配件延伸器波利斯长 (Pollicis Longus Tendon) 偶然在背部偏距半径涂层过程中发现
Lamvy T Le1, Brandon Butcher2, Scott N Loewenstein1,2,3
1Division of Plastic Surgery, Department of Surgery, University of Minnesota, Minneapolis, MN.
Journal of hand surgery global online
|February 5, 2024
概括
在手腕手术期间发现了一种辅助延伸器pollicis longus肌变异. 这种罕见的解剖学发现凸显了识别这种变异的重要性,以防止手术并发症,如肌陷.
科学领域:
- 人体解剖学 解剖学 解剖学
- 整形外科手术 整形外科手术
- 手术并发症 手术并发症
背景情况:
- 延伸器长 (EPL) 的解剖学变异很少遇到.
- 了解这些变异对于成功的背手腕手术方法至关重要.
- 在进行外科手术时,无症状变异可能会变得具有临床意义.
研究的目的:
- 报告一个罕见的附属EPL的病例.
- 为了强调在手腕骨折修复过程中识别这种变异的重要性.
主要方法:
- 在距离半径骨折的开放修复过程中进行手术期间的观察.
- 在第四个背部部位内识别附属EPL肌.
主要成果:
- 在手术期间发现了一根附属的EPL肌.
- 潜在的并发症如果未被识别,包括被困在背部跨度板下,导致指延伸受限和肌破裂.
结论:
- 在背手腕手术中必须考虑辅助EPL变异,尽管很少见.
- 术前的意识和手术期间的警是必要的,以避免对EPL肌造成阳性损伤.
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