髋后方关节囊的解剖学观测及临床意义  

The anatomic study and clinical significance of the posterior hip joint capsule

作　　者：李琪[1] 张力成[1] 杨国敬[1] 雷亚宁[2] 汤呈宣[1] 蔡春元[1] 

机构地区：[1]温州医学院附属第三医院骨科,浙江温州325200 [2]温州医学院解剖教研室,浙江温州325035

出　　处：《中国临床解剖学杂志》2008年第2期137-140,共4页Chinese Journal of Clinical Anatomy

基　　金：浙江省医药卫生科学研究基金(2006B123);温州市科技计划项目(Y20060168)

摘　　要：目的:研究髋后方关节囊和坐股韧带为临床实践提供解剖学资料。方法:采用10例经福尔马林固定的成人髋关节标本,解剖出髋后方关节囊,将其划分为3区9部,测量每部平均厚度,观测坐股韧带的起止、走行、分支及组织学切片。结果:髋后方关节囊的厚度具有不均一性;坐股韧带与关节囊紧密愈合,主干从坐骨处发出走行在Ⅱ、Ⅲ区之间,汇入分支后主要在ⅡE部和ⅠB部内走行,并逐渐向股骨侧(ⅠC部)偏移,在髂股韧带深面汇入止于大转子根部的偏前方。结论:对髋后方关节囊及坐股韧带的了解能有助于手术的设计和优化。Objective： To investigate anatomic features of the posterior hip joint capsule and the ischiofemorale ligament for clinical practice. Methods. 10 adult cadaver hips fixed with formalin were used for anatomic study. Following dissection, the posterior hip joint capsules were divided into 3 sectors and 9 parts. The average thickness of each part was measured and the ischiofemorale ligaments were observed of their origin, insertion, course, branch and histological sections. Results：The thickness of the posterior hip joint capsule was ununiformity. The ischiofemorale ligament concrescented tightly together with capsule. From its origin on the ischium, its main stem traversed between sector Ⅱ and sector Ⅲ. After being blended into branch, it passed mainly in Ⅱ E part and Ⅰ B part and adjoined to femoral bone （ Ⅰ C part） gradually. Finally it was fixed to the anterior root of the greater trochanter and deep to the iliofemorale ligament. Conclusions： Understanding of the posterior hip joint capsule and the ischiofemorale ligament may make for the design and the optimization of operation in this area.

关 键 词：髋关节 关节囊 坐股韧带 解剖 

分 类 号：R323.45[医药卫生—人体解剖和组织胚胎学]