普罗纳托特雷斯肌肉的复习:形态分类,神经血管陷和外科影响
Marta Podlasińska1,2, Ingrid C Landfald1,2,3, Zuzanna Adamczyk1,2
1Department of Clinical Anatomy, Mazovian Academy in Płock, 09-402 Płock, Poland.
Journal of clinical medicine
|November 13, 2025
概括
肌肉变化与中枢神经陷入困 (pronator综合征) 有关. 基于形态学的新分类有助于诊断和手术规划这种前臂状况.
科学领域:
- 人体解剖学 解剖学 解剖学
- 放射学 放射学是一门学科.
- 手术 手术 手术 术 术
背景情况:
- 前肌 (PT) 肌肉表现出显著的形态变异性.
- 这些变异与前神经综合征有关,前臂中介神经被困.
- 目前的分类缺乏整合解剖学,成像和外科相关性.
研究的目的:
- 审查和对前肌的分类进行上下文化.
- 为了强调与中枢神经陷有关的解剖学,成像和外科相关性.
- 为了合成一种基于形态的框架,用于 pronator teres 变体.
主要方法:
- 使用PubMed,Scopus和Web of Science (1960-2025) 进行了叙事文献审查.
- 包括报告尸体发现,成像或与PT相关的中枢神经陷的临床管理的研究.
- 分析了解剖学和临床来源,以创建基于形态学的框架.
主要成果:
- 确定了三种 PT 的形态类型:I型 (74%),II型 (12%),III型 (14%).
- 每种类型都有不同的捕获机制,成像特征和手术考虑.
- 像MR神经图像这样的先进成像显示出希望,但未得到充分利用;管理方法因类型而异.
结论:
- 总结了现有的分类,将PT变化与中枢神经陷联系起来.
- 这种综合方法可能具有临床意义,但需要进一步验证.
- 未来的研究应该标准化成像,验证电诊断相关性,并探索功能分类.
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