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在各种功能性手部姿势中对 flexor pollicis longus 肌位置进行超声波评估
Warot Ratanakoosakul1, Navapong Anantavorasakul1, Sopinan Siripoonyothai1
1Upper Extremity and Reconstructive Microsurgery Unit, Institute of Orthopaedics, Lerdsin Hospital, Department of Orthopaedic Surgery, College of Medicine, Rangsit University, Bangkok, Thailand.
在远距离半径骨折固定后, flexor pollicis longus (FPL) 肌损伤很常见. 这项研究发现,FPL肌在关键握握手时最接近半径.
科学领域:
- 整形外科手术 整形外科手术
- 手和手腕的解剖学 手和手腕的解剖学
- 生物机械分析分析
背景情况:
- 长柔 (FPL) 肌损伤是已知的飞行锁定板固定在远半径骨折的并发症.
- 有限的研究存在于FPL肌定位相对于远距离半径在各种功能手的位置.
- 了解这种关系对于预防有毒性FPL肌损伤至关重要.
研究的目的:
- 综合评估FPL肌与远半径的解剖位置.
- 评估FPL肌在日常活动相关的六种基本功能性手部位置的定位.
- 提供可能有助于减少FPL肌损伤的发病率后远半径骨折手术的数据.
主要方法:
- 横向超声波用于检查31名健康志愿者的62个手腕.
- 评估了FPL肌和其他手指 flexor肌的位置在距离半径的流域区域.
- 在六种功能性手部位置进行了测量:纸,钥匙,手握,动力握,圆柱形握和球形握.
主要成果:
- 在关键位 (3.37毫米) 观察到FPL肌和半径之间的最短平均距离.
- 最远的平均距离记录在圆柱形抓地位置 (4.21毫米).
- 在不同的手握中,FPL肌与半径的距离有显著的差异.
结论:
- 与远半径相对的FPL的位置随着不同的功能手部位置而动态变化.
- 关键位将FPL肌置于距离半径最近的位置.
- 这些发现强调了手术期间和之后手部定位的重要性,以尽量减少FPL损伤风险.
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