关节韧带的结构和功能

来源：解剖科学进展作者：张长杰打印本文放入收藏夹收藏到新浪

摘要：摘要：韧带是一种纤维结缔组织短带，正常韧带内胶原纤维沿长轴以平行方式排列，偏光下表现波浪状的排列方式。韧带有机械感受器，传递本体感受至神经中枢。韧带具有时间和历史依赖性的粘弹性特性。韧带起着引导关节面的正常运动，限制过度运动的作用。...

　　摘　要：韧带是纤维结缔组织短带，正常韧带内胶原纤维沿长轴以平行方式排列，偏光下表现波浪状的排列方式。韧带有机械感受器，传递本体感受至神经中枢。韧带具有时间和历史依赖性的粘弹性特性。对负荷也显示出非线性机械行为。韧带起着引导关节面的正常运动，限制过度运动的作用。另外，韧带还在保持关节面的生理压力和免疫防卫方面起着作用。参考文献：

　　［1］Amiel D, Frank G, Harwood F, et al. Tendon and ligaments-a morphological and biochemical comparison. J Orthop res, 1984, 1: 257

　　［2］Baselt DR, Revel JP, Baldeschwieler JD. Subfibrillar structure of type collagen observed by atomic force microscopy. Biophysical J, 1993, 65: 2644

　　［3］Shattuck MB, Gustafsson GL, Fisher KA, et al. Monomeric collagen imaged by cryogenic force microscopy. J Microscopy, 1994, 174(1): 1

　　［4］Montes GS. Structural biology of the fibers of the collagenous and elastic systems. Cell Biol int, 1996, 20: 15

　　［5］Dale WC, Baer E, Keller A, et al. On the ultrastructure of mammalian tenden. Experlentia, 1972, 28: 1293

　　［6］Woo SL, Gomez MA, WOO YK, et al. Mechanical properties of tendons and ligaments. Ⅱ. The relationships of immobilization and exercise on tissue remodeling. biorheology, 1982, 19: 397

　　［7］Bray RC, Fisher AW, Frank CB. Fine vascular anatomy of adult rabbit knee ligaments. J anat, 1990, 172: 69

　　［8］Dunlap J, Mccarthy JA, Joyce ME, et al. Quantification of the perfusion of the anterior cruciate ligament and the effects of stress and injury to supporting structures. Am J Sports Med, 1989, 17: 808

　　［9］Bray RC, Rangayyan RM, Frank CB. Normal and healing ligament vascularity:a quantitative histological assessment in the adult rabbit medial collateral ligament. J anat, 1996, 188: 87

　　［10］Peteie S, Colllins J, Solomonow M, et al. Mechanoreceptors in the palmar wrist ligaments. J Bone Joint surg, 1997, 79B: 494

　　［11］Johansson H, Sjolander P, Sojka P. A sensory role for the cruciate ligaments. Clin orthop, 1991, 268: 161

　　［12］Schuttee MJ, Dabezies EJ, Zimny ML, et al. Neural anatomy of the human anterior cruciate ligament. J Bone surg, 1887, 69A: 243

　　［13］Gillquist J. Knee ligament and proprioception. Acta Orthop Scand, 1996, 67: 533

　　［14］Miyatsu M, Atsuta Y, Watakabe M. The physiology of mechanoreceptors in the anterior cruciate ligament. J Bone Joint surg, 1993, 75B: 653

　　［15］Woo SL, Gomez WA, Akeson WH. The time and history-dependent viscoelasties of the canine medial collateral ligament. J Biomech Eng, 1981, 103: 293

　　［16］Woo SL, Gomez MA, Woo YK, et al. Mechanical properties of tendons and ligaments. biorheology, 1982, 19: 385

　　［17］Lu TW, Oconnor JJ. Lines of action and moment arms of the major force-bearing structures crossing the human knee joint: comparison between theory and experiment. J anat, 1996, 189: 575

　　［18］Noyes FR, Delucad JL, Torvik PJ. Biomechanics of anterior cruciate ligament failure in primates. J Bone Joint surg, 1974, 56A: 236

　　［19］Nickerson DA, Joshi R, Williams S, et al. Synovial fluid stimulates the prolifieration of rabbit ligament. Clin orthip, 1992, 274: 294

　　［20］Schutzer SF, Christen S, Jakob RP. Further observations on the isometricity of the anterior cruciate ligament. An anatomical study using a 6mm diameter replacement. Clin orthop, 1989, 242: 247

　　［21］Jarvlnen M, Jozaa L, Johnsom RJ, et al. Effect of anterior cruciate ligament reconstruction with patellar tendon or the knee jount. An experimental study in dogs. Clin Orthop, 1995, 311: 176

　　［22］Kannus P, Sievanen H, Jarvinen M, et al. A cruciate ligament injury produces considerable permanent osteoporosis in the affected knee.

发布日期：2004-9-30

分页：[1] [2] [下一页]