支持带

Methods 18 cases with traumatic dislocation of the peroneal tendons were operated in our institute from 1986 to 2000. The mechanism of injury and clinical findings were investigated. 2 cases with acute dislocation were operated by suturing the peroneal retinaculum directly. 16 cases with recurrent dislocation were treated with Watson - Jones operation.

分析研究了1986 年至2000 年在我所进行手术治疗的18 例创伤性腓骨肌腱脱位病例的损伤机制及临床表现。2 例急性脱位病例采用直接缝合腓骨肌腱上支持带手术，16 例复发性脱位病例采用Watson - Jones 手术。

DSA shows that there is similar vascular numbers to Garden typing; however, DSA directly reflects blood supply of femoral head and determines therapeutic effect and prognosis of femoral neck fracture according to numbers of residual retinaculum vessels.

高选择血管造影显示血管的多少与Garden分型基本一致，但它能直观地了解股骨头的血供情况，可以根据残存支持带血管的多少来判断各型股骨颈骨折治疗后的效果及预后。

ResultsAfter the first injection,the excellent and good results was obtained in 78% of the patients and after second treatment, the excellent and good results reached 9 8%.ConclusionFor the treatment of this condition,the points of injection should be selected a t the junction between dorsal part and f acies ventralis of wrist in slight flexi on,just at the middle of retinaculum and 2mm towards facies ventralis from above the point.

结果：一次封闭治疗后痊愈39例，占785；两次封闭后痊愈49例，治愈率为98％，结论：封闭治疗桡骨茎突性腿鞘炎时，可常规选用两点注射；一是腕关节轻度内收时，在腕关节的背侧面与腹侧面的交界处，支持带中间；第二点是在第一个注射点处水平向背侧移动2mm。

Results: Anterior talofibular ligament on axial plane, calcaneo fibular ligament on coronal and oblique axial planes, posterior talofibular ligament on all of four planes, cervical ligament on coronal and sagittal planes, interosseous talocalcaneal ligament on coronal, sagittal and oblique axial planes, lateral bundle of inferior extensor retinaculum on coronal and sagittal planes, medial and intermediate bundle on coronal planes, can be most clearly observed.

结果：距腓前韧带在轴位，跟腓韧带在冠状位和斜轴位，距腓后韧带在四个方位，颈韧带在冠状位和矢状位，距跟骨间韧带在冠状位、矢状位和斜轴位，伸肌下支持带浅束在冠状位和矢状位，中束和深束在冠状位，能清楚观察各韧带的形态和毗邻关系。

Identify the inferior edge of the vastus medialis and bluntly dissect it off the periosteum and intermuscular septum for a distance of 10 cm proximal to the adductor tubercle. Identify the tendinous insertion of the muscle on the medial patellar retinaculum Fig.

先确认股内侧肌下缘，将其从骨膜和肌间隔表面钝性分离直至收肌结节近端10cm处；再确认肌肉在髌内侧支持带上的腱性附着点(图1-41C)。

Identify the inferior edge of the astus medialis and bluntly dissect it off the periosteum and intermuscular septum for a distance of 10 cm proximal to the adductor tubercle. Identify the tendinous insertion of the muscle on the medial patellar retinaculum Fig.

先确认股内侧肌下缘，将其从骨膜和肌间隔表面钝性分离直至收肌结节近端10cm处；再确认肌肉在髌内侧支持带上的腱性附着点(图1-41C)。

Then the joint capsule, patella, patellar tendon and retinaculum, quadriceps tendon, popliteus tendon, posterior cruciate ligament, menisci, and medial and lateral collateral ligaments were removed, and distal femur, proximal tibia, ACL and its complete attachment points were retained. The specimens were scanned by using a Cyberware 3030 3-D laser scanner to obtain point cloud data.

然后去除关节囊，髌骨、髌腱及支持带，股四头肌腱、腘肌腱、后交叉韧带、半月板、内外侧副韧带等软组织，只保留股骨远端、胫骨近端、ACL及其完整附着点，用Cyberware3030三维激光扫描仪对标本进行扫描，获得点云数据。

C. Lift the vastus medialis muscle anteriorly and perform an L-shaped arthrotomy beginning medially through the vastus insertion on the medial patellar retinaculum and carrying it along the medial edge of the patella.

将股内侧肌向前方牵起，在关节囊上作L形切口，先从内侧经髌内侧支持带上股肌附着点，再沿髌骨内线向下。

C. Lift the astus medialis muscle anteriorly and perform an L-shaped arthrotomy beginning medially through the astus insertion on the medial patellar retinaculum and carrying it along the medial edge of the patella.

将股内侧肌向前方牵起，在关节囊上作L形切口，先从内侧经髌内侧支持带上股肌附着点，再沿髌骨内线向下。

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。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。