肘关节后囊损伤后愈合不同阶段的 生物力学研究
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国家自然科学基金项目(12102301)


Different Healing Stages after Elbow Posterior Capsule Injury: A Biomechanical Study
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    摘要:

    目的 评估关节后囊损伤愈合不同阶段,肘关节内部软组织的力学行为。方法 建立考虑肌肉主动行为的肘关节有限元模型,模拟肘关节在无损伤和关节后囊损伤后2、4、6、8周时屈曲运动,分析关节囊、尺骨软骨和韧带von Mises等效应力变化。结果 无损伤以及损伤后2、4、6、8周时,关节囊在肘关节屈曲60°时应力分别为8.23、7.87、8.27、8.99、10.5 MPa。在肘关节屈曲30°时,与无损伤相比,损伤后2、4、6、8周时尺骨软骨应力分别为增加13.0%、28.3%、41.3%和45.7%。与损伤后2周相比,损伤后4周时桡侧副韧带在屈曲15°、30°、45°、60°、75°时应力分别减少12.5%、22.2%、13.6%、3.2%和10.6%。结论 研究结果可为关节囊挛缩的预防和治疗以及康复辅具的开发提供理论依据。

    Abstract:

    Objective To evaluate the mechanical behavior of the internal soft tissues of the elbow at different healing stages of a posterior capsular injury. Methods A finite element model of the elbow joint considering muscle activation behavior was established to simulate elbow flexion without injury and at 2nd, 4th, 6th, and 8th week after posterior capsule injury. The von Mises effective stress variations in the articular capsule, ulnar cartilage, and ligaments were analyzed. Results Before injury and at 2nd, 4th, 6th, and 8th week after injury, the stress on the articular capsule at 60° of flexion was 8.23, 7.87, 8.27, 8.99, and 10.5 MPa, respectively. When the elbow flexion angle was 30°, the ulnar cartilage stress increased by 13.0%, 28.3%, 41.3%, and 45.7% at 2nd, 4th, 6th, and 8th week after injury, respectively, compared with that before injury. At the 4th week after injury, the stress of the radial collateral ligament at 15°, 30°, 45°, 60°, and 75° flexion was reduced by 12.5%, 22.2%, 13.6%, 3.2%, and 10.6%, respectively, compared to that at the 2nd week. Conclusions This study provides a theoretical basis for the prevention and treatment of capsular contracture and development of rehabilitation aids.

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王芳,田博天,李明新,胡军,周鸣泽.肘关节后囊损伤后愈合不同阶段的 生物力学研究[J].医用生物力学,2024,39(5):889-895

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  • 收稿日期:2024-04-10
  • 最后修改日期:2024-05-04
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  • 在线发布日期: 2024-10-25
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