胫侧副韧带与内侧半月板的关系解剖研究及临床意义  

Anatomical study and clinical significance on tibial collateral ligament of the knee and medial meniscus

作　　者：陈帅 易陈鹏[2] 王杰 宫大伟[2,6] 焦峰 黄华扬 郑小飞 王海彬 Chen Shuai;Yi Chenpeng;Wang Jie;Gong Dawei;Jiao Feng;Huang Huayang;Zheng Xiaofei;Wang Haibin(Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine(Guangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine,the Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510800,China;Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Orthopedic Center,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Hospital of Orthopedics,General Hospital of Southern Theater Command,Guangzhou 510010,China;Joint and Sports Medicine Center,the First Affiliated Hospital of Jinan University,Guangzhou 510630,China;National Key Laboratory of Orthopedics of TCM,Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广州市中西医结合医院(广州中医药大学附属广州中西医结合医院),广州510800 [2]广州中医药大学,广州510405 [3]广州中医药大学第一附属医院骨科中心,广州510405 [4]中国人民解放军南部战区总医院骨科医院,广州510010 [5]暨南大学附属第一医院骨关节与运动医学中心,广州510630 [6]广州中医药大学国家重点中医骨伤实验室,广州510405

出　　处：《中国临床解剖学杂志》2022年第5期519-522,529,共5页Chinese Journal of Clinical Anatomy

基　　金：国家自然基金面上项目(82074462);国家自然基金面上项目(81774339);广州中医药大学2019年学科研究重大项目(XK2019012);广东省自然基金(2020A151501085);广州市卫健委科研项(20191A011117)。

摘　　要：目的为胫侧副韧带(tibial collateral ligament,TCL)和内侧半月板(medial meniscus,MM)损伤的诊断及关节镜下治疗提供解剖学基础。方法对18个成人膝关节标本进行解剖,观察TCL与MM的解剖形态及二者之间的关系。结果TCL深层在后斜韧带和前内侧包膜之间与MM的体部和后角处形成宽而牢固的连接,两者接触长度(8.12±0.44)mm,接触面积(36.39±4.45)mm^(2),其可维系MM在膝关节屈伸运动时保持稳定。结论TCL与MM是膝关节内侧稳定的重要组成结构,深入了解其形态特点,为关节镜下TCL与MM损伤的诊治及解剖修复有重要意义。Objective To provide anatomical basis for the diagnosis and treatment of tibial collateral ligament(TCL) and medial meniscus(MM) injuries under arthroscopy.Methods Eighteen adult cadaver knee specimens were dissected to observe the anatomical morphology of TCL and MM and the relationship between them.Results Deep layer of TCL formed a wide but firm connection between the posterior oblique ligament and the anterior medial capsule and the body and posterior angle of the MM.The contact length and contact area of the two were(8.12±0.44) mm and(36.39±4.45) mm^(2),respectively,which could maintain the stability of the MM during flexion and extension of the knee.Conclusions The TCL and MM are important components for the stability of medial knee joint.In-depth knowledge of their morphological characteristics are of great significance for the diagnosis,treatment and anatomical repair of TCL and MM injuries under arthroscopy.

关 键 词：膝内侧副韧带 内侧半月板 应用解剖 关节镜 

分 类 号：R322.72[医药卫生—人体解剖和组织胚胎学] R322.73[医药卫生—基础医学]