肌肉变化与头骨上的地形关系以及其潜在的关节镜可行性
Azzat Al-Redouan1,2, Michal Benes3,4, Aimilia Theodorakioglou3,4
1Department of Anatomy, Second Faculty of Medicine, Charles University, V Uvalu 84, Prague, 150 06, Czech Republic. azzat.al-redouan@lfmotol.cuni.cz.
Surgical and radiologic anatomy : SRA
|February 25, 2025
概括
这项研究揭示了在上突周围显著的肌肉变异,影响了关节镜解压. 了解这些解剖学变体,如状肌肉,对于手术成功至关重要.
科学领域:
- 人体解剖学 解剖学 解剖学
- 手术解剖学手术解剖学
- 肌肉骨系统 运动器官系统
背景情况:
- 头骨上神经是头骨上神经的一个关键的解剖标志.
- 周围肌肉结构的变化可能会使关节镜解压缩程序复杂化.
- 了解这些变异对于手术规划和患者的治疗结果至关重要.
研究的目的:
- 为了研究围绕头骨上的肌肉的解剖学变异性.
- 为了确定这些肌肉变异对关节镜上神经减压的影响.
- 根据肌肉与甲骨上的关系和手术方法来分类肌肉.
主要方法:
- 对115个尸体标本进行剖析,以观察肌肉地形.
- 高分辨率的数字显微镜的头骨上角.
- 超脊柱肌, subscapularis 肌肉和大肌肌肉的痕迹.
- 罕见肌肉变异的范围审查和元分析.
主要成果:
- 在3.48%的标本中发生了上的肌肉覆盖.
- 在31.25%.25%的患者中,观察到上关节的奥莫体肌肉插入.
- 他们发现了两种罕见的肌肉变体,分关节肌和胸骨肌.
结论:
- 定义了四种类型的肌肉,相对于上角和外科手术的方法.
- 状肌肉与上关节的连接需要在上神经减压过程中进行评估.
- 意识到肌肉变异对于成功的关节镜上神经减压至关重要.
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