副关节

These include fluid within the tendon sheath, fluid withinthe medial or lateral bursae, sinus tarsi syndrome, periostitisat the insertion of the flexor retinaculum on the tibia, hindfootvalgus, subtalar and talonavicular malalignment, and accessorynavicular bone.

这些包括腱鞘内、内外侧滑膜内水分滞留，跗骨窦综合症、屈肌支持带的胫骨侧附着处骨膜炎、后足外翻、距下关节和距舟关节排列不整及副舟骨。

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。

The principles of the operative technique are to (1) restore coronoid stability throughfracture fixation (type-II or III fractures7) or through anterior capsular repair (a type-I fracture),(2) restore radial head stability through fracture fixation or replacement with a metal prosthesis,(3) restore lateral stability through repair of the lateral collateral ligament complex and associated so-called secondary constraints such as the common extensor origin and/or the posterolateral capsule,(4) repair the medial collateral ligament in patients with residual posterior instability, and (5) apply a hinged external fixator when conventional repair does not establish sufficient joint stability to allow early motion.

外科手术的原则是：①通过骨折固定(2型骨折或3型骨折)或者经前方关节囊修复(1型骨折)恢复冠状突的稳定。②通过骨折固定或假体置换恢复桡骨头的稳定性③通过修复侧副韧带以及相关的所谓的次要限制如伸肌群起点和后外侧关节囊。④残余的后侧不稳，修复内侧副韧带⑤当传统的修复方法不能建立有效的关节稳定以便允许早期活动时，可以应用外固定器。

Mm,humeroradial joint cavity 0.69±0.44 mm, proximal radioulnar joint cavity 0.90±0.56 mm, thethickness of joint cartilage (joint cartilage of humerus 1.15±0.35 mm, joint cartilage of ulna 1.04±0.16 mm, joint cartilage of radius 0.98±0. 17 mm) and the collateral ligament (thickness ofthe ulnar collateral ligament 1.38±0.42 mm, thickness of the radial collateral ligament 1.32±0.42 mm) were all measured.

结果：肱尺关节腔为0.70±0.44 mm，肱桡关节腔为0.69±0.44 mm，桡尺近侧关节腔为0.90±0.56 mm；关节软骨厚度，骨关节软骨厚度为1.15±0.35 mm，尺骨关节软骨厚度为1.04±0.16 mm，桡骨关节软骨厚度为0.98±0.17mm；侧副韧带：尺侧副韧带厚度为1.38±0.42mm，桡侧副韧带厚度为1.32±0.42mm。

The human cartilages are composed of chondrocyte and extracellular matrix , the form of chondrocytes are hypertrophy and the quantity are less; the ECM of cartilage are compised of type Ⅱ collagen and proteoglycan. Articular cartilages are all hyaline with little fibers. Trauma and arthritis are the main cause of cartilage injury, the ommilayer injury ofcartilage can be recovered by marrow, but because of without stimulation mechanism, the new tissues are merely fibrocartilages, they can not be coincide with hyaline cartilage in menchanics; the purely damage of articular cartilage can not stimulate chondrocyte to regenerate because of without blood circulation, thus, the plerosis of articular catilage can not depend on the proliferation of local chondrocyte. Ever since, people tried their best to find a way to reconstruct articular cartilage.

中文题名人骨髓基质干细胞成软骨诱导及多孔复合材料作为细胞载体的体外实验研究副题名外文题名 Cartilage induction of human mesenchymal stem cells and experiment on compound porous materials as cells' scaffold in vitro 论文作者刘晓岚导师周江南学科专业外科学研究领域\研究方向学位级别博士学位授予单位中南大学学位授予日期2003 论文页码总数68页关键词骨组织工程软骨细胞骨髓基质干细胞壳聚糖高分子外消旋聚乳酸馆藏号BSLW /2003 /R68 /10 造成人体关节软骨损伤的原因主要为创伤和关节炎，关节软骨全层损伤可由于骨髓中间充质干细胞的高速增殖修复，但这种修复由于缺乏相应的刺激机制，只能形成纤维软骨，而不能形成符合关节生理、力学要求的透明软骨；单纯软骨部分损伤软骨组织内无血管，软骨细胞迁移迟缓，无法使损伤区域软骨细胞再生，因此，关节炎及关节创伤后的软骨修复不能依赖于软骨细胞的增殖和迁移。

