臂部位置增加了 subscapularis 在 subcoracoid 门外部冲击的风险
Su Cheol Kim1, Michelle H McGarry2, Thay Q Lee2
1Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Clinics in shoulder and elbow
|December 11, 2025
概括
某些手臂位置增加了由于子心肌入而导致 subscapularis 撕裂的风险. 评估尸体肩膀中的这些位置有助于了解外部骨下部的冲击风险.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 运动医学 运动医学
背景情况:
- 下心膜的冲击可能会导致下骨的撕裂.
- 了解加剧这种冲击的特定手臂位置对于预防和治疗至关重要.
研究的目的:
- 通过生物机械分析尸体的肩膀,以确定臂部的位置,从而增加心脏下部的撞击风险.
- 在不同位置测量子心弧和子骨复合体之间的接触面积和压力.
主要方法:
- 使用一个定制的肩膀测试系统,在六个尸体肩膀上设有压力映射传感器.
- 评估了八个手臂位置,包括不同程度的向前曲 (FF) 和绑架 (ABD),最大的内部旋转 (IR) 和外部旋转 (ER).
- 测量接触面积,平均和峰值接触压力.
主要成果:
- 在52.1%的测试位置中发生了心下带撞击.
- 在大多数位置 (P=0.009) 中,观察到平均接触面积的显著差异.
- 最高的平均接触压力是在60°ABD以最大ER和20°FF以最大IR.
结论:
- 在20°和60°FF与IR,以及60°ABD与ER和IR时,观察到心下门接触的增加.
- 这些发现表明,在这些特定的手臂位置上,潜在的外部甲骨架入.
- 这项研究提供了生物力学证据,证明这些位置可能会增加 subscapularis 撕裂的风险.
相关概念视频
Muscles that Move the Arm
4.5K
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...
4.5K
Muscles of the Shoulder
8.6K
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
8.6K
Anatomical Positions
18.2K
In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
18.2K
Appendicitis-I: Introduction
2.1K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
2.1K
Bones of the Upper Limb: Humerus
6.8K
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...
6.8K
Arteries of the Upper Limbs
2.0K
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...
2.0K


