踝关节是下肢承重关节,由胫、腓骨下端与距骨体上面组成。胫腓骨下端有内、外踝和侧副韧带连接。
内踝通过内侧副韧带(三角韧带)分别与跟骨、距骨和舟骨相连,能限制足的过度外翻运动。
外踝通过外侧韧带(即腓跟韧带和腓距前、后韧带)与踞骨前、后及跟骨相连,限制足的过度内翻运动。
踝关节的骨-韧带结构整体形成一个环形的稳定结构(Neer环)。
踝关节复杂的解剖特决定了其既稳定、又灵活。但在过度的外翻及旋转等暴力下,可造成踝关节骨及韧带损伤环状结构的破坏,骨折、脱位,踝关节不稳,严重影响负重行走功能。手术修复也必须熟悉踝关节的解剖结构。下文为郭医生的精美PPT—踝关节解剖,与大家分享如下:
![图片](https://img-a.haoyishu.com/article/content/7803/24d2e1b4-d4dd-43d6-8419-b46e31f019b2.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/b7f8383b-8f07-4e45-8e96-2820ff7df734.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/e6e596a7-d172-446b-a51f-202f84fe68c6.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/3ef8bc8f-1a0a-4bc1-901e-23c7cda69f65.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/551af9ff-a99d-459c-a884-76d071afd359.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/92b03d92-1067-42fb-a59f-d81125dea608.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/b7425322-a0e4-4867-9fc6-3461d205c875.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/af83d6d4-ebcb-4f87-bfce-f25bd856e7ff.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/5b27dc93-5074-472c-b45a-63bb82496d2c.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/042a7a7a-5e89-4896-b958-c4db4396e273.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/bf8cf8ba-a829-4cec-9128-253a3f4ff63d.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/842d2191-d491-485d-87f2-31cb86c27f32.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/fa81d1cd-ecdc-40dc-a400-63cbfc195a92.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/0bd44da1-058e-4ddc-a766-03443bc5eb57.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/2fc9d8b0-fbcd-48fe-9650-96c2b524454e.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/b1af2f89-b5a6-4528-abcc-61da3946e0d9.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/301be5b9-bd2c-45d1-95fb-a553648f3a68.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/90bc5c16-bd25-4612-a12b-7a51994152e0.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/1d140821-6f5a-4fba-94b4-069908117fd1.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/e18123ef-0b3e-4829-9522-20d7ee04a2ea.jpg)
![图片](https://img-a.haoyishu.com/article/content/7803/ceec53bd-956e-4b59-a45d-1a3a97e98d03.jpg)
声明:本文来源骨视新野,仅为交流学习。内容仅代表作者个人观点,望大家理性判断及应用。