医学ppt课件腘窝囊肿的关节镜治疗.ppt

,胭窝囊肿发病机制胭窝的解剖关节镜治疗进展,髌上囊Suprapatellar bursa髌前筋膜下囊Subfascial prepatellarbursa髌前腱下囊tendinous prepatellar关节囊Articular capsule股二头肌下(腱下)囊Inferior(subtendingrsa of biceps femoris半膜肌髌下深囊ep infrapatellar bursa髌下皮下囊Subcutaneous鹅足囊infrapatellar bursaAnserine bursa前面,非肠肌外侧头驶下囊lateral head of排肠肌外侧头间囊ediate b.bet ween股二头肌上囊m d lat.head ofSuperior bursa ofastro.mn腓肠肌内侧of medial肌下隐窝gastroneSubpopliteal recess半膜肌囊Bursa of semimembranous二头肌下(腱下囊Inferior(subtendingbursa of biceps femoris胭窝囊肿多发生在半膜肌与腓肠肌内鹅足囊侧头滑液囊Insert(GSB:gastrocnemiusbursa)后,原发型:见于儿童及青少年囊肿常不与膝关节相通,般没有关节内病变自愈性,继发型骨性关节炎半月板损伤关节内创伤窝囊肿类风湿性关节炎软骨损伤,4、腓肠肌外侧头15、腓肠肌内侧头6、腓肠内侧皮神经7、胫神经8、股二头肌9、半膜肌10、半腱肌,半腰肌静林半肌Semimembranosus小隐静林胭窝解剖二noles神经排总神经剩动静脉外侧头(目肠头(腓肠肌)及肌支排肠外侧皮神经Lateral sural cute muscular br排神经交通支Communicating bof peroneal n肌支至比目鱼肌)排肠内皮神经Muscular br.,