近侧列腕骨间关节及韧带的应用解剖学观察

Abstract

Abstract:

Objective　To observe and measure the anatomic properties of midcarpal articulation and partial carpal ligaments.　Methods　Sixty upper limb specimens from adult cadavers were used in this investigation. All dissections were carried out under room temperature. Scapholunate interosseous ligament (SLIL) were stained with hematoxylin and eosin and viewed under standard optic microscopy.　Results　The dorsal and palmar subregions of SLIL and lunotriquetral interosseous ligament (LTIL) were stronger than the proximal subregion. The length, width and thickness of the dorsal trapezoid-to-second metacarpal ligaments was about (3.13±0.28) mm, (9.12±0.35) mm and (3.28±0.25)mm averagely, and that of dorsal capitate-to-third metacarpal ligaments was about (3.45±0.15)mm, (11.87±0.44)mm and (3.03±0.29)mm respectively. Both ligaments could match the size of dorsal SLIL by adequate modification. The histological observation showed the different features between proximal SLIL subregion and dorsal (palmar) subregion. The perforation ratio of SLIL and LTIL in formalin-fixed specimens was higher than that in fresh-frozen specimens obviously.　Conclusions　The morphologic features of bone, ligament and joints in wrist are complicated. Anatomically, the SLIL are composed of three discrete regions: dorsal, proximal, and palmar. The SLIL are composed of true ligaments dorsally and palmary, as defined by histological studies. Because of the high perforation ratio of SLIL and LTIL, arthrography cannot give accurate information concerning the ligament tear in some case.

Key words: Midcarpal joints, Interosseous ligament, Applied anatomy, Histology

CLC Number:

R323.7

LI Xiu-Zhong, CA Jin-Fang, ZHANG Yuan-Shen, SHANG Hai-Ping, HOU Shu-Jian, ZHONG Shi-Tian. The applied anatomy of proximal midcarpal joints and ligaments[J]. Chinese Journal Of Clinical Anatomy, 2012, 30(1): 22-25.

References

[1] Landsmeer JM. Studies in the anatomy of articulation, I: the equilibrium of the “intercalated” bone
[J]. Acta Morphol Neerl Scand, 1961, 3: 287-303.

[2] Mitsuyasu H, Patterson RM, Shah MA, et al. The role of the dorsal intercarpal ligament in dynamic and static scapholunate instability
[J]. J Hand Surg, 2004, 29(2): 279-289.

[3] Cooney WP, Linscheid RL, Dobyns JH. Carpal instability: ligament repair and reconstruction
[M]//Neviaser RJ, ed. Controversies in hand surgery. New York: Churchill Livingstone, 1990: 125-145.

[4] Horii E, Garcia-Elias M, An KN, et al. A kinematics study of luno-triquetral dissociations
[J]. J Hand Surg Am, 1991, 16(2): 355-362.

[5] Tang JB, Shi D, Gu YQ, et al. Can cast immobilization successfully treat scapholunate dissociation associated with distal radius fracture
[J]? J Hand Surg Am, 1996, 21(4): 583-591.

[6] Berger RA. The gross and histological anatomy of the scapholunate interosseous ligament
[J]. J Hand Surg Am, 1996, 21(2): 170-178.

[7] 汤锦波，侍德，徐燕．手舟骨月骨间韧带的解剖学及临床意义
[J]．中国临床解剖学杂志，2000, 18(2), 142-143.

[8] Ritt MJ, Bishop AT, Berger RA, et al. Lunotriquetral ligament properties: A comparison of three anatomic subregions
[J]. J Hand Surg, 1998, 23(3): 425-431.

[9] Donald HL, Kent FD, Edwin LB. The incidence of wrist interosseous ligament and triangular fibrocartilage articular disc disruptions: a cadaveric study
[J]. J Hand Surg Am, 2004, 29(4): 676-685.

[10]Kindynis P, Resnick D, Kang HS, et al. Demonstration of the scapholunate space with radiography
[J]. Radiology, 1990, 175(1): 278-280.

[11]Rhee PC, Moran SL, Shin AY, et al. Association between lunate morphology and carpal collapse in cases of scapholunate dissociation
[J]. J Hand Surg Am, 2009, 34(9):1633-1639.

[12]Nakamura K, Beppu M, Patterson RM, et al. Motion analysis in two dimensions of radial-ulnar deviation of type Ⅰ versus type Ⅱ lunates
[J]. J Hand Surg Am, 2000, 25(5): 877-888.

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The applied anatomy of proximal midcarpal joints and ligaments

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