一个双边的四头手臂肌肉与一个变体内化:一个尸体报告与可能的临床影响
Maria Piagkou1, George Triantafyllou2, Aggelos Koutsougeras2
1Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str., Goudi, 11527, Athens, Greece. piagkoumara@gmail.com.
Surgical and radiologic anatomy : SRA
|March 5, 2024
概括
这项研究详细介绍了一种罕见的双边四头肌 (BM) 肌肉,在两只手臂中都有异常的神经供应. 了解这些解剖学变异对于手腕手术的外科医生至关重要.
科学领域:
- 人体解剖学 解剖学 解剖学
- 形态学 形态学 形态学
- 临床解剖学的临床解剖学
背景情况:
- 在手臂前部的手臂肌肉 (BM) 呈现出显著的形态变异性.
- 这种变化可能会产生重要的临床影响,特别是在涉及手腕的手术过程中.
研究的目的:
- 报告一种罕见的双边四头臂肌 (BM) 病例.
- 为了描述这种独特的解剖变体中观察到的异常内化模式.
- 讨论这些发现的胚胎学基础和临床意义.
主要方法:
- 在一个84岁的男性尸体上进行了上肢的经典剖析.
- 解剖是在雅典国立和卡波迪斯特里亚大学解剖学系进行的.
主要成果:
- 一个双边的四头臂肌 (BM) 被确定.
- 左侧的肌肉神经通过肌肉皮质神经和中间神经的相互连接接接收到内化.
- 由于缺少肌皮神经,右侧肌肉神经仅由中枢神经进行神经化.
- 在辅助的BM头和手臂半径肌之间观察到放射神经的双边肌肉道.
结论:
- 腕肌 (BM) 和其变异具有临床意义,因为它们与重要神经血管结构的解剖关系.
- 对这些解剖异常的认识对于进行部手术的整形外科医生来说至关重要.
- 建议使用标准化方案进行进一步的研究,以确定手腕肌 (BM) 变异和相关异常的流行率.
相关概念视频
Arteries of the Upper Limbs
554
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
554
Muscles that Move the Forearm
1.5K
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...
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...
1.5K
Spinal Nerves: Plexus I
895
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...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
895
Bones of the Upper Limb: Humerus
3.2K
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...
3.2K
Bones of the Upper Limb: Radius
2.2K
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...
The radius has a nail-shaped head, and a...
2.2K
Bones of the Upper Limb: Ulna
2.1K
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...
2.1K


