目的：对正常成人Lisfranc韧带的解剖学和影像学表现进行描述，为临床提供依据。方法：对18侧成人尸体标本进行解剖，测量分离出的Lisfranc韧带，得到Lisfranc韧带的详细形态参数，确定Lisfranc韧带的走行；同时采用飞利浦Achieva 1.5T双梯度超导型磁共振成像仪对25名足部没有畸形、创伤等病变的成人志愿者的50只足进行扫描，获得Lisfranc韧带的影像学资料，利用系统自带测量软件测量Lisfranc韧带在影像学表现上的详细参数；使用SPSS 17.0将得到的两组数据进行统计学分析。结果：在解剖学与影像学表现上，Lisfranc韧带的长、宽、厚及韧带起点到内侧楔骨近端关节面的距离比较均有显著性差异（P<0.05）；而Lisfranc韧带与内侧楔骨近端成角度数的解剖学和影像学比较无显著性差异（P>0.05）。结论：正常成人Lisfranc韧带在解剖学及MRI表现上并不完全一致，影像学检查为辅助检查，而解剖学测量是确定正常成人Lisfranc韧带走形及形态的金标准。
Abstract
Abstract: Objective: To describe the normal anatomy and imaging findings of adult Lisfranc ligament, and to provide the basis for clinical. Methods: Eighteen adult cadaver specimens were dissected, the isolated Lisfranc ligaments were measured, and the detailed morphological parameters of Lisfranc ligament were obtained to determine the course of Lisfranc ligament. At the same time, 50 feet of 25 adult volunteers without deformity, trauma and other diseases were scanned by Philps Achieva 1.5T dual gradient superconducting magnetic resonance imaging device, and the imaging data of Lisfranc ligament were obtained. The detailed parameters of the Lisfranc ligament imaging findings were measured by the measuring software. The data were statistically analyzed using SPSS 17.0. Result: The length, width and thickness of the Lisfranc ligament and the distance from the starting point to the articular surface of the proximal medial cuneiform of anatomy and imageology had significant difference(P<0.05). The angle of Lisfranc ligament and proximal medial cuneiform showed no significant difference(P>0.05). Conclusion: The anatomy and MRI findings of normal adult Lisfranc ligaments are not completely consistent, imaging examination for auxiliary examination, and anatomical measurement is the gold standard for determining the distribution and morphology of the normal adult Lisfranc ligament.
关键词
韧带 /
解剖学 /
磁共振成像
Key words
Ligament /
Anatomy /
Magnetic resonance imaging
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基金
新疆维吾尔自治区科技支疆项目计划（指令性）项目（2013911112）。
