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在脊柱辅助神经转移到臂神经后,对梯形肌的功能和形态评估
Danielle Tiemi Simão1, Carlos O Heise2, João C Rodrigues3,4
1Division of Hand Surgery and Microsurgery, Institute of Orthopedics and Traumatology, "Hospital das Clínicas" of the School of Medicine of the University of São Paulo, São Paulo, Brazil.
脊柱辅助神经 (SAN) 转移对中部和下部梯形肌部位的影响比上部更大. 先进的成像和电肌图学对于在SAN转移后评估肌肉功能至关重要.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 重建性手术是一种重建性手术.
背景情况:
- 脊柱辅助神经 (SAN) 是形肌的主要内导神经.
- 宫交叉体对形内置的贡献已有证据,但尚未完全理解.
- 标准SAN转移技术对梯形肌肌的影响需要进一步研究.
研究的目的:
- 评估脊柱辅助神经转移对梯形肌功能和形态学的影响.
- 为了比较SAN转移后上,中,下梯形部分的功能和形态结果.
主要方法:
- 经过SAN转移的20名手臂损伤后果患者被评估至少一年.
- 评估包括体检,MRI脂肪退化,和电肌图.
- 在受影响的 (神经转移) 和相反的正常梯形肌部分之间进行了比较.
主要成果:
- 与上部相比,中部和下部梯形部分表现出更大的形态和功能障碍.
- 在MRI和EMG结果中,在中部和下部的受影响侧面和正常侧面之间观察到有统计学意义的差异.
- 仅仅通过体检就不足以确定残留的梯形肌的功能.
结论:
- 核磁共振和电磁共振对于评估形肌形态和神经传导在SAN转移后有价值.
- 中部和下部梯形部分明显受到SAN转移的影响.
- 在考虑这些部分用于未来的肌肉转移手术时,建议谨慎.
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