在部沿线导向放射神经的超声波定位:为更安全的上臂手术提供参考点
T Da Silva1, D Mueck2,3, C Knop1
1Klinikum Stuttgart, Stuttgart, Germany.
Musculoskeletal surgery
|July 23, 2024
概括
这项研究提供了一个简单的超声波协议,以定位上臂的辐射神经 (RN). 这种方法有助于外科医生在手术期间避免损害RN,防止阳性辐射神经麻.
科学领域:
- 人体解剖学 解剖学 解剖学
- 手术手术手术手术手术手术手术手术手术手术
- 医疗成像医学成像
背景情况:
- 辐射神经 (RN) 在上臂手术期间很容易受到伤害,因为它靠近手腕.
- 对RN的精确解剖定位对于预防手术并发症至关重要.
- 目前对RN相对于骨标志的确切位置的知识是有限的.
研究的目的:
- 开发一种标准化的超声波和临床协议,用于识别上臂的辐射神经.
- 为外科医生提供一种可靠的方法,以避免阳性辐射神经麻.
- 为了研究放射神经与关键部标志有关的精确位置.
主要方法:
- 对38名志愿者进行了超声波测量 (共计76次测量).
- 辐射神经被确定在两个点:RD (后腰) 和RL (侧腰).
- 测量了从解剖学里程碑 (acromion,epicondyles,olecranon fossa) 到RD和RL的距离,以及神经的角度.
主要成果:
- 辐射神经位于从侧面表骨的肩膀长度约50% (RD) 和21% (RL) 的位置.
- 在RD和RL之间的神经路径与部轴相比平均为37°.
- 测量结果显示两侧均,并没有发现与性别,BMI或手臂厚度的相关性.
结论:
- 1/2和1/5的比率为背部和侧肩膀上的辐射神经提供了可靠的地标.
- 超声波辅助识别提供了一种有价值和简单的方法来降低阳性辐射神经损伤的风险.
- 这项研究提出了一个快速而简单的协议,用于手术内辐射神经局部化.
相关概念视频
Spinal Nerves: Plexus I
827
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...
827
Arteries of the Upper Limbs
497
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...
497
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
Assessment of radial pulse
811
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
811


