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関連する概念動画

Bones of the Upper Limb: Ulna01:15

Bones of the Upper Limb: Ulna

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The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
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Bones of the Upper Limb: Radius01:09

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The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
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Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Muscles that Move the Forearm01:16

Muscles that Move the Forearm

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The muscles that move the forearms can be divided into four groups: forearm flexors, forearm extensors, forearm pronators, and forearm supinators. The flexors and extensors act on the elbow joint, while the pronators and supinators act on the radioulnar joints.
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
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Muscles of the Forearm that Move the Hand and Fingers01:17

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The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
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Spinal Nerves: Plexus I01:22

Spinal Nerves: Plexus I

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Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
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Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
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近位尺骨におけるエナメロブラストーマ

Liam H Wong1, Rosanna Wustrack1, Nicolas Lee1

  • 1Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA.

Journal of hand surgery global online
|December 24, 2025
PubMed
まとめ

エナメロブラストーマは、長骨に発生する稀な悪性腫瘍である。この症例は、尺骨における異常な発生と当初の誤診、そして救済手術が必要であったことを示している。

科学分野:

  • 整形外科腫瘍学
  • 骨格放射線学

背景:

  • エナメロブラストーマは、主に脛骨に影響を与える稀な悪性骨腫瘍である。
  • 他の長骨にも発生する可能性があるが、頻度は低い。
  • 適切な管理のためには正確な診断が不可欠である。

研究 の 目的:

  • 近位尺骨におけるエナメロブラストーマの稀な症例を報告する。
  • この異常な発生の診断上の課題と治療について議論する。
  • 長骨病変の鑑別診断において、エナメロブラストーマを考慮することの重要性を強調する。

主な方法:

  • 近位尺骨病変を有する女性患者の症例報告。
  • 初期診断(骨線維性異形成症)と治療(内固定)のレビュー。
  • 成人期におけるエナメロブラストーマのその後の診断と救済治療(一本骨前腕術)の説明。

主要な成果:

  • 患者は当初、近位尺骨の病的骨折を呈した。
  • 初期診断は骨線維性異形成症であり、保存的に治療された。
  • 後の診断でエナメロブラストーマが確認され、救済手術が必要となった。

結論:

キーワード:
エナメロブラストーマ一本骨前腕骨線維性異形成症尺骨救済術尺骨エナメロブラストーマ

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  • エナメロブラストーマは尺骨に非典型的に現れる可能性があり、診断上の課題を提示する。
  • 診断の遅れは、複雑な治療シナリオにつながる可能性がある。
  • 一本骨前腕術は、尺骨エナメロブラストーマに対する効果的な救済選択肢となり得る。