摘要
目的:研究第4、5跗跖关节的大体解剖和影像解剖学特征,为临床诊治足部损伤提供形态学资料。方法:观察30例足骨标本的第4、5跖骨与骰骨关节面的形态特征并测量相关数据;对30侧无明显足部畸形的成人足采用16层螺旋CT行横断面、冠状面和矢状面扫描,并行三维重建;将所测得的2组数据进行统计学分析。结果:螺旋CT三维成像技术能清楚显示第4、5跗跖关节各关节面的形态结构。结论:螺旋CT三维成像技术能够帮助临床足部损伤的诊断,特别对于足外侧纵弓的整复具有重要指导意义。
Objective:To study the anatomic and CT features of the fourth and fifth tarsometatarsal joints.Methods:Thirty foot specimes taken from cadavers were randomly selected;the articular facets of the cuboid bone,fourth and fifth tarsometatarsal bones were observed and measured.As a control,thirty cases of normal adult foots underwent spiral CT(GE MEDICAL SYSTEMS Bright Speed CT16)scan with transverse and coronal and sagittal planes.With GE ADW4.2 workstations,the image data were reconstructed in 3-dimension.The structures of articular facets of the cuboid bone、fourth and fifth tarsometatarsal bones were 3D observed.After that the data were analyzed.Results:3-dimensional reconstruction spiral CT could clearly demonstrate the morphology and pattern of the articular facet of the fourth and fifth tarsometatarsal joint.Conclusion:3-dimensional reconstruction spiral CT can provide assist in diagnosis of the foot injury,especially to the guide restitution of the lateral longitudinal arcus during the operation.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2010年第5期721-723,共3页
Journal of Chongqing Medical University
关键词
第4、5跗跖关节
螺旋CT
三维重建
The fourth and fifth tarsometatarsal joint
Spiral CT
Three-dimensional reconstruction