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2006 | 65 | 3 |

Tytuł artykułu

The morphology and function of the quadrate ligament

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
There is a paucity of information in the literature regarding the quadrate ligament and the information that does exist is extremely conflicting. We dissected 30 cadavers (60 sides) to determine the morphology and function of this enigmatic ligament. A quadrate ligament (thickening of the elbow joint capsule) was found in all specimens. In all specimens this band was distinct from the circumferential fibres of the annular ligament. The length, width, and thickness of the quadrate ligament were found to be 11 mm, 8 mm, and 1 mm respectively. This ligament not only aided in securing the neck of the radius to the ulna but also resisted excessive supination and, to a lesser degree, pronation of the forearm. Following transection of the quadrate ligament, the head of the radius was secured to the ulna considerably less firmly and supination and pronation increased by 10 to 20 degrees and 5 to 8 degrees respectively. The quadrate ligament contributes to proximal radioulnar stability, limits the “spin” of this joint, and should be considered in manipulation, surgery, or imaging of the proximal forearm.

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Wydawca

-

Czasopismo

Rocznik

Tom

65

Numer

3

Opis fizyczny

p.225-227,fig.,ref

Twórcy

autor
  • Pediatric Neurosurgery Children's Hospital, Birmingham, Alabama, USA
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Bibliografia

  • 1. Bert JM, Linscheid RL, McElfresh EC (1980) Rotatory contracture of the forearm. J Bone Joint Surg, 62A: 1163–1168.
  • 2. Hollinshead WH (1982) Anatomy for surgeons: the back and limbs. Vol. 3. Harper & Row, Philadelphia, p. 372.
  • 3. Kaplan EB (1964) The quadrate ligament of the radio-ulnar joint of the elbow. Bull Hosp Joint Dis, 25: 126–130.
  • 4. Martin BF (1958) The annular ligament of the superior radio-ulnar joint. J Anat, 92: 473–482.
  • 5. Neumann DA (2002) Elbow and forearm complex in kinesiology of the musculoskeletal system. Mosby, St. Louis, pp. 133–173.
  • 6. Spinner M, Kaplan EB (1970) The quadrate ligament of the elbow: its relationship to the stability of the proximal radio-ulnar joint. Acta Orthop Scandinav, 41: 632–647.
  • 7. Terzhumanov R, Stavrev P (1977) Role of the quadrate ligament in the elbow joint (Article in Russian). Arkh Anat Gistol Embriol, 73: 44–46.
  • 8. Williams PL (1999) Gray’s anatomy: the anatomical basis of medicine and surgery. 38th ed. Churchill Livingstone, Edinburgh.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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