人体腕部三角形纤维软骨复合体的生物力学特征

Chuan Sha, Meng-shi Chen, B. Liu, Xue Li, S. Gao
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摘要

目标。研究人体腕部三角形纤维软骨复合体的生物力学特征,可为损伤预防、康复治疗、人工材料替代等提供理论依据。方法。利用生物材料微尺度试验系统对8例成年男性腕部三角形纤维软骨复合体新鲜标本进行了应力松弛试验和一维拉伸破坏试验。发现。1。对于不同结构和部位的TFCC,应力松弛速率存在显著差异。腕关节部分纤维软骨板间比较弹性反应有显著性差异,韧带和肌腱鞘间比较无显著性差异。2. 腕部纤维软骨各部位的弹性反应有较大差异;韧带和肌腱鞘的差异不大。腕部纤维软骨背侧的粘弹性比手掌部的强。背部可承受较大载荷;韧带、肌腱鞘等软组织的粘弹性和承载能力差异不大。腕部纤维软骨尺背板骨折应力较大,尺侧腕伸肌腱鞘骨折应力较小。3.计算腕部纤维软骨、韧带和肌腱鞘各部位的本构方程常数,进而导出归一化应力松弛函数、弹性响应和本构方程。解释。韧带和肌腱鞘损伤的原因主要与运动形式和活动范围有关。后足纤维软骨处骨折应力较大,尺方腕肌腱鞘处骨折应力较小。前者在运动中不易受伤,而后者则容易受伤。
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Notice of RetractionBiomechanical Characteristics of the Triangular Fibrocartilage Complex in Human Wrist
Objective. Research on bio-mechanical features of the Triangular Fibrocartilage Complex in Human Wrist can provide theoretical basis for injury prevention, rehabilitation, artificial materials replacement and etc. Method. Use the biomaterial micro-scale test system to conduct stress-relaxation test and one-dimensional tensile failure test on eight cases of fresh specimens from adult male Triangular Fibrocartilage Complex in Human Wrist. Findings. 1. For the various structures and parts of TFCC there is significant difference in the stress relaxation rate. Comparison among parts of carpal fibrocartilage plates shows significant differences in elastic response, while ligamenta and tendon sheath comparison shows no significant difference. 2. The elastic response of all parts of wrist fibrous cartilage is quite different; The difference is little for ligamenta and tendon sheath. The visco-elasticity of the dorsal part of the wrist fibrous cartilage is stronger than that of the palm part. The dorsal part may bear large load; Visco-elasticity and capability to bear load do not differ greatly for ligamenta, tendon sheath and other parts of soft tissues. The fracture stress is relatively large for the dorsal ulnar plate of the wrist fibrous cartilage, and relatively small for extensor carpi ulnaris tendon sheath. 3. The constitutive equation constant was calculated for each part of the wrist fibrous cartilage, ligamenta and tendon sheath, and as a further result, the normalized stress relaxation function, elastic response and the constitutive equation are derived. Interpretation. The causes of injury in the ligamenta and tendon sheath mainly relate to the form of sports and range of motion. The fracture stress is larger in fibrous cartilage back foot, while it is smaller in the carpi-ulnaris tendon sheath. The former is not easily to be injured in motion, while the latter is prone to be injured.
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