腿筋肌肉的内模式,包括形态描述和临床影响
Emilio Farfán1, Santiago Rojas2, Ramón Olivé-Vilás3,4,5
1Anatomy Department, Medicine School, Pontificia Universidad Católica de Chile, Av. Libertador Bernardo O'Higgins #340, Santiago, Chile. efarfanc@uc.cl.
这项研究澄清了坐骨神经对腿筋肌肉的内置,揭示了半肌和半膜肌的一致模式,以及双腿骨的变化. 坐骨神经与双腿骨的连接可能解释神经疼痛.
科学领域:
- 人体解剖学 解剖学 解剖学
- 神经科学是一个神经科学.
- 手术解剖学手术解剖学
背景情况:
- 腿筋肌肉对于下肢运动至关重要.
- 坐骨神经对腿筋肌肉的内化模式有不一致的报道.
- 了解精确的内化对于临床程序至关重要.
研究的目的:
- 为了研究和描述腿筋肌肉的详细内模式.
- 为了确定供给每个腿筋肌肉的坐骨神经分支的数量和透点.
- 探索潜在的解剖学变异及其临床影响.
主要方法:
- 35个尸体四肢的剖析 (78.6 ± 17.2年;男性48.6%).
- 系统地记录供给双腿骨 (长头和短头),半骨和半膜骨的坐骨神经分支.
- 记录每个神经分支在肌肉中确切的透水平.
主要成果:
- 半垂体总是得到两个分支,通常进入上和中三分之一.
- 半膜体通常接收一个分支,进入中部或下部三分之一.
- 双腿骨的长头显示出一个或两个分支进入上部或中部三分之一,并与坐骨神经有纤维连接.
- 双腿骨的短头通常会接收一个分支进入中间三分之一.
- 观察到4个共同的神经供应多个腿筋肌肉的情况.
结论:
- 建立了详细的腿筋内模式,为神经溶解和大腿手术提供了有价值的数据.
- 鉴定出了一个新的机械连接,介于坐骨神经和双腿肌长头之间.
- 这一解剖学发现可能会阐明某些影响大腿后部神经的病理生理学.
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