was (9.67±3.87) mm. Conclusions The PFL was one of posterolateral structure of knee, and it constantly existed but variable. So, with a good knowledge of its anatomic characteristics can be useful for the diagnosis and treatment for the PFL injuries.

Key words: Knee joint, Popliteal ligament, Applied anatomy

中图分类号:

R322.71

曾蜀雄, 董喜乐, 伍国胜, 黄会龙, 郭晓丹, 王　栋, 党瑞山. 腘腓韧带解剖观察及其临床意义[J]. 中国临床解剖学杂志, 2011, 29(4): 386-388.

CENG Shu-Xiong, DONG Chi-Le, WU Guo-Qing, HUANG Hui-Long, GUO Xiao-Dan, WANG 　Dong, DANG Rui-Shan. Morphological study and clinical significance of popliteofibular ligament[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(4): 386-388.

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