横腰关节:一个解剖学叙事评论
Keigo Shimizu1, Yoko Tabira2, Tatsuya Harano1
1Graduate School of Medicine, Kurume University School of Medicine, Fukuoka, Japan.
概括
横臂带 (THL) 可能是 subscapularis 肌的一部分,而不是一个独立的带. 这一发现影响了理解和治疗涉及双臂长头 (LHBT) 的肩膀疼痛.
科学领域:
- 整形外科手术 整形外科手术
- 人体解剖学 解剖学 解剖学
- 运动医学 运动医学
背景情况:
- 肩部疼痛经常涉及双臂肌的长头 (LHBT) 和横腰带 (THL).
- THL的传统作用是稳定LHBT,但最近的证据表明,它可能与 subscapularis肌集成.
研究的目的:
- 审查和评估横关节 (THL) 的解剖性质及其与覆盖结构的关系.
- 澄清THL的组成及其对肩部疼痛管理的临床影响.
主要方法:
- 对PubMed和Scopus研究的系统文献综述,截至2024年4月.
- 选择了七项相关研究,检查THL的结构,测量和组织学.
主要成果:
- 四项研究将THL描述为带,而三项没有.
- THL尺寸各不相同 (长1421毫米,宽1417毫米),组织学发现不一致,表明肌状的性质.
- 在临床上,LHBT损伤与旋转部撕裂和 subscapularis肌撕裂有关.
结论:
- 覆盖LHBT在间的结构很可能是下肌,而不是一个不同的带.
- 识别这些解剖变异对于准确诊断和改善肩部疼痛管理至关重要.
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