喙肱韧带的解剖测量及其临床意义  

Anatomic measurement and clinical significance of the coracohumeral ligament

作　　者：杨会峰[1] 唐康来[1] 李建福[1] 陈伟[1] 王健[1] 许建中[1] 

机构地区：[1]第三军医大学西南医院骨科,重庆400038

出　　处：《中国临床解剖学杂志》2008年第3期268-270,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的:测量喙肱韧带(coracohumeral ligament,CHL)解剖学数据,为临床冻结肩的诊治提供解剖学基础。方法:20例正常成人肩关节标本,用游标卡尺和钢尺测量:CHL全长、距离喙突尖端长度、距离喙突末端长度、根宽、移行为关节囊前的宽度、根厚、移行为关节囊前的厚度。结果:CHL全长为(35.7±6.0)mm(26.2～48.1mm)、距离喙突尖端长度为(12.0±4.4)mm(4.0～19.2mm)、距离喙突末端长度为(17.5±4.0)mm(6.0～21.1mm)、根宽为(21.0±3.5)mm(15.1～29.0mm)、移行为关节囊前宽度为(15.8±2.4)mm(12.1～20.1mm)、根厚为(2.15±0.70)mm(1.18～3.60mm)、移行为关节囊前厚度为(1.83±0.69)mm(1.02～3.46mm)。结论:CHL从起点到止点都是逐渐变细的,不同的人CHL解剖测量不同且数据差异太大,提示不能在不同的人之间进行比较来指导冻结肩的临床诊治。Objective： To measure anatomic data of the coracohumeral ligament and provide basis for the diagnosis and treatment of frozen shoulder. Methods： 20 adult normal shoulder specimens were measured by vernier caliper and steel rule.The full length of CHL, The length from the top of coracoid to the anterior border of the origin of CHL, the length of CHL from the extremity of coracoid to the posterior border of the origin of CHL, the base width of CHL, the width of CHL before the confluence of it with joint capsule, the base thickness, and the thickness of CHL before its confluence with joint capsule, were measured respectively. Results： For 20 cases, the full length was about （35.7±6.0 mm） （26.2-48.1 mm）, and the length from the top of the coracoid to the anterior border of the origin of CHL （12.0±4.4 mm ）（4.0-19.2 mm）, the length from the extremity of the coracoid to the posterior border of the origin of CHL （17.5±4.0mm）（6.0-21.1 mm）, the base width （21.0±3.5 mm ）（15.1-29.0 mm）, the width before the confluence of the CHL and the joint capsule （15.8± 2.4 mm ）（12.1-20.1 mm）, the base thickness （2.15±0.70 mm） （1.18-3.60 mm）, the thickness before the confluence of the CHL and the joint capsule （1.83±0.69 mm ）（1.02-3.46 mm）, respectively. Conclusions： CHLs gradually thin from its origin to insertion. The anatomical data of CHL are great variable among different specimens, which implies that there is no help in the diagnosis and treatment of frozen shoulder, depending on the anatomical data of different specimens.

关 键 词：喙肱韧带 肩关节 解剖 

分 类 号：R323.42[医药卫生—人体解剖和组织胚胎学]