上海交通大学学报（医学版）

上海交通大学学报（医学版）

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喙锁韧带重建的解剖学研究和临床意义

朱乃锋1，2，张云龙3，陈云丰3   

  1. 上海交通大学 1.医学院附属仁济医院南院骨科， 上海 201112； 2.医学院附属仁济医院骨科， 上海 200127； 3.附属第六人民医院骨科， 上海 200233
  • 出版日期:2016-03-28 发布日期:2017-06-02
  • 通讯作者: 陈云丰, 电子信箱: drchenyf@aliyun.com。
  • 作者简介:朱乃锋（1984—）， 男， 住院医师， 硕士; 电子信箱: yidaozhu@126.com。

Anatomic study on reconstruction of coracoclavicular ligaments and clinical significance

ZHU Nai-feng1，2, ZHANG Yun-long3, CHEN Yun-feng3   

  1. 1.Department of Orthopaedics,, Renji Hospital South Campus, Shanghai Jiao Tong University School of Medicine, Shanghai 201112, China; 2.Department of Orthopaedics, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; 3.Department of Orthopaedics, Sixth People‘s Hospital, Shanghai Jiao Tong University, Shanghai 200233, China

  • Online:2016-03-28 Published:2017-06-02

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摘要：

目的 测量喙锁韧带相关解剖学数据，为肩锁关节脱位手术中完全解剖重建喙锁韧带提供必要的解剖学依据。方法 15具（30肩）成人尸体标本，分别标记斜方韧带和锥状韧带锁骨止点中心，测量韧带锁骨止点中心与锁骨骨性标志的相关解剖学数据。结果 斜方韧带锁骨止点中心与锁骨远端、前缘、后缘的距离分别为（21.87±1.12）mm（19.8～24.0 mm）、（6.34±0.45）mm（5.5～7.2 mm）、（20.47±1.02）mm（18.9～22.1 mm）；锥状韧带锁骨止点中心与锁骨远端、前缘、后缘的距离分别为（36.69±0.92）mm（35.0～38.5 mm）、（15.71±0.56）mm（14.8～17.0 mm）、（5.53±0.39）mm（5.0～6.3 mm）。结论 喙锁韧带锁骨止点中心与骨性标志的距离的测量，将有利于术者行肩锁关节脱位手术时完全解剖重建喙锁韧带。

关键词: 斜方韧带, 锥状韧带, 应用解剖, 临床意义

Abstract:

Objective To measure anatomic data of the coracoclavicular ligaments and provide necessary anatomic evidence for complete anatomic reconstruction of coracoclavicular ligaments for surgical treatment of dislocation of acromioclavicular joint. Methods A total of 15 adult cadavers (30 shoulders) were selected. The centers of trapezoid ligament and conoid ligament on the clavicle were marked and anatomic data between centers and bone landmarks on the clavicle was measured. Results The distances from the center of trapezoid ligament on the clavicle to the lateral end, anterior border, and posterior border of clavicle were (21.87±1.12) mm (19.8-24.0 mm), (6.34±0.45) mm (5.5-7.2 mm), and (20.47±1.02) mm (18.9-22.1 mm), respectively. The distances from the center of conoid ligament on the clavicle to the lateral end, anterior border, and posterior border of clavicle were (36.69±0.92) mm (35.0-38.5 mm), (15.71±0.56) mm (14.8-17.0 mm), and (5.53±0.39) mm (5.0-6.3 mm), respectively. Conclusion Measurement of the distances between centers of trapezoid ligament and conoid ligament on the clavicle and bone landmarks is helpful for complete anatomic reconstruction of coracoclavicular ligaments for surgical treatment of dislocation of acromioclavicular joint.

Key words: trapezoid ligament, conoid ligament, applied anatomy, clinical meaning