在上肢中双边变异的pronator Teres
Mathangi Rajaram-Gilkes1, Kristi Fung1, Calvin Kiniale1
1Medical Education, Geisinger Commonwealth School of Medicine, Scranton, USA.
Cureus
|September 16, 2024
概括
这项研究报告了前肌,手臂动脉和中枢神经的罕见双边解剖变异. 意识到这些变化对于准确的诊断和手臂和前臂的外科手术至关重要.
科学领域:
- 人体解剖学 解剖学 解剖学
- 人类解剖学 人类解剖学
- 临床解剖学的临床解剖学
背景情况:
- 医生需要对解剖学变异的了解,才能进行准确的诊断,并防止误诊.
- 神经变异通常涉及它们的形成或过程,经常与周围结构如血管,带和肌肉有关.
- 了解解剖学变异有助于准确诊断,并最大限度地减少手术期间的错误.
研究的目的:
- 为了记录和讨论一个罕见的双边变化在前肌肌肉,臂动脉分支,和中枢神经的过程.
- 为医疗专业人员强调这些解剖学变异的临床意义.
主要方法:
- 11个尸体标本的剖析.
- 详细检查双边变异的前肌,包括起源和长度测量.
- 在手臂,肘部和前臂中分析相关的神经血管结构 (中枢神经,手臂动脉,肘部动脉).
主要成果:
- 双边观察从中骨开始的前肌肉,平均长度为19厘米.
- 中间神经沿着前肌的后部流动,不出现在前腔中.
- 动脉在腰椎中部分为半径动脉和腰椎动脉,腰椎动脉伴随着中枢神经后部到前神经.
结论:
- 这种双边的变化在前导体的起源,中枢神经的过程,和手臂动脉的分叉是前所未有的在现有的文献.
- 了解这些变异对于诸如动脉静脉囊创造和骨折手术治疗等程序至关重要.
- 区分前管综合征与手腕道综合征需要意识到近接前臂中介神经的变化.
更多相关视频
10:33Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
113
04:06Author Spotlight: Enhancing Remote Rehabilitation with Virtual Reality and Electromyography
Published on: January 12, 2024
579
相关概念视频
Muscles that Move the Forearm
1.4K
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...
1.4K
Bones of the Upper Limb: Ulna
2.0K
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...
2.0K
Bones of the Upper Limb: Radius
2.1K
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...
2.1K
Bones of the Upper Limb: Humerus
3.0K
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...
3.0K
Spinal Nerves: Plexus I
801
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...
801
Muscles of the Forearm that Move the Hand and Fingers
912
The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
912
