三角韧带解剖学、影像学及生物力学上课讲义.ppt

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1、三角韧带解剖学、影像学及生物力学三角韧带的解剖TheAnatomyofdeltoidligament三角韧带的解剖TheAnatomyofdeltoidligamentABC图1.A.胎儿踝部冠状面（Mallory三色法染色），1.内踝，2.三角韧带深层，3.三角韧带浅层，4.胫后肌腱，5.趾长屈肌腱，6.载距突，7.踇长屈肌腱，8.纤维鞘隔膜。B.三角韧带浅层示意图，1.胫舟韧带，2.胫弹性韧带，3.胫跟韧带，4.胫距后韧带浅层，5.跟舟上韧带（弹性韧带组成部分）6.胫后肌腱，7.跖侧跟舟韧带（弹性韧带组成部分）C.三角韧带深层，1

2、.胫距前韧带深层，2.胫距后韧带深层。Fig.1.Tibionavicularligament.2.Deepanteriortibiotalarligament(deeplayer).3.Tibiospringligament.4.Tibiocalcanealligament.5.Deepposteriortibiotalarligament(deeplayer).6.Superomedialcalcaneonavicularligament(componentofspringligament).7.Plantarcalcaneona

3、vicularligament(componentofspringligament).8.Naviculartuberosity.9.Medialtalarprocess.10.Sustentaculumtali.11.Posteriortibialtendon(cutattheleveloftheinsertion).12.Flexorhallucislongus(cutproximalanddistal).13.Tibialisanteriortendon(cutatthelevelofinsertion).14.Longplan

4、tarligament.15.Plantarcalcaneocuboidligament.16.Calcanealtendon(cutatthelevelofinsertion)三角韧带的解剖TheAnatomyofdeltoidligament三角韧带的解剖TheAnatomyofdeltoidligamentFig.3Medialviewoftheanatomicaldissectionofthedeeplayerofthedeltoidligament.Thesuperficiallayerofthedeltoidligamen

5、thasbeenresected.Itsdistalinsertionismaintained(arrowheads).aPlantarflexion.bDorsiflexion.1.Deepanteriortibiotalarligament.2.Deepposteriortibiotalarligament.3.Talarhead.4.Medialtalarprocess.5.Sustentaculumtali.6.Anteriorsubtalarjoint.7.Posteriortibialtendon(cutattheleve

6、lofinsertion)三角韧带影像学（附着点）TheAttachmentsofdeltoidligamentFigure4.Representativelateralradiographicimagesofarightankledemonstratingthesitesofattachmentandcoursesoftheindividualbandsofthe(A)superficialand(B)deepdeltoid:DATT,deepanteriortibiotalarligament;DPTT,deepposterior

7、tibiotalarligament;SL,springligament;SPTT,superficialposteriortibiotalarligament;TC,tibiocalcanealligament;TN,tibionavicularligament;TS,tibiospringligament.三角韧带的附着点TheAttachmentsofdeltoidligamentDATT,deepanteriortibiotalarligament;DPTT,deepposteriortibiotalarligament;SL

8、,springligament;SPTT,superficialposteriortibiotalarligament;TC,tibiocalcanealligament;TN,tibionavicularligamen