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腓骨     
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  fibula
Resection of the so-called fibular cord in congenital absence of fibula
      
The surgical exploration revealed a compression of the common peroneal nerve obviously due to a muscular herniation of the gastrocnemius near the head of the fibula, measuring about 1 inch in diameter.
      
With operative treatment, exact reconstruction of the articular surface, restoration of the length and rotational alignment of the fibula and fixation of osseous or ligamentous syndesmotic injuries are important prognostic factors.
      
Evaluation der Stellung der distalen Fibula nach geschlossener Reposition und Stellschraubenplatzierung mit intraoperativer drei
      
Die Peronealsehnenloge wird durch einen kn?chernen Verschiebespan aus der distalen Fibula nach dorsal überdacht.
      
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  fibular
Resection of the so-called fibular cord in congenital absence of fibula
      
Resection of the distal radius for tumors and arthroplasty with fibular autograft
      
Possible injury to the branches of the peroneal nerve during fibular osteotomies
      
The muscle branch for the extensor hallucis longus muscle is particularly at risk during the fibular osteotomy since it runs directly on the bone.
      
Technic and diagnostic value of so-called stress-x-rays in injuries of the fibular ligaments
      
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  fibular bone
Arthrodesis for ankle osteoarthritis after harvesting of free vascularized fibular bone: a case report
      
Microsurgical free fibular bone transfer: A technique for reconstruction of large skeletal defects following resection of high-g
      
Congenital aplasia or hypoplasia of the fibula (FAH) is a rare malformation that is defined by a partial or complete absence of the fibular bone.
      
The free osteofasciocutaneous fibular transplant is a direct development of the free fibular bone graft used from 1983 in reconstructive surgery of the long bones [1-3].
      
A case of delayed dropped foot secondary to post-traumatic fibular bone spur
      
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  peroneus
Peroneus brevis plasty in large achilles tendon defects
      
Fixation of nerves by fibrous tissues, compression by tendinous arcades of the peroneus longus tendon, and narrow passages for nerves crossing dense fibrous septa are all factors which favor the development of peroneal nerve lesions.
      
Im vorliegenden Bericht wird ein 57-j?hriger Patient mit einer isolierten Ruptur der Peroneus brevis Sehne beschrieben, welcher gleichzeitig an einer Zerebralparese leidet.
      
Die Peroneus-brevis-Plastik bei gro?en Achillessehnendefekten
      
peroneus brevis werden gro?e Achillessehnendefekte überbrückt.
      
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  其他


160 cases of x-ray films of male foot have been studied with a view to examine thesupernumerary foot bone, the number of sesamoid bone beneath the head of metatarsus,the correlation of certain foot bone and the cortical thickness of metatarsus. The supernumerary bone in the foot is quite large in number (35%), among which theaccessory scaphoid (14.4%), the accessory fibula (8.75%), the intermetatarsal bone (4.37%)and the os trigonum (2.5%) are most frequently found. Their number, position, shapeand dimensions...

160 cases of x-ray films of male foot have been studied with a view to examine thesupernumerary foot bone, the number of sesamoid bone beneath the head of metatarsus,the correlation of certain foot bone and the cortical thickness of metatarsus. The supernumerary bone in the foot is quite large in number (35%), among which theaccessory scaphoid (14.4%), the accessory fibula (8.75%), the intermetatarsal bone (4.37%)and the os trigonum (2.5%) are most frequently found. Their number, position, shapeand dimensions are quite different. The sesamoid bone beneath the metatarsal head may be absent: occasionally it maybe fissured into two pieces. In one case, its maximum number reaches as many as eight. The study of the correlation of certain foot bone shows: (1) The mean value of the intermetatarsal angle between Ⅰ and Ⅱ metatarsus isa approximately 10°(min. 3--4, max. 15°), left side 9.14°+2.4°, right side 9.75°±2.34°. (2) The mean value of the intermetatarso-digital angle of hallux is approximately18--19, (min. 8--9°, max. 30°), left side 19.35°±15.4°, right side 18.71°±4.9°. (3) The mean value of the Bohler's angle is apporximately 30°, (min. 12°, max.65°), left side 32.03°+12.9°, right side 37.21°±11.75°. (4) The mean value of the breadth of protruding scaphoid tuberosity is 0.6 cm,(min. 0.1 cm, max. 1.3 cm.). (5) The head of the first metatarsus is frequently lying proximal to the second.Their distance varies from 0.9 cm. to+0.5 cm. The cortex of the second metatarsus in the thickest, its medial side is thicker thanthe lateral side. The thickness of Ⅰ, Ⅲ, Ⅳ and Ⅴ metatarsus decreases in order. The above mentioned findings are discussed anatomically.

