网球的运动伤害.ppt

網球的運動傷害 博愛醫院 復健科 潘健理 醫師 網球運動的特性 網球動作之生物力學 發球serve 正拍接球forehand stroke 反拍接球backhand stroke 網前截擊 急性之傷害 累積性傷害 腕部三角纖維軟骨撕裂傷triangular fibrocartilage complex tear TFCC (triangular fibrocartilage complex) The TFCC is composed of the TRC dorsal and volar radioulnar ligaments and articular disc, the ulnar collateral ligament, the meniscus homologue , the extensor carpi ulnaris sheath, the ulnolunate ligament, and the ulnotriquetral ligament. It is classified as part of the ulnocarpal extrinsic ligamentous group, and stabilizes the DRUJ and ulnocarpal articulation. The dorsal and volar radioulnar ligaments reinforce the peripheral margins of the TFC articular disc, which is thinned centrally and thickened peripherally. The thickened ulnar collateral fibers that are distal to the TFC comprise the meniscus homologue. These fibers then insert distally into the triquetrum, the hamate, and the base of the fifth metacarpal. The ulnolunate ligament originates on the anterior border of the TFC and inserts on the lunate. The ulnotriquetral ligament also originates on the anterior aspect of the TFC (the volar aspect of the radioulnar ligament) and extends to the volar-ulnar aspect of the triquetrum. The TFC articular disc arises from the medial edge of the ulnar notch of the radius and attaches to the ulnar styloid process. It has a biconcave morphology and articulates with the distal ulna and triquetrum in the proximal carpal row. With a strong radial attachment of the TFC, the ligaments that have or share TFC attachment function to connect the volar aspect of the carpus to the radius.The term TFCC was coined to describe all of the ligamentous and cartilaginous structures that were thought to play a role in suspending the distal radius and the ulnar carpus from the distal ulna. It functions in the maintenance of both the stability of the distal radioulnar joint (DRUJ) and the stability of the carpus as a whole (preventing pronosupination of the carpus