前交叉韧带股骨止点的解剖学研究  

Clinical anatomic study of anterior cruciate ligament attachment to the femur

作　　者：路世勇[1] 李光磊[1] 王宝鹏[1] 

机构地区：[1]滨州医学院附属淄博市临淄区人民医院骨科,山东淄博255400

出　　处：《中国矫形外科杂志》2010年第22期1892-1895,共4页Orthopedic Journal of China

摘　　要：[目的]通过股骨干性标本研究前交叉韧带(ACL)股骨止点的形态、位置及大小,提出新的形态学分类,为临床重建ACL提供解剖学依据。[方法]对67副已知性别成人股骨干性标本的ACL股骨止点进行解剖研究。测量ACL股骨附着点的面积、形态以及与周围结构的关系。应用SPSS10.0统计软件对数据进行统计学分析。[结果]ACL股骨止点面积:男(104.4±30.8)mm2,女(81.4±29.1)mm2,性别差异有显著性意义(P<0.01)。ACL股骨附着区形态中椭圆形49例,占36.6%,新月形39例,占29.1%;圆形20例,占14.9%;长条形17例占12.7%,不规则形9例,占6.6%。[结论]ACL股骨止点有椭圆形、新月形、长条形、不规则形等多种形态,股骨止点面积有性别差异,重建ACL应结合股骨附着区的形态、位置、大小、性别等特点进行个体化重建。[Objective]To study the morphology,location,and sizes of the nature ACL attachment to the femur on femoral specimen and to offer a new morphological classification method,in order to provide anatomic evidences for clinical ACL reconstruction.[Method]Sixty-seven pairs of ACL femoral attachment on adult femoral specimen of known sex were anatomized and the aera,morphology and relationship with surrounding structures were measured.[Result]The aera of the femoral attachment of ACL was（104.4±30.8）mm2 in male and（81.4±29.1）mm in female.They had very significant difference between male and female in statistics（P0.01）.The shape of the femoral attachment of the ACL was oval in 49 cases,accounting for 36.6%,crescent in 39 cases,accounting for 29.1%,circular in 20 cases,accounting for 14.9%,rectangle in 17 cases,accounting for 12.7%,irregular in 9 cases,accounting for 6.6%.[Conclusion]The shape of femoral attachments of the ACL could be divided into various types,such as oval,crescent,circular,rectangle and irregular types.The aera of the femoral attachment of ACL had gender difference.When reconstructing the ACL,we should take morphology,location,sizes,sex into account and provide a individualized reconstruction method.

关 键 词：前交叉韧带 股骨止点 解剖学研究 

分 类 号：R322.73[医药卫生—人体解剖和组织胚胎学]