■描述保持半月板稳定且很少讨论的人MTL(半月板胫骨韧带)的解剖学和组织学特征。
■描述性实验室研究。
■总共,解剖了六个新鲜冷冻的成年尸体,解剖方案是由两位经验丰富的解剖学教授设计的。观察MTL的解剖形态。主要解剖标本包括半月板,胫骨平台,MTL.骨凿用于切除胫骨平台的部分,可以获得包括部分弯月面的复合物,MTL,还有胫骨碎片.组织病理学研究由两名经验丰富的病理学家进行。
■宏观上,MTL可分为内侧半月板韧带(MMTL)和外侧半月板韧带(LMTL)两部分。MMTL是连续分布的,而LMTL在胫骨平台上是不连续的。从LMTL的胫骨附件到关节面的平均长度为19±1.0mm(平均值±SD)。从MMTL的胫骨附着到关节面的平均长度为10±1.2mm(平均值±SD)。MTL的显微镜检查显示MTL是韧带组织,由定向胶原纤维网络组成。
■在所有膝盖上,将MTL插入弯月面的外边缘,附着在胫骨关节软骨水平以下,这对于维持胫骨平台上生理位置的膝关节和半月板的旋转稳定性至关重要。该韧带的组织学分析表明,MTL是一种名副其实的韧带结构,由表达I型胶原的成纤维细胞组成。
■本文有助于了解MTL的解剖学和组织学特征。有利于促进MTL病变相关手术技术的发展。
UNASSIGNED: To describe the anatomical and histological characteristics of the human MTL (meniscotibial ligament) that keeps the
meniscus stable and are rarely discussed.
UNASSIGNED: Descriptive laboratory study.
UNASSIGNED: In total, six fresh-frozen adult cadaver knees were dissected, and the dissection protocol were designed by two experienced anatomy professors. The anatomical morphology of MTL was observed. The main anatomical specimens included
meniscus, tibial plateau, MTL. The osteotome was used to excise the portion of the tibial plateau, which could obtain the complex including partial
meniscus, MTL, and a tibial fragment. A histopathologic study was performed by two experienced pathologists.
UNASSIGNED: Macroscopically, the MTL could be divided into two parts: medial meniscotibial ligament (MMTL)and lateral meniscotibial ligament (LMTL). The MMTL is distributed continuously, whereas the LMTL is discontinuous on the tibial plateau. The average length from the tibial attachment of the LMTL to the articular surface was 19 ± 1.0mm (mean ± SD). The average length from the tibial attachment of the MMTL to the articular surface was 10 ± 1.2 mm (mean ± SD). Microscopy of the MTL showed that the MTL is a ligamentous tissue, composed of a network of oriented collagenous fibers.
UNASSIGNED: In all knees, the MTL was inserted on the outer edge of the
meniscus, attaching to the tibia below the level of articular cartilage, which was key to maintaining the rotational stability of knee and the
meniscus in the physiological position on the tibial plateau. Histological analysis of this ligament demonstrated that the MTL is a veritable ligamentous structure, which is made up of collagen type I-expressing fibroblasts.
UNASSIGNED: This article contributes to the understanding of the anatomical and histological characteristics of the MTL. It is beneficial to promote the development of relevant surgical techniques for the MTL lesion.