한국인 발목관절에서 발꿈치종아리인대의 해부학적 특성 연구
Anatomical Characteristics of the Calcaneofibular Ligament of Ankle Joint in Korean Population
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초록
발꿈치종아리인대는 발목의 안쪽번짐에서 발목의 안정성에 중요한 역할을 한다. 본 연구의 목적은 한국인 시신에서 발꿈치종아리인대의 인류학적 특성을 평가하여 임상에서 적용할 수 있는 기본적인 자료를 제공하는 것이 었다. 재료는 포르말린으로 고정한 한국인 성인 시신 69구를 사용하여, 125쪽의 발을 해부하였다. 남자가 75쪽, 여자 가 50쪽이었고, 사망시 평균 나이 76세였으며, 오른발이 63쪽, 왼발이 62쪽이었다. 발목을 중립자세로 한 후, 발꿈치 종아리인대의 부착부위를 확인하였다. 또한, 인대의 너비와 길이를 측정하였고, 발꿈치종아리인대와 앞목말종아리인 대의 병합 유무와 두 인대가 이루는 각도를 측정하였다. 발꿈치종아리인대의 부착부위는 종아리뼈의 끝에서 8.6± 2.7 mm 떨어진 곳이었다. 인대의 너비는 종아리뼈부착부위가 7.4±1.5 mm, 인대의 정중간부위가 6.7±1.4 mm, 발꿈 치뼈부착부위가 7.8±1.6 mm였으며, 인대의 길이는 22.0±2.7 mm였다. 발꿈치종아리인대와 앞목말종아리인대의 병 합은 모든 발에서 확인되었으며, 두 인대가 이루는 각도는 113.8±16.6°였다. 인대의 길이는 남자가 여자보다 길었으 며, 두 인대가 이루는 각도는 남자가 여자보다 컸다. 이 해부학적 자료는 발목의 해부학적 구조를 이해하고 발목 부 상의 진단 및 치료에 도움이 될 것이다.
Abstract
The calcaneofibular ligament (CFL) plays an important role in ankle joint stability during inversion. The aim of this study was to evaluate anthropological characteristics of CFL in Korean cadavers and to provide fundamental data to clinicians. For this study, formalin-fixed 69 Korean cadavers were used and 125 feet (75 males and 50 females/63 right, 62 left) were dissected. The average age was 76.3 years old. In neutral position of ankle, the attachment area of the CFL was identified. Also, both width and length of the CFL were measured. In addition, the conjoined pattern and the angle between the CFL and the anterior talofibular ligament (ATFL) were measured. The attachment of the CFL averaged 8.6±2.7 mm at the tip of fibular. The width of the fibula attachment, that of the middle part of the ligament and that of the calcaneal attachment were 7.4±1.5 mm, 6.7±1.4 mm, and 7.8±1.6 mm respectively. The length of the CFL was 22.0±2.7 mm. The connection of the CFL and the ATFL was confirmed in all specimens, and the average angle between the CFL and the ATFL was 113.8±16.6°. The ligaments were longer in male than in female, and the angles between two ligaments were wider in male than in female. This data will be helpful for understanding the anatomical structure of the ankle ligament, as well as for the diagnosis and treatment of ankle ligament injury.
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