一个新鲜的尸体研究,关于手臂半径肌肉和延伸肌肉半径肌肉长肌肉的内化
Jayme A Bertelli1, Juliana Rojas-Neira2, Angela Cristina Prieto Garzon3
1Department of Surgery, Federal University of Santa Catarina, Florianópolis, Brazil; Department of Orthopedics and Traumatology, Governador Celso Ramos Hospital, Florianópolis, Santa Catarina, Brazil.
The Journal of hand surgery
|December 27, 2023
概括
这项研究详细介绍了辐射神经分支的解剖结构,这些分支分支到骨 (Ba),骨 (Br) 和延伸骨 (extensor carpi radialis longus) (ECRL) 肌肉. 这些发现有助于外科医生在上肢时进行神经移植.
科学领域:
- 人体解剖学 解剖学 解剖学
- 外周神经手术 外周神经手术
- 重建性手术是一种重建性手术.
背景情况:
- 距离神经移植在外围神经外科手术中至关重要,能够在没有额外的患者发病率的情况下恢复功能.
- 在新鲜尸体中,放射性神经分支到肌 (Ba),肌 (Br) 和延伸肌 (ECRL) 肌肉的特定解剖学仍未得到充分研究.
研究的目的:
- 研究并提供详细的解剖学描述,用于供给Ba,Br和ECRL肌肉的辐射神经的运动分支.
- 建立一个基本的理解,以优化神经传输策略在上肢重建.
主要方法:
- 在17具新鲜尸体的34个上肢中剖析了辐射神经及其分支.
- 对分支来源,数量,长度和直径进行定量分析.
- 组织学检查髓质纤维计数使用血素和素和神经纤维染色.
主要成果:
- 肘部内置的顺序通常是Ba,然后是Br和ECRL.
- Ba和Br肌肉始终接受单个内置,而ECRL则表现出可变的模式 (1-3个分支).
- 向Br的分支源于前部,而向Ba和ECRL的分支源于后部;Br神经显示的髓纤维数量高于ECRL.
结论:
- 这项研究提供了关于在肘部的辐射神经运动分支的关键解剖数据.
- 这些见解对于上肢的神经移植手术规划至关重要,特别是在臂损伤中.
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