膝关节tcl、fcl的解剖、x线和mr相关-研究与临床意义

膝关节tcl、fcl的解剖、x线和mr相关-研究与临床意义

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时间:2019-02-19

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1、TheRelatiVi姆StudyoftheAnatomy.XRatiosandMlUtoTCLandFCLofKneeandCUnicalMeaningPreface,11letibialcoUaterallig锄ent(TCL)and胁ularcolhterallig锄ent(TCL)areimportaIltstmcturemaintainingthemedidaIldlateralstabiIitvoftheknee.Theirflmctionsprimarilyrestrainagainstextemalrotationoftibiaandg

2、enuva—11lmandvalgumcoopemtingwitlldlestaticstabilizers.ThereaLreaimportantsignificancetomaintainmedicalaIldIateralstabilitvandrotarvinstabilitvoft11eknee.TheirinjureswiUresultinrelaxationofothersligamenLFinally,occur—ringmta』yinstabilityinlongtimeunlesscorrecdydiagnosedandLrea!e

3、donini—tialevaluation;moreover,associatedcruciateligamentinjuresarecommon.diagnosedfailureoftheiriniuriesis出emostcommonreasonof山efailurein山ereconstructionoftheACLandPCL.exDerimentistosolveandanswer山efunctionofmedialandIateralcoⅡateraIIigamentthmughacarefmanatomvof山ekneeincompari

4、sonwifhXratiosandMR.Throughadeepresearch“theirattacll玎∞nt,welookforarelativeisometricpointonmedialandlateralfemoralepicondyIeduringne]【ion—extensionmotionofthekneejointinordertoprovidetlleoreticfoundationofTCLandFCLreconstruction.Inadd主tion.tIleircoursesaremarked,whichprovide山eo

5、reticfoundationtoMRexaminationso出attheycaJldirectclinicbest.MethodMaterialDisssectionswereperfbIIIledonlOembalmedaIld4kshcadavericknees.·d·A】loftllekneeshadatleast15.0cmofboneandsoRtissueproximal卸ddistal20.Ocmtot}Iejointljne.MetIlod1.ThecadaverickneeswerecarefuuydissectedaIld出ea

6、ttachmentsofmeTCLandFCLwereexposed.Finauy,出eirlengtllandcourseweremeasured.2.TheattachmentcemersontibiaaIldfibulaoftlleFCLaJldTCLwereseenasstartpoint;ThemedialandlateralfemoralePicondylewereseenasinsenjonThevariationoftheir1engthwasobse九redduringnexion—extensionmotionof出ekIleejo

7、in‘;TherelativeisometricpointwaslookedforintllenearbyDftheTCLandFCLinseItionont11emedialandlateralfe脚ralepicondyle(bias<2衄、.3.Attachmentsoft}leTCLandFCLweremarked试t11metalthread;Then,xmtioswasex锄ined,出ecoursedaIldesoftlleFCL舡ldTCLonsa舀ttalplaneweremeasured.traIlsfusionpipewhichw

8、as血sedwaterissuturedandmarkedtheFcLand’I℃L,find

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