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目前,踝关节周围肌腱和腱鞘的关系以及正常表现未见报导,为此,做了下列研究。材料:用肌腱造影方法研究50个尸体的踝关节,所获得影像是:25例腓侧肌,24例胫后肌,14例屈(?)长肌,24例屈趾长肌,26例胫前肌,12例伸(?)长肌和2例伸趾长肌。方法:造影前存细研究每个腱鞘和肌腱起止点,将脚被动地活动,就容易触知欲查肌腱,用23或25号、长1(1/2)英吋针刺入肌腱直到针尖遇到肌腱较硬阻力为止,接上一支内装2ml 生理盐水(病人用塞多卡因)的注射器,缓慢推注并边注射边从肌腱内退针。注射过程中生理盐水易于流动时就可认为针头在腱鞘内。如无腱鞘与针尖相遇感,重选方法,将针头向下移至相应骨骼的骨膜,然后按上述
At present, the relationship between tendon and tendon sheath around the ankle and its normal performance have not been reported. Therefore, the following research was done. MATERIALS: Fifty corpus ankles were studied using tendonography. The obtained images were: 25 cases of fibular side muscles, 24 cases of posterior tibialis muscle, 14 cases of longus flexor muscle, 24 cases of flexor digitorum longus, 26 cases of tibia Anterior muscle, 12 long muscle (12) and 2 extensor digitorum longus. Methods: Pre-angiographic study of each tendon sheath and tendon starting and ending points, the passive movement of the foot, it is easy to palpable tendon check, with 23 or 25, 1 (1/2) inch long needle into the tendon until the needle Encounter stiffer tendon resistance, attach a syringe containing 2 ml of normal saline (for patients with cocaine) and slowly push the needle and retract it from the tendon while injecting it. Saline during the injection process is easy to flow when the needle can be considered within the tendon sheath. If no sense of meeting with the tip of the tendon sheath, re-election method, the needle down to the corresponding bone periosteum, and then according to the above