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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Solving the Mystery of the Antero Lateral Ligament AC01-AC04
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Solving the Mystery of the Antero Lateral Ligament AC01-AC04

机译：解决Antero侧韧带AC01-AC04的奥秘

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Introduction: The cruciate ligaments are essential for the antero-posterior stability of the knee joint. In Anterior Cruciate Ligament (ACL) rupture, though reconstructive surgery is a widely accepted and proven procedure, there is still an unacceptably high re-injury rate. The fact that the rotational instability persists even after the surgical reconstruction of ACL injury has evoked a new interest in the study of the soft tissue structures on the anterolateral aspect of the knee joint. The stability of the knee joint was found to improve dramatically if ACL reconstruction is accompanied with the reconstruction of the anterolateral soft structures of the knee. Aim: To identify the attachment and observe the measurable parameters of Antero Lateral Ligament (ALL) and its relationship with the adjacent bony landmarks. Materials and Methods: Twenty six cadaveric specimens of knee joints were collected from the Department of Anatomy, Amrita School of Medicine, Amrita Institute of Medical Sciences, Kochi and were dissected for the anterolateral ligament. Various parameters of ALL in extended knee- the length, width at midpoint and at the femoral-tibial attachments and thickness? were measured. The relationship of femoral attachment of ALL with the lateral femoral epicondyle as well as the tibial attachment with the Gerdy?s Tubercle (GT) and head of fibula were also noted. Results: ALL was identified in all the 26 cadaveric knee specimens. It was 39.2±7.2 mm in length, 6.5±2.7 mm in width at femoral attachment and 7.4±3.4 mm at tibial attachment, while the thickness was 1.0±0.5 mm. At the femoral attachment it was 7.1±3.4 mm proximal to and 4.0±2.9 mm posterior to the lateral epicondyle while at the distal attachment it was 20.4±3.1 mm posterior to the GT and 21.33±4.6 mm anterior to the head of the fibula. Conclusion: The ALL was found to be a distinct, supporting anatomical structure on the anterolateral aspect of the human knee. There is a high incidence of ALL lesions in ACL injuries which causes high-grade pivot-shift. The reconstruction of ALL along with that of ACL could lead to a decrease in the re-injury rates. The anatomical descriptions and the morphometry of ALL may be of great value to the orthopaedic surgeons in performing a more effective reconstructive surgery of ACL.
机译：简介：十字韧带对于膝关节前后稳定性至关重要。在前交叉韧带（ACL）破裂中，尽管重建手术已被广泛接受并证明是可行的手术，但再损伤率仍然很高。即使在ACL损伤的外科手术重建后，旋转不稳定性仍然存在，这一事实引起了对膝关节前外侧软组织结构研究的新兴趣。如果将ACL重建与膝盖前外侧软结构重建相结合，则可以显着改善膝关节的稳定性。目的：确定附件并观察Atero外侧韧带（ALL）的可测量参数及其与相邻骨标志的关系。材料与方法：从高知市阿姆里塔医学院的阿姆里塔医学院解剖学系收集了26具尸体的膝关节标本，并解剖了前外侧韧带。膝关节伸展的各种参数-长度，中点宽度和股骨附着处的厚度以及厚度？被测量。还记录了ALL的股骨附着与股外侧外侧con的关系以及胫骨附着与Gerdy's结节（GT）和腓骨头部的关系。结果：在所有26具尸体膝盖标本中均鉴定出ALL。长度为39.2±7.2mm，股骨附着处为6.5±2.7mm，胫骨附着处为7.4±3.4mm，而厚度为1.0±0.5mm。在股骨附着处，它位于外侧上dy近端7.1±3.4 mm，在外侧上lateral之后4.0±2.9 mm，而在远端附着处，其位于GT之前20.4±3.1 mm，在腓骨头前方21.33±4.6 mm。结论：ALL被发现在人膝前外侧具有独特的，支持的解剖结构。 ACL损伤中ALL病变的发生率很高，这会导致高度枢转移位。 ALL和ACL的重建可能导致再损伤率降低。 ALL的解剖学描述和形态测量对整形外科医生进行更有效的ACL重建手术可能具有重要价值。

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