最大限度地暴露远端腰椎的暴露
Thomas J France1, Brandon S Smetana1
1Indiana Hand to Shoulder Center, Indianapolis, IN, USA.
Hand clinics
|October 17, 2025
概括
远部骨骨折的手术方法各不相同,后部方法是常见的. 了解不太频繁的前部,中部和侧部方法可以改善特定伤害模式的治疗.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
背景情况:
- 远端手臂骨折需要精确的手术固定.
- 有各种不同的手术方法存在于开放的减少和内部固定.
研究的目的:
- 审查和讨论外围腰椎骨折外科手术方法的范围.
- 要突出不太常见的前部,中部和侧部方法的实用性.
主要方法:
- 描述的外科手术技术的文献综述.
- 分析方法特征,可视化和固定能力.
主要成果:
- 背部的方法 (胸前,三脚分裂,三脚舌头,骨头骨折) 经常被使用.
- 前部,中部和侧面的方法提供了替代暴露,但可能有局限性.
结论:
- 虽然后部方法是标准的,但对前部,中部和侧部暴露的了解对于管理复杂的远部腰椎骨折模式至关重要.
- 根据特定的伤害模式定制手术方法可以优化结果.
相关概念视频
Bones of the Upper Limb: Humerus
6.9K
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...
6.9K
Bones of the Upper Limb: Radius
4.5K
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...
4.5K
Bones of the Upper Limb: Ulna
4.2K
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...
4.2K
Muscles that Move the Arm
4.6K
Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
4.6K
Muscles that Move the Forearm
3.7K
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...
3.7K
Arteries of the Upper Limbs
2.1K
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...
2.1K


