| Objective At present, not yet the main pathological changes of refractory tennis elbow is the brachial and radial synovial incarceration of refractory tennis elbow X-ray signs of in-depth research reports. In order to verify the accuracy and scientific point of view, the correct clinical treatment of refractory tennis elbow provide a theoretical basis, design the project, on the anatomy of the brachial and radial joints brachioradialis joint angles of each bone X-ray observation, Measurement and AnalysisMethods By selecting formalin solution after soaking 20 adult cadaveric elbow specimens;1.Observe the capitellum and radial head bone sex.2.Observe the morphology of the elbow joint collateral ligament elbow characteristics and general observation different flexion angles, joint ligament length changes.3.Observe the elbow joint capsule and the radial collateral ligament of the morphology and the relationship with the synovium.Select the normal joint X ray pictures brachioradialis 30; common type of tennis elbow X ray image 30; refractory tennis elbow X ray image 30;1. Do the radial small head inside and outside attachment point P and humerus small head most lateral point A, the line AB and radial small head inside and outside the Angle of attachment that BC to alpha. Also known as radial joint lateral humeral open bickering.2. Humerus backbone axis HJ by pulley and small head with distal led all line between the horn of delivered by the EF gamma called humerus horns3. Feet by pulley GO and backbone axis and small head distal led all line between the horn of delivered by the EF the two horns. The beta called4. With radial neck axis that the horn of radial axis Angle∠Q called neck dry Angle5. Take the lateral humeral small head, perpendicular to point A radial small head inside and outside attachment for BC, measuring lines point D coque; Also called humerus small head articular surface move quantity in outer.6. The radial neck extension longitudinal axis from the vertical distance humerus small head low head a neck, called MNResults The radial collateral ligament and annular ligament in the only point on the ulna,there are two types:the first part of the radial collateral ligament annular ligament fibers to import the ulnar radial point, part of the fiber a little far beyond the ulna alone on; second radial collateral ligament and annular ligament of radius of fiber ends to form a broad ulna. More than 90°elbow flexion, the radialcollateral ligament tension was increased, but the annular ligament and radial convergence of some tension did not change significantly during flexion in the elbow, radial collateral ligament annular ligament of the radial traction up inward, both inside and outside their state of tension; Normal elbows, and regular tennis elbow, difficultly tennis elbow between the head and neck distance, no obvious difference was not statistically significant (P> 0.05). Humerus small head articular surface move quantity in outer are statistically significant differences, between (P< 0.05). Normal elbow and intractable tennis elbow was significant difference (P< 0.01). Is a X-ray of humerus Angle, the two horns, neck dry Angle not statistically significant differences between (P>0.05). The lateral open quarrel, a statistically significant difference between the (P<0.05).Conclusion the anatomy of the brachial radial structure of the joint observation of the induced refractory tennis elbow may provide ideas and experimental basis; humeral head articular surface of the outer edge of the BD shift more the longer the lateral joint opening angle brachioradialis The larger the greater the probability of incarceration synovial... |
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