1.作者共观察成年男性足部X线象160例。对足部骨骼之畸形变异进行了研究。 2.足部额外骨并不少见,占35%,常见者有副舟骨、副腓骨、跖间骨及三角骨等。 3.跖骨头下方之籽骨数目可以为0—8个。 4.作者测量了第一、二跖骨间角、(足母)趾跖趾间角、Bohler氏角、舟骨粗隆突出距离,第一、二跖骨头差及跖骨干皮质厚度,并指出其相互关系及实用意义。

The diaphyseal nutrient foramina were examined in 246 tibia and 212 fibula from complete sets of Chinese adult skeleton collection.The length and diameter of these bones were also measured.The number,position and orientation of the nutrient foramina were more variable in fibula than in tibia. Though the position of the nutrient foramina of the shaft of these bones were vari- able,however there was a restricted area in which most of the foramina were located. The nutrient foramina of the tibia usually situated...

The diaphyseal nutrient foramina were examined in 246 tibia and 212 fibula from complete sets of Chinese adult skeleton collection.The length and diameter of these bones were also measured.The number,position and orientation of the nutrient foramina were more variable in fibula than in tibia. Though the position of the nutrient foramina of the shaft of these bones were vari- able,however there was a restricted area in which most of the foramina were located. The nutrient foramina of the tibia usually situated on the posterior surface near the junction between the upper and middle thirds of its length,and that of the fibula was on the posterior or medial surface within the upper portion of the middle third segment. The nutrient artery to tibia and fibula were dissected and observed in 100 cases. The nutrient artery to tibia may have various sources of origin,it may arise from the posterior tibial,anterior tibial,and fibular arteries or directly from the popliteal artery. It has a larger calibre and runs over a longer course.The nutrient artery to fibula is relatively small and short,and all originate from the fibular artery. Certain practical applications of the arteries are briefly discussed.

一、测量了成对的胫骨246侧,腓骨212侧,包括二骨的长度、中点矢状径、横径及周径。腓骨周径为胫骨周径的二分之一稍强。观察了滋养孔的位置、数目、大小及方向。胫骨滋养孔的数目、位置及方向都比较恒定,滋养孔无一例缺乏,二个或三个滋养孔亦很少见(1.63%);滋养孔在纵向上,多数集中在该骨的上、中1/3交界附近(指数平均值34.53);在横向上多位于胫骨的后面(95.22%)。两侧胫骨滋养孔在纵向及横向上都对称的较多(72.36%)。滋养孔的口径一般均较大,方向多通向远端(99.20%)。腓骨滋养孔的数目、位置及方向显示变化较多。腓骨滋养孔缺乏的有2.36%,二孔以上的9.43%。腓骨滋养孔在纵向上分布弥散,位于该骨中1/3的最多(90.39%);在横向上多数集中在腓骨后面(57.64%)、内侧缘及内侧面。两侧腓骨滋养孔在纵向及横向上均对称的较少(16.98%)。滋养孔的口径一般较小,通向远端的占89.52%。二、解剖出胫、腓骨滋养动脉各100例。测量了滋养动脉的长度和口径,并观察了它们的起点及行径。胫骨滋养动脉的起点变...

一、测量了成对的胫骨246侧,腓骨212侧,包括二骨的长度、中点矢状径、横径及周径。腓骨周径为胫骨周径的二分之一稍强。观察了滋养孔的位置、数目、大小及方向。胫骨滋养孔的数目、位置及方向都比较恒定,滋养孔无一例缺乏,二个或三个滋养孔亦很少见(1.63%);滋养孔在纵向上,多数集中在该骨的上、中1/3交界附近(指数平均值34.53);在横向上多位于胫骨的后面(95.22%)。两侧胫骨滋养孔在纵向及横向上都对称的较多(72.36%)。滋养孔的口径一般均较大,方向多通向远端(99.20%)。腓骨滋养孔的数目、位置及方向显示变化较多。腓骨滋养孔缺乏的有2.36%,二孔以上的9.43%。腓骨滋养孔在纵向上分布弥散,位于该骨中1/3的最多(90.39%);在横向上多数集中在腓骨后面(57.64%)、内侧缘及内侧面。两侧腓骨滋养孔在纵向及横向上均对称的较少(16.98%)。滋养孔的口径一般较小,通向远端的占89.52%。二、解剖出胫、腓骨滋养动脉各100例。测量了滋养动脉的长度和口径,并观察了它们的起点及行径。胫骨滋养动脉的起点变化较多,起自胫后动脉的有67%。胫骨滋养动脉的长度平均4.57厘米,起始段的外径平均1.53毫米;其行径颇为恒定,穿通胫骨后肌的起始部,贴胫骨上1/3部的后面下行,然后进入滋养孔。腓骨滋养动脉均起自腓动脉,但起始高度则多变。腓骨滋养动脉的口径细小,行程亦短,其平均长度为1.1厘米,起始段外径平均0.9毫米;行经(足母)长屈肌与胫骨后肌间,入滋养孔。腓动脉发出的弓形动脉,穿(足母)长屈肌的起点,沿腓骨的背面行走,对腓骨骨膜的血液供应有一定作用。

The peroneal artery and its relation to the blood supply of the fibula was studied in 100 Chinese adult cadavers. The results were as follows:1. The length of fibula ranged from 29.8 to 40.0 cm with an average of 34.26 ±0.23 cm.2. In the 100 cases, about 90.0±3.0% of the peroneal artery originated from the posterior tibial artery; 1.0±0.99% from anterior tibial artery; and 1.0±0.99% from the popliteal artery; and 8.0±2.71% the peroneal artery replaced the posterior tibial artery.3. The external diameter of the...

