関節上腕靭帯複合体の解剖学的検討 Anatomical Study of Glenohumeral Ligament Complex of the Shoulder
The diagnosis and treatment of shoulder problems depends upon the knowledge of anatomy. The purpose of the present study was to determine the prevalence and variation of the glenohumeral ligament complex (GHLC) in a series of specimens from cadavera.<BR>Twenty-two cadavera were dissected and 44 shoulders were examined. The age of the subjects at the time of death was 70.7 (range 44 to 88) years. There were 9 female cadavera and 13 male. The prevalence of SGHL, MGHL and IGHL was investigated. The width of the SGHL at the attachments to the glenoid labrum were measured. The shapes of the attachments of the MGHL to the glenoid were rec orded. The location of the attachments of the anterior band of the IGHL were recorded. GHLC was assigned to one of six anatomical categories described by De Palma et al.<BR>SGHL, MGHL, and IGHL were present in 86.4%,56.8% and 79.5% respectively. The mean width of the SGHL at the attachment of the glenoid was 5.9mm.44% of the MGHL attached to the SGHL.62.8%of the IGHL anterior band attached to the glenoid labrum at 3 o'clock (right shoulder). GHLC were categorized as follows: Type 1 (28.1%), Type 2 ( 3.1%), Type 3 (21.9%), Type 4 (43.8%), Type 5(0 %), Type 6 (3.1%). Variations of MGHL were noted in this study.
- 肩関節 = Shoulder joint
肩関節 = Shoulder joint 23(2), 285-287, 1999-07-30
Japan Shoulder Society