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首页> 外文期刊>Acta orthopaedica Scandinavica. >The relation of the coracoclavicular ligament insertion to the acromioclavicular joint: a cadaver study of relevance to lateral clavicle resection.
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The relation of the coracoclavicular ligament insertion to the acromioclavicular joint: a cadaver study of relevance to lateral clavicle resection.

机译:锁骨韧带插入与肩锁关节的关系:尸体研究与锁骨外侧切除的相关性。

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摘要

Resection of the lateral end of the clavicle is a common procedure for arthrosis of the acromioclavicular joint (AC-joint). However, no anatomical data on the distance between the insertions of the coracoclavicular ligaments and the AC-joint have been reported. In 36 cadaver shoulders (18 male), we studied the relation between the AC-joint and the insertions of the joint capsule, trapezoid and conoid ligaments. The distance from the AC-joint to the medial end of its capsule was, on average, 0.7 cm (0.4-0.9) cm in women and 0.8 (0.4-1.2) cm in men. In women, the trapezoid ligament began, on average, at 0.9 (0.4-1.6) cm and ended at 2.4 (2.0-2.8) cm and in men, it began at 1.1 (0.8-1.6) cm and ended at 2.9 (2.1-3.8) cm medial to the AC joint. The corresponding figures for the conoid ligament were 2.6 (2.0-3.7) cm and 4.7 (3.9-6.2) cm. A resection of 1 cm of the lateral clavicle detaches 8%, a resection of 2 cm 60% and a resection of 2.5 cm 90% of the trapezoid ligament. We recommend a maximum resection of 1 cm of the lateral clavicle because a resection of 2 cm or more may cause postoperative AC-joint instability and related pain.
机译:锁骨外侧端切除是肩锁关节(AC关节)关节炎的常见手术。但是,尚未有关于锁骨锁骨韧带插入与AC关节之间距离的解剖数据。在36个尸体肩膀(18个男性)中,我们研究了AC关节与关节囊,梯形和圆锥形韧带的插入之间的关系。女性从AC接头到其胶囊内端的距离平均为0.7厘米(0.4-0.9)厘米,男性为0.8(0.4-1.2)厘米。女性的梯形韧带平均开始于0.9(0.4-1.6)cm,结束于2.4(2.0-2.8)cm;男性,则开始于1.1(0.8-1.6)cm,结束于2.9(2.1- 3.8)cm到AC接头的内侧。圆锥状韧带的相应数字为2.6(2.0-3.7)cm和4.7(3.9-6.2)cm。切除1 cm的外侧锁骨分离了8%的梯形韧带,切除了2 cm的切除率为60%,切除了2.5 cm的90%切除了梯形韧带。我们建议最大锁骨外侧锁骨切除1 cm,因为切除2 cm或更多可能会导致术后AC关节不稳定和相关疼痛。

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