筋肉の移転に関連するコラコイドプロセスへの乳房小筋肉の付着の解剖学的変化:死体研究
Naoki Umatani1, Ryuzo Arai2, Shinichi Kuriyama3
1Department of Orthopaedic Surgery, Athletics Orthopedic Surgery Shoulder and Knee Sports Clinic, Osaka, Japan; Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
まとめ
Pectoralis minor muscle (PMiM) のの付着は様々で,50%は中央のコラコイド表面に付着しています. コラコイド長さの増加は,中部部部位で観察され,手術のためのより安全なPMiM摘出を促した.
科学分野:
- 整形外科 整形外科
- アナトミー アナトミー
- 手術のアナトミーについて
背景:
- Pectoralis minor muscle (PMiM) のの移転は,しばしばコラコイドプロセスからの骨チップで収穫を伴う.
- コラコイドプロセスのPMiM挿入の変動は,外科技術に影響を与える可能性があります.
- これらの解剖学的変異を理解することは,PMiM転送手順の成功に不可欠です.
研究 の 目的:
- コラコイドプロセスの胸部小筋肉のの付着部位の解剖学的変異を調査する.
- コラコイドプロセスの寸法とPMiMの挿入パターンとの関係を分析する.
主な方法:
- 22の死体肩のPMiMの付着部位を調べました.
- コラコイドの長さと幅を測定し,体のサイズと固定部位の変動と相関させる.
主要な成果:
- 胸部小筋のは,標本の50%でコラコイドプロセスの中間表面に付着しています.
- 残りの50%は,上部または中部から上部までの表面に付着点を示しました.
- 肩の真ん中の表面が付着した肩は,コラコイドの平均長と幅 (P <0.05) が有意に大きかった.
結論:
- 胸部小筋肉のの50%は,中部コラコイド表面に挿入されます.
- ミディアルアタッチメントは,かなり大きなコラコイドの寸法と関連しています.
- これらの発見は,手術移転のためのPMiMの採取中に筋肉と骨の交差点の損傷を最小限に抑えるために重要な解剖学的データを提供します.
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