[上踝关节的接触面和解剖关节面——确定关节面大小和病例表征的方法]。

Morphologia medica Pub Date : 1983-09-01
K O Dörenberg
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引用次数: 0

摘要

采用三层染色法对6个踝关节软骨表面进行染色。在不损伤韧带的情况下,使用负载器和1600 N的压力对最大可能的负重区域进行染色。关节或跖屈、0度位或背伸。关节的接触区域,包括软骨表面和韧带,根据关节的位置表现出特有的形式。通过将胫骨平台的各自接触区域投射到滑车的上部,我们能够在适当的意义上估计软骨承重面积。根据该方法,不含Fawcett关节突的滑车上侧在0度位置时承重面积最大,为解剖关节面56.4 +/- 4.9%。关节背伸时面积第二大,为51.9 +/- 4.8%,跖屈时面积最小,为47.1 +/- 3.6%。用21个标本测量了滑车上部解剖关节面大小和部分形态测量值。
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[Contact surfaces and anatomical joint surfaces of the upper ankle joint--methods for the determination of facet size and case representation].

The cartilage surfaces of six ankle joints were stained according to a triple dyeing technique. Using a load appliance and a pressure of 1600 N the largest possible weight-bearing areas were stained without damaging the ligaments. The joints were either plantar-flexed, in a 0 degree position or in dorsal extension. The contact areas of the joint, including both the cartilage surfaces and the ligaments, showed characteristic forms according to the joint's position. By projecting the respective contact areas of the tibial plateau onto the upper side of the trochlea tali we were able to estimate the cartilage weight-bearing area in the proper sense. According to this method, the upper side of the trochlea tali, without the facet of Fawcett, proved to have the largest weight-bearing area when in the 0 degree position, namely 56.4 +/- 4.9% of the anatomical joint surface. The next largest area, 51.9 +/- 4.8%, was found when the joint was in dorsal extension and the smallest, 47.1 +/- 3.6%, when plantar-flexed. The size of the anatomical joint surfaces and some morphometric values of the upper side of the trochlea tali were measured using 21 specimens.

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