肘关节内侧副韧带生物力学及临床研究.pdfVIP

48l 解剖与临床 2005 年第 l0 卷第 3 期 Anatomy and Ciinics Voi.l0 No.3 肘关节内侧副韧带生物力学及临床研究 王友华 纪标 吴菊 刘王番 【摘要】 目的：探讨肘关节内侧副韧各组成成分在肘关节稳定中的作用及手术治疗内侧副韧带损伤的临床效果。 方法：取 60 例 4%福尔马林溶液防腐保存的正常成人尸体肘关节标本，仔细解剖出肘关节内侧副韧带的前束、后束 和斜束，随机分为 5 组，然后通过生物力学研究，分别观察肘关节内侧副韧带各组成部分在肘关节不同屈曲角度下 对肘外翻角度的影响，并在此基础上临床治疗内侧副韧带损伤伴肘关节不稳定患者 ll 例，随访其疗效。结果：肘 关节内侧副韧带前束在肘关节屈曲过程中，???抗外翻应力方面起主要作用，而单纯后束或斜束损伤对肘关节内侧 稳定影响不大；ll 例肘关节内侧副韧带损伤患者经手术修复前束，肘关节功能恢复良好，未见遗留内侧不稳定。结 论：肘关节内侧副韧带前束是肘关节内侧稳定的主要结构，临床上当肘关节内侧副韧带损伤时应重点修复或重建 前束以稳定肘关节。 【关键词】 肘关节；副韧带；生物力学；临床研究 【中图分类号】 R323.7 + l R686.5 【文献标识码】 A 【文章编号】 l67l - 7l63（2005）03 - 0l84 - 03 Biomechanical and Clinical Study of the Ulnar Collateral Ligaments of Elbow Joint Wang Youhua， i Biao，Wu u，et al . （Department of Orthopaedics，Affiiiated ~ospitai of Nantong Medicai Coiiege，Jiangsu 22600l） 【Abstracts】 Objective：To evaivate the roie of uinar coiiaterai iigaments（UCL）in the stabiiity of the eibow joint and the ciinicai effect of surgicai operation.Methods：The anterior bundies，posterior bundies and transverse bundies of UCL of 60 eibow joint spec- imens were studied in dissection，and the specimens were divided into five groups. The vaigus degree of the eibows were measured at different angie of fiexion，and ll patients with injury of UCL of the eibow were surgicaiiy treated. Results：The anterior bundie of UCL of the eibow piayed an important roie in keeping the stabiiity of the eibow，whiie the posterior bundie or transverse bundie had no much infience on the stabiiity of the eibow. The iaterai stabiiity of the eibow joint of the ll cases recovered weii after the anterior bundies was repaired.Conclusion：The anterior bundie of UCL of the eibow is the primary res