THE ARTERIAL SUPPLY OF THE SESAMOID BONES OF THE HALLUX - THE COURSE AND SOURCE OF THE NUTRIENT ARTERIES AS AN ANATOMICAL BASIS FOR SURGICAL APPROACHES TO THE GREAT TOE

被引:20
作者
PRETTERKLIEBER, ML
WANIVENHAUS, A
机构
[1] Institute of Anatomy (2), University of Vienna, Vienna
[2] Department of Orthopaedics, University of Vienna, Vienna
来源
FOOT & ANKLE | 1992年 / 13卷 / 01期
关键词
D O I
10.1177/107110079201300105
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The arterial supply of the hallux sesamoids was studied in 29 human feet by anatomical dissection. Eight of them underwent radiographic analysis prior to dissection. The sesamoid arteries branch off from the digital plantar arteries of the hallux, which, in turn, are derived from the medial plantar artery and the plantar arch (type A), the plantar arch (type B), or the medial plantar artery (type C). The respective frequencies of types A, B, and C were 52%, 24%, and 24%. The number of sesamoid arteries varied from one (55%) to three (10%) and the number increased with the size of the sesamoid bones. Anatomical knowledge of the course and distribution of these vessels may be of great help to the orthopedist in the understanding of the pathogenesis of avascular necrosis and may provide insight into several technical aspects regarding surgery of the hallux.
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页码:27 / 31
页数:5
相关论文
共 27 条
[1]  
Anseroff N.J., Die Arterien des Skelets der Hand und des Fules des Menschen, Z. Anat. Entwicklungsgesch., 106, pp. 193-208, (1937)
[2]  
Das De S., Hamblen D.L., Distal metatarsal osteotomy for hallux valgus in the middle-aged patient, Clin. Orthop., 218, pp. 239-246, (1987)
[3]  
Fu F.H., Gomez W., Bilateral avascular necrosis of the first metatarsal head in adolescence, Clin. Orthop., 246, pp. 282-284, (1989)
[4]  
Gardner E., Gray D.J., O'Rahilly R., The prenatal development of the skeleton and joints of the human foot, J. Bone Joint Surg., 41A, pp. 847-876, (1959)
[5]  
Von Haller A., Iconum Anatomicum Partium Corporis Humani, Fasc. V, pp. 1-53, (1752)
[6]  
Helal B., The great toe sesamoid bones: the lus or lost souls of ushaia, Clin. Orthop., 157, pp. 82-87, (1981)
[7]  
Horn L.M., Subotnick S.I., Surgical intervention, Sports Medicine of the Lower Extremity, pp. 461-565, (1989)
[8]  
Hughes J., Clark P., Klenerman L., The importance of the toes in walking, J. Bone Joint Surg., 72B, pp. 245-251, (1990)
[9]  
Imhoff A., Baumgartner R., Blauth W., Busch H.G., Lamprecht E., Fehlschläge nach Hallux-valgus-Operationen und ihre Behandlung, Hallux Valgus, pp. 105-117, (1986)
[10]  
Kewenter Y., Die Sesambeine des I, Metatarsophalangealgelenkes des Menschen. Acta. Orthop. Scand., pp. 1-113, (1936)