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16-slice spiral CT by all kind of imaging ways could clearly display the anatomy and the pathologic changes of tendon, muscle belly and ligament such as the rupture, thickening, hydropsia and circuity, provided a effective way to diagnose the closed injury of antebrachim tendon and cruciate ligaments of knee joint.

应用16层螺旋CT检查前臂肌腱损伤及膝关节交叉韧带损伤,其多种成像方法能够清晰地显示各肌腱、肌腹与韧带的断裂、迂曲、增粗和水肿等病理改变与解剖关系,为临床诊断和手术治疗提供有力的依据,具有重要的参考意义。

The injury of tendon and ligament such as the rupture, thickening, hydropsia and circuity also were showed by 16-slice spiral ct image. conclusion 16-slice spiral ct by all kinds of imaging ways could clearly display the anatomy and the pathologic changes of tendon, muscle belly and ligament such as the rupture, thickening, hydropsia and circuity, provided an effective way to diagnose the closed injury of antebrachim tendon and cruciate ligaments of knee joint.

应用16层螺旋ct检查前臂肌腱损伤及膝关节交叉韧带损伤,其多种成像方法能够清晰地显示各肌腱、肌腹与韧带的断裂、迂曲、增粗和水肿等病理改变与解剖关系,为临床诊断和手术治疗提供有力的依据,具有重要的参考意义。

Objective To discuss the application value of semitendinosus and gracilis reconstruction of anterior and posterior cruciate ligament with arthroscope.

目的探讨关节镜下采用双股半腱肌、股薄肌、微孔钢板同时重建损伤的前、后十字韧带的应用价值。

Ten human cadaveric knees were tested in the following conditions:(1) intact,(2) ACL-deficient, and (3) ACL reconstruction with the "All-inside" technique using the single semitendinosus tendon graft, or single gracilis tendon graft.

将10个人尸体膝关节分3组进行操作:(1)正常膝,(2)去除前交叉韧带的膝关节,(3)运用"全内"技术重建膝关节前交叉韧带的:仅用半腱肌肌腱,或仅用骨薄肌肌腱。

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。

Methods 25 corpses were dissected. The origin, insertion, the construction of muscle bundle, and the relationship with adjacent structures of multifidus muscle were observed and measured.

对25具尸体多裂肌的起、止点、肌束的构成、与周围组织结构的关系、多裂肌短腱与止点及其与棘突和棘间韧带的关系进行解剖测量。

This has given rise to trocar-guided transvaginal surgical techniques using a transobturator or transgluteal approach, passing the mesh fixation arms through the arcus tendineus fascia pelvis or the sacrospinous ligaments.

曾经有人提到为了让生物材料提供预期的骨盆腔支持,他们必须固定在受影响的组织外面,这使得使用经闭孔或经臀肌方式的套管导引经阴道手术技术,从骨盆筋膜韧带弓或是荐脊韧带通过网线固定手臂。

Objective:To evaluate the short-term results of reconstruction of PCL、ACL with quadruple-stranded semitendinosus tendon and to discuss the key points of the surgery and postoperative rehabilitation.

目的:评价4股半腱肌肌腱重建交叉韧带的临床疗效。

Methods: The authors conducted medical record reviews and telephone interviews of 106 consecutive patients with ACL reconstruction using quadrupled semitendinosus-gracilis autograft from 2004 to 2006. Data included anthropometric measurements (height, mass, gender, and age at the time of surgery). Hamstring diameter was obtained using cylindrical sizers in 0.5-mm increments and recorded in the patient's surgical record. Correlation coefficients and stepwise, multiple linear regression were used to determine the relationship between the outcome variable and the predictor variables (age, gender, height, mass, and BMI). Independent sample t tests were used to compare hamstring graft diameter between genders.

从2004年到2006年作者对106名相关的采用股四头肌半腱肌-股薄肌自体移植重建前十字交叉韧带的病人进行了病历综述和电话随访,资料包括人体测量结果(手术时的身高,体重,性别和年龄),腘绳肌肌腱的直径用计算机圆柱分检器以0.5毫米的增值测量并记录在病人的手术病历中,相关系数和逐步,多个直线回归被用来确定结果变量和猜测变量(年龄,性别,身高,体重和体重指数)之间的关系,独立样本的t检验被用来比较不同性别之间的腘绳肌腱移植物的直径。

Results:The anterior bundle of the UCL starts from anterior inferior part of the medial condyle,and ends on the sublimis tubercle in front of the coronoid process of ulna,locating in the deep layer of the flexor carpal ulnar muscle.The distance between ulnar nerve and UCL is (0.9±0.1)cm in the center of cubital tunnel,and (0.6±0.3)cm in the distal foramen of cubital tunnel.The distance from the point of ulnar nerve entering the flexor carpi ulnar muscle to the medial epicondyle is (3.7±0.8)cm.The distance between the closest branch innervated flexor muscle of the median nerve and the approach is (1.6±0.5)cm at the level of medial epicondyle,and (0.9±0.4)cm at the level of ulnar tubercle.

结果:UCL前束起于肱骨内侧髁的前下方,止于尺骨冠突内侧的小结节,UCL前束位于尺侧腕屈肌肱头、尺头之间的深层;尺神经在肘管中部与尺侧副韧带前束的平均距离为(0.9±0.1)cm,在肘管的远侧出口,距尺侧副韧带的尺骨止点(0.6±0.3)cm;尺神经至尺侧腕屈肌尺头肌支的入肌点距肱骨内侧髁的距离为(3.7±0.8)cm;正中神经最靠近切口的分支距切口的距离,在肱骨内侧髁和尺骨结节水平分别为(1.6±0.5)cm和(0.9±0.4)cm。

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