Calcaneocuboid stability: A clinical and anatomic study
Calcaneocuboid stability: A clinical and anatomic study
复制标题
DOI：
10.1177/107110070102201104
复制
发表时间：
2001-11-01
影响因子：
2.7
通讯作者：
Noble, PC
中科院分区：
文献类型：
--
作者：
Leland, RH;Marymont, JV;Noble, PC
跗中关节的损伤是相对少见的，并且经常被忽视。急性和慢性不稳定模式，跟骰关节可以发生从这样的损伤。以前没有关于正常跟骰骨松弛的报道。利用先前描述的技术，应力射线照片进行人体尸体标本后，连续切片的韧带支持的跟骰关节。无应力和应力状态下跟骰骨间隙和角度存在显著差异。尸体样本测试确定，跟骰背侧和跖侧韧带均对关节稳定性有显著贡献。在确定关节松弛的病理状态之前，必须确定稳定性的正常范围。通过更清楚地定义跟骰关节及其韧带的正常稳定性，可以更深入地了解跟骰不稳定的诊断和治疗。
Injuries to the midtarsal joints are relatively uncommon and often unrecognized entities. Acute and chronic instability patterns to the calcaneocuboid joint can occur from such injuries. No previous determinations of normal calcaneocuboid laxity have been reported. Utilizing a previously described technique, stress radiographs were performed in human cadaveric specimens following serial sectioning of the ligamentous supports of the calcaneocuboid joint. Significant differences in calcaneocuboid gap and angle occurred between unstressed and stressed conditions. Cadaveric specimen testing determined that the dorsal and planter calcaneocubold ligaments both provide significant contributions to joint stability. Prior to defining pathologic states of joint laxity, normal ranges of stability must be determined. By more clearly defining normal stability of the calcaneocubold joint and its ligamentous contributions, greater insight into the diagnosis and treatment of calcaneocubold instability can be obtained.