三角韧带解剖学影像学和生物力学讲义.pptVIP

三角韧带的解剖The Anatomy of deltoid ligament 三角韧带分为两层6束，浅层4束，深层2束 浅层:胫舟韧带、胫跳跃韧带、胫跟韧带及胫距后韧带浅层 Tibionavicular ligament, Tibiospring ligament, Tibiocalcaneal ligament, Superficial posterior tibiotalar ligament. 深层:胫距前韧带深层及胫距后韧带深层 Deep anterior tibiotalar ligament, Deep posterior tibiotalar ligament. 三角韧带的解剖The Anatomy of deltoid ligament 三角韧带的解剖The Anatomy of deltoid ligament A B C 图1. A.胎儿踝部冠状面（Mallory三色法染色），1.内踝，2.三角韧带深层，3.三角韧带浅层，4.胫后肌腱，5.趾长屈肌腱，6.载距突，7.踇长屈肌腱，8.纤维鞘隔膜。B.三角韧带浅层示意图，1.胫舟韧带，2.胫弹性韧带，3.胫跟韧带，4.胫距后韧带浅层，5.跟舟上韧带（弹性韧带组成部分）6.胫后肌腱，7.跖侧跟舟韧带（弹性韧带组成部分）C.三角韧带深层，1.胫距前韧带深层，2.胫距后韧带深层。 Fig. 1. Tibionavicular ligament. 2. Deep anterior tibiotalar ligament (deep layer). 3. Tibiospring ligament. 4. Tibiocalcaneal ligament. 5. Deep posterior tibiotalar ligament (deep layer). 6. Superomedial calcaneonavicular ligament (component of spring ligament). 7. Plantar calcaneonavicular ligament (component of spring ligament). 8. Navicular tuberosity. 9. Medial talar process.10. Sustentaculum tali. 11. Posterior tibial tendon (cut at the level of the insertion). 12. Flexor hallucis longus (cut proximal and distal). 13.Tibialis anterior tendon (cut at the level of insertion). 14. Long plantar ligament. 15. Plantar calcaneocuboid ligament. 16. Calcaneal tendon (cut at the level of insertion)  三角韧带的解剖The Anatomy of deltoid ligament 三角韧带的解剖The Anatomy of deltoid ligament Fig. 3 Medial view of the anatomical dissection of the deep layer of the deltoid ligament. The superficial layer of the deltoid ligament has been resected. Its distal insertion is maintained (arrowheads). a Plantar flexion. b Dorsiflexion. 1. Deep anterior tibiotalar ligament. 2. Deep posterior tibiotalar ligament. 3. Talar head. 4. Medial talar process. 5. Sustentaculum tali. 6. Anterior subtalar joint. 7. Posterior tibialtendon (cut at the level of insertion)  三角韧带影像学（附着点）The Attachments of deltoid ligament Figure 4. Representative lateral radiographic images of a right ankle demonstrating the sites of attac