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We have obseroed and measured the mandibular fosse, head of mandible, articular disc and articular capsule of temporomandibular joint on209 adult specimen, The anatomical basis of movement and click in temporomandibular joint was discussed.

本文在209具成年标本上对颞下颌关节的下颌窝、下颌头、节盘及关节囊进行了观测;对颞下颌关节的运动及弹响机制进行了讨论。

Joint friction and micromotion should inevitably form the biofilm and debris around the prosthesis, which will provide a breeding ground for the propagation of pathogenic microorganisms. On the contrary, the destruction of bone around the joint caused by infection is one of the reasons of joint sinking.

在一定条件下,术后关节感染与假体松动又是相互促进的,关节的摩擦和微动,必然会在假体周围形成界膜和微粒,这就为病原微生物的繁殖提供了条件;反之,关节周围的感染所造成的骨破坏,也是关节松动下沉的一个原因。

Results:The study showed that the TFC located in a very special part of the wrist and had intimate relations with the ulnar styloid process and recess.

结果:研究表明腕关节盘位于腕关节的特殊位置,其尺侧附着于尺骨茎突和尺骨茎突陷窝两部分,并和桡尺远端关节侧副韧带存在密切关系。

Results:The study showed that the TFC located in a very special part of the wrist and had intimate relations with the ulnar styloid process and recess.The integrity of the TFC plays an important role in function of the distal radioulnar joint.

结果:研究表明腕关节盘位于腕关节的特殊位置,其尺侧附着于尺骨茎突和尺骨茎突陷窝两部分,并和桡尺远端关节侧副韧带存在密切关系。

Objective: To analyze the characte of normal acromioclavicular joint's motion, which is tested the shoulder joint at different locations .

目的:通过对正常活体肩关节在不同的范围的运动时肩锁关节的运动进行分析,以明确肩锁关节在各个方向上的运动特点,从而了解肩锁关节具体的运动范围。

Macroscopically, each facet joint is composed of a posteromedially facing concave superior articularprocess from the inferior vertebral body, and as maller anterolaterally facing inferior articular processfrom the superior spinal level.

大体观,每个小关节由下位椎体朝向后内侧凹陷的上关节突以及上位椎体朝向前外侧的的下关节突组成。L-z关节的形状及朝向决定了其作用为阻止脊柱过度运动。

First 27 rabbits of the experimental group were destabilizated by operated on L6、7.Inj Diazepam 0.25 mg/kg,Inj Ketamine 0.02 g/kg and Inj Atropine 0.125 mg/kg was one by one injected into the rabbit through the auris vein,shearing the rabbit hair of backside waist,fixing the rabbit on operation table in face lying,using 1% Povidone Ioding to degerm the operation area.Every rabbit was incised at the backside of its waist,that incisal opening is located in the center of the intervertebral space (L6、7 space) that both side iliac crest line correspond ,from the meso-ordinate direction cut about 4 cm incision,cutting open skin and subcutaneous tissue,thoroughly ,exposing the spinous processes the vertebral plates and the upper-inferior articular processes,entirely segregating the muscles that cohere the spinous processes the vertebral plates and the articluar process,then excising the supraspinal ligaments and interspinal ligaments,biting off two sides the inferior articular processes of L6,in order that resulting in intervertebral destabilization,using 0.9% Inj.Sodium Chloride to washout the incisal opening,in order sewing up each layer tissues.

方法] 取48只6个月龄日本大耳白兔,雌雄不限,体重为(2.5±0.2) kg,随机进行分组,分为对照组和实验组,对照组为21只;实验组为27只;先将实验组兔腰背部皮毛剪除,用安定注射液1.25 mg/kg、氯胺酮0.02 g/kg、阿托品0.125 mg/kg顺次耳缘静脉注射麻醉后,俯卧固定于手术台上,用1%碘伏消毒手术区域,以髂嵴平对椎间隙(即L6、7)为中心,从正中取一长约4 cm纵行切口,切开皮肤及皮下组织,锐性分离,暴露棘突、椎板及上下关节突,将附着于棘突、椎板及小关节的肌肉全部分离开,然后依次切除L6、7棘上及棘间韧带,咬除第6腰椎两侧下关节突,造成椎间失稳,用无菌生理盐水冲洗切口,依次缝合各层组织;术后动物在笼中自由活动。

Inj Diazepam 0.25 mg/kg,Inj Ketamine 0.02 g/kg and Inj Atropine 0.125 mg/kg was one by one injected into the rabbit through the auris vein,shearing the rabbit hair of backside waist,fixing the rabbit on operation table in face lying,using 1% Povidone Ioding to degerm the operation area.Every rabbit was incised at the backside of its waist,that incisal opening is located in the center of the intervertebral space (L6、7 space) that both side iliac crest line correspond ,from the meso-ordinate direction cut about 4 cm incision,cutting open skin and subcutaneous tissue,thoroughly ,exposing the spinous processes the vertebral plates and the upper-inferior articular processes,entirely segregating the muscles that cohere the spinous processes the vertebral plates and the articluar process,then excising the supraspinal ligaments and interspinal ligaments,biting off two sides the inferior articular processes of L6,in order that resulting in intervertebral destabilization,using 0.9% Inj.Sodium Chloride to washout the incisal opening,in order sewing up each layer tissues.

方法] 取48只6个月龄日本大耳白兔,雌雄不限,体重为(2.5±0.2) kg,随机进行分组,分为对照组和实验组,对照组为21只;实验组为27只;先将实验组兔腰背部皮毛剪除,用安定注射液1.25 mg/kg、氯胺酮0.02 g/kg、阿托品0.125 mg/kg顺次耳缘静脉注射####后,俯卧固定于手术台上,用1%碘伏消毒手术区域,以髂嵴平对椎间隙(即L6、7)为中心,从正中取一长约4 cm纵行切口,切开皮肤及皮下组织,锐性分离,暴露棘突、椎板及上下关节突,将附着于棘突、椎板及小关节的肌肉全部分离开,然后依次切除L6、7棘上及棘间韧带,咬除第6腰椎两侧下关节突,造成椎间失稳,用无菌生理盐水冲洗切口,依次缝合各层组织;术后动物在笼中自由活动。

In another cadaveric study, Adams and Hutton58found that the lumbar facet joints resist approximately16% of the intervertebral compressive force when standing erect versus near 0% when sitting, which helps explain the high intra discal pressures during unsupported sitting.59 Finally, after conducting in vitro experiments measuring induced loads on cadaveric lumbar facets, Lorenz et al.60 concluded that with increasing compressive loads, the absolute facet loads increases only slightly, so that the proportion of the axial burden borne by the l-z joints actually decreases with increasing stress.

另一项尸体标本的研究中,Adam和Hutton发现,当直立站立时,小关节承担了逐渐压力的近16%,而坐位时进0%,这解释了为什么在无支持的坐位时椎间的压力非常高。最后,Lorenz在尸体标本加载负荷后测量小关节的应力后,认为增加压力负荷时,小关节间的应力仅轻微增加,因此在轴向负荷中,小关节承担的比例实际随着应力的增加而减少。

Objective To report the clinical curative effect about replanting metatarsusphalangeal joint and proximal phalangeal joints of2th toes for simultaneous reconstructing metacarpophalangeal joint and interphalangeal joints of hand.

目的 观察第2足趾跖趾关节与近趾间关节移植同时重建掌指关节与近指间关节的临床疗效。

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