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跖肌

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The constant nutritional arteries of the great saphenous vein-saphenous nerve on the medial foot: Perforator at medial side of the tendon of the tibialis anterior ,it is (2.27±0.43)cm distal to the intermalleolar line .it passes across the medial side of the tendon of the tibialis anterior and pierces the deep fascia between the upper and lower bundle of the inferior extensor retinaculum with a diameter of (0.72±0.04)mm;The length of it after piercing the deep fascia is (7.3±0.6)mm,It has an emerging rate of 95%; Perforator between tendons ,it is (3.02±0.39)cm distal to the intermalleolar line;it pierces the deep fascia between the tendons of tibialis anterior and extensor digitorum longus with a diameter of (0.57±0.06)mm ;The length of it after piercing the deep fascia is (7.4±0.6)mm .It has an emerging rate of 94%; A constant distal fascial perforator pierces the deep fascia between abductor hallucis muscle and medial side of first metatarsal bone (1.97±0.23)mm distal to the first metatarsophalangeal joint with a diameter of (0.50±0.03)mm.

足内侧大隐静脉-隐神经营养血管近端来自内踝前动脉较为恒定,外径较大的穿支有:踝间线远端(2.27±0.43)cm,经胫骨前肌腱内侧、伸肌下支持带上、下束间穿出,外径(0.72±0.04)mm ,穿出深筋膜的长度为(7.3±0.6)mm,出现率为95%;踝间线远端(3.02±0.39)cm,经胫骨前肌腱与趾伸肌腱穿出,外径(0.57±0.06)mm,穿出深筋膜的长度为(7.4±1.2)mm ,出现率为94%;3远端来自交通支最为恒定,外径较大的穿支于踇展肌与第一跖骨内侧缘之间穿出深筋膜,距第一跖趾并节近端(1.97±0.23)cm,直径(0.50±0.03)mm,穿出深筋膜的长度为(6.5±0.5)mm,出现率为100%。

The plantaris muscle, popliteofibular ligament, fabellofibular ligament, and semimembranosus bursa were present in all specimens.

跖肌腘胫韧带,腓肠豆腓侧韧带和半膜肌都在标本中保留。

METHODS: The shape of the human ankle plantar flexor muscle was estimated in vivo by CT, and the cross-sectional area of the muscle and the circumference of the lower leg could be calculated by Xiphoid CT software.

采用螺旋CT对受试对象双侧小腿进行不间断连续扫描,影像分析采用Xiphoid CT专用图像分析软件,由CT图像计算得出小腿围、踝关节跖屈肌横截面积,根据体视学原理采用数值积分法计算跖屈肌群体积。

The result of Picric- sirius red polarized light method shows thatthe accrementition and reconstitution of mesenchymal fibers were markedly in experimental group compared with control group, especially in plantaris.Ⅰ-type collagen dominates in mesenchymal, IOD ratio ofⅠ/Ⅲchanged.

5天狼猩红-偏振光法提示在实验组骨骼肌间质纤维结缔组织明显增多尤其是在跖肌,以Ⅰ和Ⅲ型胶原增生为主,Ⅰ型胶原增生更为明显,Ⅰ型胶原与Ⅲ型胶原比值增高。

Gelatin zymography was used to detect the activation and secretion of MMP-2 and MMP-9 in gastroenemius、soleus、plantaris during early、intermediate and final stage of experimental group. Picric- sirius red polarized light was used to detect the accrementition and reconstitution of mesenchymal fibers in the muscle specimens from the operated group and normal controls.

3采用RT-PCR和Western blot及免疫组化的方法分别检测不同时期的大鼠骨骼肌中核因子κB、MMP-2、MMP-9的表达;采用明胶酶谱的方法检测实验组大鼠早、中、晚期腓肠肌、比目鱼肌、跖肌MMP-2、MMP-9活化、分泌情况;天狼猩红-偏振光法检测大鼠骨骼肌间质纤维增生及成分改变。

Results: For normal living body. extensor hallucis longus was about (44±4.26)mm lateral to tibialis anterior muscle at the transverse striation of ankle,(2.00±2.22)mm lateral to the middle point of tarsometatarsal joint,(1.32±1.46)mm lateral to the middle point of metatarsophalangeal joint, and it inserted into the center of the base of distal phalanx with the range of (2.22±2.42) mm.

结果:正常长伸肌腱的位置在踝横纹处位于胫骨前肌外侧(9.44±4.26)mm,在跖附关节中点外侧(2.00±2.22)mm,跖趾关节中点外侧(1.32±1.46)mm,止点位于末节趾骨基底中点(2.22±2.42)mm范围内,长屈肌腱在跖趾关节中点外侧(0.44±2.42)mm。

Flexor pollicis longus muscle tendon was about (0.44±2.42)mm lateral to the center of metatarsophalangeal joint. For cases of HV, extensor hallucis longus was about (9.32±3.46)mm lateral to tibialis anterior muscle at ankle transverse striation,(3.00±2.22)mm lateral to the center of tarsometatarsal joint.

在外翻的患者中,长伸肌腱在踝横纹处位于胫骨前肌外侧(9.32±3.46)mm,在跗跖关节中点外侧(3.00±2.22)mm,跖趾关节中点外侧(4.22±2.26)mm,止点位于末节趾骨基底中点(2.02±2.32)mm范围内,长屈肌腱在跖趾关节中点外侧(3.24±2.32)mm。

Objective:To provide anatomical basis for the transplantation of plantaris tendon.

跖肌属于一块已经退化的肌肉,功能意义不大。

At the end of 12 and 18 weeks, rats were killed, taken the muscle of posterior limb, after separating the gastroenemius、soleus、plantaris, to prepare the frozen section of the each kind of muscle respectively to be confirmed to form the myopathy model by the histochemical stain.(3) RT-PCR、Western blot and immunohisto-chemistry stain were respectively used to detect the expression of NF-κB、MMP-2 and MMP-9 during different period.

2实验组用酒精给大鼠灌胃,对照组用含与酒精体积相等的生理盐水灌胃,两组均喂饲改良的全营养高脂饲料,于12周及18周后,取后肢肌肉,在分离出腓肠肌、比目鱼肌、跖肌后,将各类肌肉均分别地制备成冰冻切片和石蜡切片,经组织化学染色确认成模。

Gelatin zymography method shows that the expression of pro-MMP-9、middle-MMP-9 and active-MMP-9 in gastroenemius and plantaris of operated group increase notablely,MMP-2 increases notablely after stioping treating.

6明胶酶谱实验提示酒精灌胃组中晚期腓肠肌、跖肌MMP-9活性型、前体、中间型表达均增高,MMP-2在停酒后表达上升。

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