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The majority of subtalar arthritis results from intraartic-ular calcaneal fractures. Arthrodesis seems to be the only way to solve this problem.

大部分距骨下关节炎是跟骨骨折的后遗症,融合术似乎是解决此问题的唯一方法。

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。

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 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%。

Methods:Fifty paired embalmed cadaveric humeri (twenty-five pairs:fourteen from male donors and eleven from female donors) were scanned in medial-lateral and anterior-posterior position according to the humeral retroversion by CT. Images of the humeri in the transverse planes at the lowest border of neck,20mm and 40mm distal of LBN(LBN-20、LBN-40), isthmus, head-neck anterior-posteriorwere obtained. Sixty-one extracortical and intracortical parameters were measured exactly by image analytic computer software that included offset, head position, head-shaft angle, head to tuberosity height, head thickness, curvature radius, articular surface arc, neck diameter, isthmus position, proximal and distal border of isthmus, maximum coronal and sagittal diameter of medullary canal and thickness of cortical bone in four planes, including LBN, LBN-20,LBN-40 and isthmus.

50根成对防腐肱骨(男14对,女11对)按肱骨头扭转角置于冠状位和矢状位,行肱骨全长,头颈矢状面,解剖颈下缘及其下20mm、40mm,髓腔狭窄部四平面CT扫描,由CT软件测量冠、矢状位髓腔内外参数共61项,包括头心—干轴距,头位置,头干角,头—结节高度差,头厚度,头半径,关节面张角,解剖颈直径,髓腔狭窄部位置,解剖颈下缘及其下20mm、40mm和狭窄部四个平面髓腔的最大冠、矢状径,皮质骨厚度等。

This study sought to determine the effect of the number of cortices of screw purchase and ankle position on syndesmosis width and tibiotalar rotation in Weber C ankle fracture fixation.

本研究将探索在Weber C型踝关节骨折固定中,螺钉固定骨皮质数目及踝关节位置对于下胫腓联合宽度和胫距旋转的影响。

Principal axes method, was presented to figure out the rotational directions of talus and calcaneus and the angles between them.

采用最大类间方差法与交互式数学形态学方法相结合的手段从活体后足CT序列图像中分割出距骨和跟骨,以移动立方体法重建距下关节复合体的表面并以动画方式显示距骨和跟骨的结构信息,提出力矩主轴法计算距骨和跟骨相对于参考系的旋转方向及它们之间的夹角。

Normal recesses fromthe posterior subtalar joint may frequently extend into thesinus tarsi and should not be misinterpreted as pathologic conditions.

正常的距下关节隐窝常可以出现在跗骨窦,但不应该认为是病理改变。

We believe subtalar arthrodesis is appropriate for isolated subtalar arthritis unless there are associated talonavicular or calcaneocuboid arthritis in which case triple arthrodesis will be more appropriate.

我们认为单纯的距骨下关节炎,如果距骨舟骨关节和跟骨骰骨关节都健康的话,只做距骨下融合术就足够,否则就需要做三关节融合术。

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