踝管的应用解剖

发布时间：2018-03-17 06:40

本文选题：踝管　切入点：应用解剖　出处：《解剖学研究》2014年06期 　论文类型：期刊论文

【摘要】：目的为阐明踝管综合症的发病原因,寻找最佳的治疗方法,提供解剖学基础资料。方法局部解剖成人踝部及足底16侧,观测有关踝管的构成;屈肌支持带(分裂韧带)的长度、宽度、厚度及其发出的纤维隔。结果踝管由屈肌支持带、内踝、距骨、跟骨、三角韧带和跟腱围成;屈肌支持带由足部深筋膜在内踝后下方增厚形成,从内踝向后下附着于从跟骨结节内侧突到跟骨后面上缘之间的跟骨内面,其长为(47.21±0.26)mm、中间部宽为(31.41±0.32)mm、厚度为(1.08±0.17)mm;屈肌支持带从踝管发出2片纤维隔,分别形成胫骨后肌腱和趾长屈肌腱的腱纤维鞘。结论有关踝管的构成与一般教课书上所描述的少有差异;屈肌支持带的厚度与踝管内压有一定关系;任何引起增加踝管内压力的因素都可直接或间接地引起踝管综合症的发生,治疗踝管综合症的最佳方法是手术切断屈肌支持带,显微外科手术松懈胫神经的神经束膜。
[Abstract]:Objective to elucidate the etiology of ankle canal syndrome, to find the best treatment method and to provide anatomical data. Methods Local anatomy of adult ankle and 16 sides of foot were performed to observe the formation of ankle canal and the length of flexor retinaculum (mitotic ligament). Results the ankle canal was surrounded by flexor spurs, medial malleolus, talus, calcaneus, deltoid ligament and Achilles tendon. The medial surface of the calcaneus attached from the medial tubercle of calcaneus to the posterior superior margin of the calcaneus was 47.21 卤0.26 mm in length, 31.41 卤0.32 mm in width and 1.08 卤0.17 mm in thickness in the middle part. The tendon sheath of posterior tibial tendon and flexor digitorum longus tendon were formed, respectively. Conclusion there is little difference between the composition of ankle canal and that described in general teaching book, and the thickness of flexor retinaculum is related to the intramalleolar pressure of ankle canal. Any factor that increases the pressure in the ankle canal can cause the occurrence of the syndrome directly or indirectly. The best way to treat the syndrome is to cut off the flexor band and relax the nerve bundle membrane of tibial nerve in microsurgery.
【作者单位】：邵阳医学高等专科学校;邵阳市中心医院;
【分类号】：R322

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