喙肩韧带的解剖学分型及临床意义  

Applied anatomy of classification of the coracoacromial ligament and clinical significance

作　　者：朱玥润 魏畅 毛庆花 王晓晶 韩佳琪 王思雨 刘智勇 李京 ZHU Yue-run;WEI Chang;MAO Qing-hua;WANG Xiao-jing;HAN Jia-qi;WANG Si-yu;LIU Zhi-yong;LI Jing(Academy of Basic Medi-cine,Jining Medical university,Jining272067,China;Newborn Ward of Jining First People's Hospital,Jining,Shan-dong Province 272000,China;The First Department of Gerontology of Xi'an Ninth Hospital,Xi'an,Shaanxi Province 710000,China;School of Mental Health,Jining Medical College,Jining,Shandong Province 272067,China)

机构地区：[1]济宁医学院基础医学院,山东济宁272067 [2]济宁市第一人民医院新生儿病房,山东济宁272000 [3]西安市第九医院老年病一科,陕西西安710000 [4]济宁医学院精神卫生学院,山东济宁272067

出　　处：《解剖学研究》2022年第5期488-491,共4页Anatomy Research

摘　　要：目的观察喙肩韧带(CAL)的形态特征,为肩袖损伤、肩关节减压的外科治疗提供解剖学依据。方法100例(左侧60例、右侧40例)结构完整的人肩关节标本,观察CAL的形态并分类;分别测量CAL喙突端、肩峰端宽度,内侧缘及外侧缘的长度。结果(1)CAL的形态及数量:带状19例;四边形15例;Y字形19例;V字形31例;多条带形(条带数≥3)16例;(2)多条带形喙突端宽度为(30.82±4.11)mm,显著高于其他类型(F=25.56,P<0.01);Y字形内侧缘长度为(33.08±5.96)mm,明显高于其他类型(F=2.83,P=0.029)。结论对CAL的定量研究及分型,不仅是对既往研究的补充,也为其影像学研究奠定基础。CAL的变异会影响肩峰⁃喙突之间空间构筑,引起关节及软组织损伤。Objective The study was designed to explore the morphometry of the coracoacromial ligament(CAL) in the glenohumeral joint. Methods A total of 100 glenohumeral joints were included in this study. Types of the CAL were classified according to their morphologies. Widths of the coracoid and acromial attachments,lengths of the lateral and medial borders were measured with a digital venier caliper. Results(1)The CAL occurred in:band-shaped in 19 cases;quadrangular in 15 cases;Y-shaped in 19 cases;V-shaped in 31 cases and multiple bands in 16 cases.(2)Length of the coracoid attachment of the multiple bands was(30.82±4.11)mm,which was longer than any other types(F=25.56,P<0.01). There was statistical significance in the medial borders between Y-shaped and other types(F=2.83,P=0.029). Conclusion The CAL plays an important role in glenohumeral joint stability and proprioception. The study emphasizes the variants of the CALs,and this essential information reaffirms the importance of imaging examination before surgical procedures.

关 键 词：喙肩韧带 肩峰 喙突 形态 变异 应用解剖 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学]