The peroneal artery and its relation to the blood supply of the fibula was studied in 100 Chinese adult cadavers. The results were as follows:1. The length of fibula ranged from 29.8 to 40.0 cm with an average of 34.26 ±0.23 cm.2. In the 100 cases, about 90.0±3.0% of the peroneal artery originated from the posterior tibial artery; 1.0±0.99% from anterior tibial artery; and 1.0±0.99% from the popliteal artery; and 8.0±2.71% the peroneal artery replaced the posterior tibial artery.3. The external diameter of the origin of the peroneal artery ranged from 0.15 to 0.6 cm with an average of 0.37±0.01 cm.4. The place where the peroneal artery comes to a distance of 0.5 cm from the fibula was taken as the approach point. The distance of this point to the apex of fibular capitulum varied from 6.30 to 17.01 cm with an average of 10.35±0.22 cm5. There were 94 fibular nutrient arteries in which, two were found in doublets. No fibular artery was found in 8 cases. Its length ranged from 0.4 to 2.0 cm with an average of 0.9±0.07cm.6. 51.06±5.0% of the fibular nutrient foramina were found on the posterior of fibula, where it is the most commonly located.7. There were 1~5(more frequently 3~4)branches of the arch artery supplying the periosteum and bone cortex.8. The muscular branches supplied the posterior and lateral muscle groups, their numbers varied greatly.9. According to its origin, the peroneal artery may be grouped into four types. The most common type was those came from the posterior tibial artery (90.0±3.0%).10. The peroneal artery was discussed with reference to the blood supply of fibula. It points out the importance of the middle/upper, lower/upper, upper/middle and middle/middle segments of this artery in surgery.

100侧成人下肢腓动脉及其与腓骨血供关系研究的主要结果: 1.腓骨全长29.8~40.0厘米(平均34.26±0.23)。 2.腓动脉起自胫后动脉占90.0±3.0%,起自胫前动脉占1.0±0.99%,胭动脉占1.0±0.99%,腓动脉代替胫后动脉占8.0±2.71%。 3.腓动脉起始部外径为0.15~0.60厘米(平均0.37±0.01)。 4.腓动脉与腓骨靠近点(二者开始相距0.5厘米之点)距腓骨小头尖平面6.30~17.01厘米(平均10.35±0.22)。 5.腓骨滋养动脉共发现94条,包括双滋养动脉2条。未发现腓骨滋养动脉8侧。其长度为0.4~2.0厘米(平均0.96±0.07)。 6.腓骨滋养孔最多位于腓骨后侧,占51.06±5.15%。 7.弓状动脉分布于腓骨骨膜及其骨皮质,有1~5支,以3~4支多见。 8.肌支多分布于小腿后群和外侧群,支数差异较大。 9.腓动脉根据起始动脉分为四型。Ⅰ型于胫后动脉,占90.0±3.0%。 10.讨论了腓动脉与腓骨血供的密切关系,指出了腓...

100侧成人下肢腓动脉及其与腓骨血供关系研究的主要结果: 1.腓骨全长29.8~40.0厘米(平均34.26±0.23)。 2.腓动脉起自胫后动脉占90.0±3.0%,起自胫前动脉占1.0±0.99%,胭动脉占1.0±0.99%,腓动脉代替胫后动脉占8.0±2.71%。 3.腓动脉起始部外径为0.15~0.60厘米(平均0.37±0.01)。 4.腓动脉与腓骨靠近点(二者开始相距0.5厘米之点)距腓骨小头尖平面6.30~17.01厘米(平均10.35±0.22)。 5.腓骨滋养动脉共发现94条,包括双滋养动脉2条。未发现腓骨滋养动脉8侧。其长度为0.4~2.0厘米(平均0.96±0.07)。 6.腓骨滋养孔最多位于腓骨后侧,占51.06±5.15%。 7.弓状动脉分布于腓骨骨膜及其骨皮质,有1~5支,以3~4支多见。 8.肌支多分布于小腿后群和外侧群,支数差异较大。 9.腓动脉根据起始动脉分为四型。Ⅰ型于胫后动脉,占90.0±3.0%。 10.讨论了腓动脉与腓骨血供的密切关系,指出了腓骨中/上、下/上、上/中和中/中部分在外科手术中的重要性。

 
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