vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2024.3.MORPH.3vmireaviz-1042Research ArticleМорфология, патологияMorphology, pathologyСовременные вопросы хирургической анатомии связочного аппарата и костей плюсны стопы человекаModern issues of surgical anatomy of the ligamentary apparatus and metatarsal bones of the human foothttps://orcid.org/0000-0002-6002-0009ДуковД. В.DukovD. V.

Дуков Денис Владимирович - Ассистент кафедры судебной медицины ИПО, соискатель кафедры оперативной хирургии и топографической анатомии Вклад автора: разработка идеи, написание статьи.

ул. Партизана Железняка, д. 1, г. Красноярск, 660022

Denis V. Dukov - Assistant of the Department of Forensic Medicine of the Institute of Professional Education, candidate of the Department of Operative Surgery and Topographic Anatomy Author's contribution: developing an idea, writing an article. 

1 Partizan Zheleznyak str., Krasnoyarsk, 660022

denis_garant@mail.ruhttps://orcid.org/0000-0002-2548-8044РусскихА. Н.RusskikhA. N.

Русских Андрей Николаевич - Д-р мед. наук, доцент, заведующий кафедрой оперативной хирургии и топографической анатомии Вклад автора: разработка идеи, анализ отечественной и иностранной литературы, написание статьи.

ул. Партизана Железняка, д. 1, г. Красноярск, 660022

Andrey N. Russkikh - Dr. Sci. (Med.), Docent, Head of the Department of Operative Surgery and Topographic Anatomy Author's contribution: developing an idea, writing an article. 

1 Partizan Zheleznyak str., Krasnoyarsk, 660022

chegevara-84@mail.ruhttps://orcid.org/0000-0002-3462-962XШабохаА. Д.ShabokhaA. D.

Шабоха Анна Дмитриевна - Канд. мед. наук, доцент кафедры оперативной хирургии и топографической анатомии Вклад автора: проведение информационного поиска, подготовка, оформление статьи для публикации, связь с редакцией.

ул. Партизана Железняка, д. 1, г. Красноярск, 660022

Anna D. Shabokha - Cand. Sci. (Med.), Associate Professor of the Department of Operative Surgery and Topographic Anatomy. Author's contribution: developing an idea, writing an article. 

1 Partizan Zheleznyak str., Krasnoyarsk, 660022

tat_yak@mail.ruhttps://orcid.org/0000-0003-4438-1717АлябьевФ. В.Alyab'evF. V.

Алябьев Федор Валерьевич - Д-р мед. наук, профессор, заведующий кафедрой судебной медицины ИПО Вклад автора: разработка концепции, анализ литературы.

ул. Партизана Железняка, д. 1, г. Красноярск, 660022

Fyodor V. Alyab'ev - Dr. Sci. (Med.), Professor, Head of the Department of Forensic Medicine, IPO. Author's contribution: developing an idea, writing an article. 

1 Partizan Zheleznyak str., Krasnoyarsk, 660022

alfedval@mail.ruhttps://orcid.org/0009-0000-6190-049XМакаровА. Ф.MakarovA. F.

Макаров Александр Федорович - Канд. мед. наук, врач травматолог-ортопед Вклад автора: разработка концепции, анализ литературы.

пр-т Мира, д. 93, г. Красноярск, 660017

Makarov Alexander Fedorovich - Cand. Sci. (Med.), orthopedic traumatologist Author's contribution: developing an idea, writing an article. 

93 Mira Ave., Krasnoyarsk, 660017

afmakaroff@gmail.comКрасноярский государственный медицинский университет имени профессора В.Ф. Войно-ЯсенецкогоРоссияKrasnoyarsk State Medical University named after prof. V.F. Voyno-YasenetskyRussian FederationКрасноярский центр пластической хирургииРоссияKrasnoyarsk Center of Plastic SurgeryRussian Federation2024270620241433041Copyright © Дуков Д.В., Русских А.Н., Шабоха А.Д., Алябьев Ф.В., Макаров А.Ф., 20242024Дуков Д.В., Русских А.Н., Шабоха А.Д., Алябьев Ф.В., Макаров А.Ф.Dukov D.V., Russkikh A.N., Shabokha A.D., Alyab'ev F.V., Makarov A.F.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/1042

Проведён анализ научной литературы, посвящённой изучению хирургической анатомии связочного аппарата и костей плюсны стопы человека. В литературе достаточно полно освещены вопросы макроанатомии и гистологии связок и костей плюсны стопы. В то же время вопросы, касающиеся тех же формы и размеров костей, взаиморасположения связок, их гистотопографических особенностей разноречивы, что связано с большой вариабельностью, индивидуальной и возрастной изменчивостью в сочетании с рядом социальных факторов и особенностями регионов проживания. В работе показано, что в настоящее время данные отечественной и зарубежной научной литературы по анатомии и топографии костей и связок плюсны стопы человека представлены либо секционными исследованиями, либо результатами клинических наблюдений с использованием диагностической аппаратуры. Имеющиеся исследования не дают целостного представления о хирургической анатомии связочного аппарата и костей плюсны стопы человека. В статье отражена необходимость широкого использования в фундаментальных анатомических исследованиях связок и костей плюсны гистотопографического метода исследования, количественной и качественной оценки морфологических параметров, которые открывают новые возможности для диагностики патологических процессов и разработки новых приемов оперирования.

The article presents an analysis of scientific literature devoted to the study of surgical anatomy of the ligamentous apparatus and metatarsal bones of the human foot. The literature covers the issues of macroanatomy and histology of the ligaments and metatarsal bones of the foot quite fully. At the same time, issues related to the same shape and size of bones, the relative position of ligaments, their histotopographic features are contradictory, which is associated with high variability, individual and age variability in combination with a number of social factors and features of the regions of residence. The work shows that at present, the data of domestic and foreign scientific literature on the anatomy and topography of the bones and ligaments of the metatarsal bones of the human foot are presented either by sectional studies or by the results of clinical observations using diagnostic equipment. The existing studies do not provide a comprehensive picture of the surgical anatomy of the ligamentous apparatus and metatarsal bones of the human foot. The article reflects the need for widespread use in fundamental anatomical studies of ligaments and metatarsal bones using the histotopographic method of research, quantitative and qualitative assessment of morphological parameters, which open up new possibilities for diagnosing pathological processes and developing new surgical techniques.

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The authors declare that there are no conflicts of interest present.