METHODS: Frozen fresh knees of cadavers were dissected gradually. Structural composition of MCL was observed, and the length and width of superficial and deep layers of the MCL were measured. The position, shape, size of the attachment points and their relationships were observed, and the tensity of the superficial and deep layers of MCL and posteromedial articular capsule were observed during flexion and extension of the knee, from which their functions were deduced.

冰冻新鲜尸体标本膝关节进行逐层解剖，观察内侧副韧带结构组成：测量内侧副韧带浅层和深层的长度、宽度；观察它们附着点的位置、形状、大小以及相互关系，以及观察内侧副韧带浅层与深层及后内侧关节囊在屈伸膝关节时的紧张度，由此推测其功能。

Seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of PMC and MCL in 4 patients were performed in this phase. Arthroscopic combined reconstruction of ACL and PCL with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of PLC with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of PMC and MCL with femoral fascia in 1 patient were completed simultaneously.

方法］自2001年9月~2005年2月，13例病人（13膝）经关节镜检查证明ACL和PCL均断裂，其中5膝伴后内侧角、内侧副韧带损伤，4膝伴后外侧角损伤，2膝伴外侧半月板破裂，1膝伴内侧半月板损伤，3膝伴动脉损伤，2膝伴腓分神经损伤。7例病人于损伤后急性期入院，2膝于急性期行血管探查修复，4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束ACL和PCL联合重建术，其中4例同期后1/2 股二头肌腱重建后PLC，1例同期阔筋膜PMC、MCL重建。

Seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of PMC and MCL in 4 patients were performed in this phase. Arthroscopic combined reconstruction of ACL and PCL with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of PLC with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of PMC and MCL with femoral fascia in 1 patient were completed simultaneously.

］自2001年9月~2005年2月，13例病人（13膝）经关节镜检查证实ACL和PCL均断裂，其中5膝伴后内侧角、内侧副韧带损伤，4膝伴后外侧角损伤，2膝伴外侧半月板破裂，1膝伴内侧半月板损伤，3膝伴动脉损伤，2膝伴腓总神经损伤。7例病人于损伤后急性期入院，2膝于急性期行血管探查修复，4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束ACL和PCL联合重建术，其中4例同期后1/2 股二头肌腱重建后PLC，1例同期阔筋膜PMC、MCL重建。

Method］from sept 2001 to feb 2005, 13 knees with combined acl and pcl tear in 13 patients were verified with arthroscopy. of them, 5 knee were combined with rupture of the posteromedial coner and medial collateral ligament, 3 combined with disruption of the posterolateral corner, 2 with lateral meniscus tear, 1 with medial meniscus tear, 3 associated with popliteal vascular injury and 2 with peroneal nerve injury. seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of pmc and mcl in 4 patients were performed in this phase. arthroscopic combined reconstruction of acl and pcl with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of plc with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of pmc and mcl with femoral fascia in 1 patient were completed simultaneously.

方法］自2001年9月~2005年2月，13例病人（13膝）经关节镜检查证实acl和pcl均断裂，其中5膝伴后内侧角、内侧副韧带损伤，4膝伴后外侧角损伤，2膝伴外侧半月板破裂，1膝伴内侧半月板损伤，3膝伴动脉损伤，2膝伴腓总神经损伤。7例病人于损伤后急性期入院，2膝于急性期行血管探查修复，4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束acl和pcl联合重建术，其中4例同期后1/2 股二头肌腱重建后plc，1例同期阔筋膜pmc、mcl重建。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。