成人足第2~5跖板的解剖测量研究

发布时间：2018-01-23 00:38

本文关键词： 跖板跖趾关节应用解剖跖板修复　出处：《中国临床解剖学杂志》2013年06期 　论文类型：期刊论文

【摘要】：目的通过对跖板及周围组织解剖测量,进一步了解跖板的结构特点及其损伤修复的方式。方法解剖19例新鲜足标本,观察跖板及周围组织结构,测量2~5跖板长度、远端宽度、近端宽度、中间及旁侧厚度。结果跖板作为跖趾关节周围软组织结构附着点,是跖趾关节的中心结构。测量男性足第2~5跖板的长度依次为(20.05±0.92)mm,(19.80±1.41)mm,(17.45±0.55)mm,(14.91±0.86)mm;中间宽度为(11.63±1.01)mm,(10.72±1.13)mm,(10.34±1.24)mm,(9.26±0.86);旁侧厚度为(2.04±0.16)mm,(1.97±0.29)mm,(1.69±0.12)mm,(1.47±0.10)mm。女性足第2~5跖板的长度依次为(17.29±0.82)mm,(17.36±0.51)mm,(16.03±1.14)mm,(12.12±1.19)mm;中间宽度为(10.74±0.62)mm,(10.53±0.39)mm;(10.23±0.67)mm,(9.35±0.79)mm;旁侧厚度为(2.02±0.16)mm,(2.01±0.14)mm,(1.82±0.22)mm,(1.66±0.30)mm。足第2~5跖板的长、宽、厚,从第2跖板到第5跖板依次递减,参数差异比较有统计学意义(P0.05)。结论跖板维系跖趾关节周围软组织稳定,对跖板撕裂损伤进行修复是必要且可行的。
[Abstract]:Objective to further understand the structural characteristics of plantar plantar and its repair methods 19 fresh foot specimens were dissected and the structures of plantar plantar and surrounding tissue were observed. The length, distal width, proximal width, middle and flanking thickness of the plantar plate were measured. Results the plantar plate was used as the attachment point of soft tissue structure around the metatarsophalangeal joint. It is the central structure of the metatarsophalangeal joint. The length of the metatarsophalangeal plantar plate of the male foot is 20.05 卤0.92mm and 19.80 卤1.41mm. (1) 17.45 卤0.55 m / m (14.91 卤0.86) m ~ (-1); The median width was 11.63 卤1.01m ~ (-1) ~ 10.72 卤1.13m ~ (-1) ~ (10.34) 卤1.24 ~ (?) mm ~ (-1) ~ 9.26 卤0.86 ~ (-1) m ~ (-1); The thickness of the lateral side was 2.04 卤0.16mm and 1.97 卤0.29mm, 1.69 卤0.12mm. The length of the second plantar plate of female foot was 17.29 卤0.82 mm and 17.36 卤0.51 mm respectively. 12.12 卤1.19 mm; The median width was 10.74 卤0.62mv, 10.53 卤0.39mm. 10.23 卤0.67 mil / 9.35 卤0.79 m / m; The thickness of the lateral side was 2.02 卤0.16mm. the thickness was 2.01 卤0.14mm and 1.82 卤0.22mm. The length, width and thickness of the second plantar plate decreased from the second plantar plate to the fifth plantar plate. Conclusion it is necessary and feasible to maintain the stability of the soft tissue around the metatarsophalangeal joint and repair the tear injury of the metatarsal plate.
【作者单位】：同济大学附属同济医院骨科;同济大学医学院解剖教研室;
【分类号】：R322
【正文快照】： 跖板对维持跖趾关节的稳定有重要作用,各种病因引起的跖板撕裂损伤可导致跖趾关节持续性疼痛以及后期关节畸形[1]。若临床医师对跖板损伤认识不深,往往将跖趾关节疼痛、畸形等症状归为足部其他原发病灶或笼统称为“跖痛症”,进而忽视诊治。本文拟对国人足第2~5跖板及其周围软

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