关键词: Anatomic study Asian’s elbow Cadaveric study Medial collateral ligament of elbow Medial ligament insufficiency Medial side elbow pain

来  源:   DOI:10.1007/s43465-022-00648-x   PDF(Pubmed)

Abstract:
UNASSIGNED: This study aims to elucidate basic anatomic and geometric features of MCL, providing more accurate and detailed information, as guidance for surgeons, to improve patient\'s outcome of the treatment.
UNASSIGNED: The anterior bundle (AB), posterior bundle (PB) and transverse bundle (TB) ligament of 56 fresh frozen Thai cadaveric elbows, were measured and recorded, comprise key ligament\'s geometric features, footprints and dimensions, and its relation to bony landmarks. Sagittal and coronal planes were used in respect of the anatomical position.
UNASSIGNED: The mean distance between the center of AB origin and the apex of medial epicondyle is as follows: 2.97 ± 2.21 mm anteriorly, 4.73 ± 1.60 mm inferiorly in the sagittal plane, and 4.23 ± 1.13 mm deep from the epicondyle in the coronal plane. Its dimension is 6.23 ± 1.02 mm in width and 45.97 ± 6.75 mm in length. The ligament\'s insertion triangular shape has its base located 28.44 ± 3.51 mm anterior from the posterior olecranon border, and 22.52 ± 2.49 mm superior from the inferior ulnar border. The tip located 50.79 ± 4.86 mm anterior from the posterior olecranon border and 17.64 ± 2.80 mm superior from the inferior ulnar border.
UNASSIGNED: Apprehension of the precise geometries and distances of the ligament\'s footprint relative to key anatomical point is crucial. This stereographically comprehended data are useful for surgeon as reference points to obtain stability, motion, kinetic, and kinematic properties of the elbow.
UNASSIGNED: Level V evidence.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s43465-022-00648-x.
摘要:
本研究旨在阐明MCL的基本解剖和几何特征,提供更准确和详细的信息,作为外科医生的指导,改善患者的治疗结果。
前束(AB),56个新鲜冷冻泰国尸体肘部的后束(PB)和横束(TB)韧带,被测量和记录,包括关键韧带的几何特征,足迹和尺寸,以及它与骨骼地标的关系。在解剖位置方面使用矢状面和冠状面。
AB原点中心与内侧上髁顶点之间的平均距离如下:向前2.97±2.21mm,矢状面下方4.73±1.60mm,冠状面距上髁4.23±1.13mm深。其尺寸为宽度6.23±1.02mm,长度45.97±6.75mm。韧带的插入三角形形状的底部位于尺骨鹰嘴后边界前方28.44±3.51mm处,距尺下缘上22.52±2.49毫米。尖端位于尺骨鹰嘴后边界前方50.79±4.86mm,尺骨下缘上方17.64±2.80mm。
了解韧带相对于关键解剖点的精确几何形状和距离至关重要。这些立体可理解的数据对于外科医生作为获得稳定性的参考点很有用,动议,动力学,和肘部的运动学特性。
V级证据。
在线版本包含补充材料,可在10.1007/s43465-022-00648-x获得。
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