HÜLYA GÜRBÜZ, TUNÇ KUTOĞLU, Rcep MESUT, Osman Uğur ÇALPUR, Mert ÖZCAN

Anatomical dimensions of lateral ulnar collateral and annular ligaments

Amaç: Bu çalışmada lateral ulnar kollateral ve anuler ligamanların boyutları araştırıldı. Hastalar ve Yöntemler: Ölçümler 10 kadavranın 20 dirseğinde yapıldı. Lateral ulnar kollateral ve anuler ligaman tüm dirseklerde diseke edildi. Uzunlukları ve genişlikleri ölçüldü. Bulgular: Sağ anuler ligamanın ortalama uzunluğu 55.6 mm, ortalama genişliği 12.6 mm, sağ lateral ulnar kollateral ligamanın ortalama uzunluğu 23.2 mm, ortalama genişliği 13.6 mm bulundu. Sol anuler ligamanın ortalama uzunluğu 55.4 mm, ortalama genişliği 11.5mm, sol lateral ulnar kollateral ligamanın ortalama uzunluğu 19.3 mm, ortalama genişliği 12.1 mm ölçüldü. Sonuç: Genellikle bu ligamanların yırtılması dirsek çıkıklarında meydana gelir. Bu ligamanların greftlenerek yapılan cerrahi onarımı sırasında, ligamanların boyutları greft seçimini belirleyeceği için oldukça önemlidir. Çünkü bu ligamanların boyutları rekonstrüksiyonu yapacak cerrah için oldukça yardımcıdır. Böylece kaç cm uzunlukta ve kalınlıkta grefte ihtiyaç olduğu önceden kestirilebilir. Çalışmamızda bulduğumuz ortalamalarla yola çıkarak lateral ulnar kollateral ligaman ve anular ligaman tamiri için en az beş katı uzunluk olan 10 cm'lik grefte ihtiyaç vardır. İnanıyoruz ki daha büyük olgu sayısındaki çalışmalarla daha yüksek sonuçlar elde edilebilecektir.

Anahtar Kelimeler:

Anatomi, Ligamentler, Dirsek eklemi, Kadavra, Dirsek

Lateral ulnar kollateral ve anuler ligamanların anatomik boyutları

Objectives: Anatomical dimensions of lateral ulnar collateral and annular ligaments were determined in the present study. Patients and Methods: These measurements were performed on 20 elbows from 10 cadavers. Lateral ulnar collateral and annular ligaments were dissected in all elbows and their anatomical lengths and widths were measured. Results: The mean length of the right annular ligament was 55.6 mm and the mean width was 12.6 mm. The mean length of the right lateral ulnar collateral ligament was 23.2 mm and the mean width was 13.6 mm. The mean length of the left annular ligament was 55.4 mm and the mean width was 11.5 mm. The mean length of the left lateral ulnar collateral ligament was 19.3 mm and the mean width was 12.1 mm. Conclusion: Ruptures of lateral ulnar collateral and annular ligaments generally occur during elbow dislocations. The dimensions of these two ligaments are important since they determine the grafts to be chosen for their surgical repair. These dimensions are quite helpful for the surgeon who will perform the reconstruction for estimating the length and thickness of the graft to be used for this purpose. When the mean values obtained in the present study are taken into consideration, grafts of at least 10 cm in length, a value which is five folds greater than the ligaments' lenght, are required for repairing the lateral ulnar collateral and annular ligaments. We believe that more reliable results can be obtained with series comprising higher numbers of cadavers.

Keywords:

Anatomy, Ligaments, Elbow Joint, Cadaver, Elbow,

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