人类跟骨及其关节面形态学和形态计量学研究

V. Laxmi, R. Mehra, Ravikant Sharma, N. S. Neki
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引用次数: 7

摘要

导读:跟骨是所有近排跗骨中最长、最强、最大的。跟骨和距骨之间的前后关节形成一个功能单元,称为距跟骨或距下关节。距跟关节维持足的外翻和内翻。种族和个体特征的差异表明,关节面在脚和脚踝的静态和动态动力学中都起着关键作用。材料与方法:本研究取材于阿姆利则政府医学院解剖系,取材于跟骨50块,右侧骨25块,左侧骨25块,性别不详。任何在一般检查中看起来病理的跟骨都被排除在研究之外。所有参数均采用标准数字游标卡尺测量,测量精度可达0.01mm。目的:观察成人干跟骨上表面距骨关节面形态及形态学的变化。I型融合talar方面与一个单独的前部和中部后方面在33例66% (Rt 18例36%,Lt 15例30%),II型分离前和中间talar方面在10例20% (Rt 5例10%,肝移植5例10%),,分开后talar方面,类型III缺席前关节面2例4% (Rt - 2%, 1例肝移植1例2%)和IV型——所有的三个方面即前,跟骨上表面可见中、后关节面,但前、中关节面不完全分离者5例(10%)(Rt 1例2%,Lt 4例8%)。结论:跟距关节面解剖结构的个体和种族差异影响足的静、动动力学。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A morphological and morphometric study of human calcanei and their articular facets
Introduction: Calcaneum is the longest, strongest and biggest of all the tarsal bones of the proximal row. Anterior and posterior articulations between the calcaneus and talus form a functional unit termed the talocalcaneal or subtalar joint. Talocalcaneal joint maintains eversion and inversion of the foot. Differences with respect to race, as well as individual characteristics, suggest that the articular facets play a key role in both static and dynamic kinetics of the foot and ankle. Materials and Methods: The present study was carried out with 50 calcanei, 25 bones of right side and 25 bones of left side of unknown sex which were obtained from the Department of Anatomy, Government Medical College, Amritsar. Any calcaneum looking pathological on general examination was discarded from the study. All the parameters were taken by using standard digital vernier calliper which is capable of measuring to the nearest of 0.01mm. Aim: The study seeks to observe the variations in the morphology and morphometry of the talar articular facets on the superior surface of dry calcaneal bones of adult human Results: Type I Fused anterior and middle talar facet with a separate posterior facet in 33 cases 66% (Rt 18 cases 36%, Lt 15 cases 30%), Type II Separate anterior and middle talar facet in 10 cases 20% (Rt 5 cases 10% , Lt 5 cases 10%), ,with a separate posterior talar facet, Type III –Absence of anterior articular facet in 2 cases 4% (Rt 1 case – 2%, Lt 1 case 2%) and Type IV – All the three facets i.e. anterior, middle and posterior facets were seen on the superior surface of the calcaneus but anterior and middle facets incompletely separated from each other in 5 cases 10% (Rt 1 cases 2%, Lt 4 cases 8%). Conclusion: The individual and racial differences of the anatomic construction of calcaneal talar articular facets influence the static and kinetic dynamics of foot.
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