查询词典 malleolus

MethodsThirty cases with diabetic peripheral neuropathy underwent surgical decompression on inner malleolus tube nervus tibialis and the branch, knee lateral nervus peronaeus tube common peroneal nerve, musculocutaneous nerve of dorsum pedis in both lower limbs, so as to decompress the nerves, epineurium and bundle membrane.

方法对30例糖尿病周围神经病人进行双下肢神经松解，在显微镜下分别在内踝管胫神经及其分支、膝外侧腓神经管腓总神经、足背腓深神经处在显微外科技术微创手术下分别减压神经受压及神经外膜、束膜切开松解。

From March 1998 to May 2003,32 patients with soft tissue defects around the heel,malleolus,achilles tendon and the low 1/3 part of anterior tibial were reconstructed by use of reversed sural neurovascular fascio -cutaneous island flap,including 20 cases of traumatic defects,8 cases of chronic ulcer and 4 cases of scar tissue.

对32例小腿下段及足踝部软组织缺损的病例，采用带腓肠神经营养血管蒂逆行岛状筋膜皮瓣修复，其中创伤致软组织缺损20例，慢性溃疡8例，瘢痕切除术后4例。

Methods From March 1998 to May 2003,32 patients with soft tissue defects around the heel,malleolus,achilles tendon and the low 1/3 part of anterior tibial were reconstructed by use of reversed sural neurovascular fascio -cutaneous island flap,including 20 cases of traumatic defects,8 cases of chronic ulcer and 4 cases of scar tissue.

对32例小腿下段及足踝部软组织缺损的病例，采用带腓肠神经营养血管蒂逆行岛状筋膜皮瓣修复，其中创伤致软组织缺损20例，慢性溃疡8例，瘢痕切除术后4例。

Anatomical study proved:①.4~8 nutritional vessels of sural nerve –small saphenous vein were the intermuscular perforators of peroneal artery, the furthermost one located at(1.0±1.3)cm above the tip of external malleolus with diameter (0.6±0.2)mm;②.2~6 musculocutaneous perforators were given off by the artery of outer head of gastrocnemius muscle to supply nutrition to the sural nerve-small saphenous vein;③.intermuscular perforators from peroneal artery supplied blood to fibula and outer head of soleus muscle.the perforators with an average outer diameter of （1.3-1.6）cm gave off cutaneous branch ,fascial branch and nutritional vessels to the sural nerve-small saphenous vein,which formed the vessel chain of the sural nerve-small saphenous vein ,sub-fascial and suprafascial vessel net.

结果：1、解剖实验证实：①、腓肠神经-小隐静脉营养血管来自腓动脉肌间隔穿支4～8支，最远的跟外侧动脉穿支距外踝尖上(1.0±1.3)cm，外径(0.6±0.2)mm。②、腓肠肌外侧头动脉沿途发2-6支的肌皮穿支营养腓肠神经-小隐静脉。③、腓动脉肌间隔穿支营养腓骨、比目鱼肌外侧半。上述穿皮支平均外径在0.3～1.6mm，发出皮支、筋膜支、腓肠神经-小隐静脉营养血管，形成腓肠神经-小隐静脉血管链以及深、浅筋膜血管网。

Fig. 1-34 Osteotomy of medial malleolus for osteochondritis dissecans of talus.

图1-34 用于距骨剥脱性骨软骨炎的内踝截骨术。

MethodsWe chose 20 adult cadavers' lower limbs, dissected the MCNs, observed their original sites, shapes, courses and distribution, and measured the perpendicular distance from original sites of MCNs from tibial nerve, original sites of their branches to the tip of medial malleolus, and the external diameters of their main trunks and branches. ResultsThe frequency of the MCN was 95% in this array.

选择成人尸体标本20个下肢，解剖跟内侧神经，观察其发出部位、形态、走行与分布情况，分别测量并记录跟内侧神经自胫神经发出部位及其属支分支处到内踝尖平面的距离和跟内侧神经主干及其主要分支的外径。

Longitudinal division of the district's three lines are: front tibia, semimembranosus muscle and Achilles tendon only point of connection with fate, fate after the head of fibula and lateral malleolus fate after the connection.

分割各区的三条纵线分别是：胫骨前缘、半膜肌止点与跟腱内缘的连线，腓骨小头后缘与外踝后缘的连线。

The line of approach lies midway between the posterior border of the tibia and the medial border of the tendo calcaneus, curves inferior to the medial malleolus to the medial border of the foot, and permits exposure of both medial and posterior malleoli Fig.

切口位于胫骨后缘与跟腱内侧缘之间的中线，通过内踝下方，弧形延伸至足的内侧缘。该切口可显露内踝及后踝(图1-33C)。

The line of approach lies midway between the posterior border of the tibia and the medial border of the tendo calcaneus, cures inferior to the medial malleolus to the medial border of the foot, and permits exposure of both medial and posterior malleoli Fig.

切口位于胫骨后缘与跟腱内侧缘之间的中线，通过内踝下方，弧形延伸至足的内侧缘。该切口可显露内踝及后踝(图1-33C)。

Begin the incision on the lateral margin of the tendo calcaneus near its insertion and pass it distally to a point 4 cm inferior to and 2.5 cm anterior to the lateral malleolus Fig.

切口开始于跟腱止点外侧缘，向远侧延伸至外踝前2.5cm、下4cm处(图1-26)。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失