在3个带紧张术后, flexor carpi radialis 和后背手腕间复合体的延伸
Daniel Bakker1,2, Steven Merkens1, Niek Parser2
1Reinier de Graaf Groep, Delft, The Netherlands.
概括
背部手腕间复合体 (DIC) 在3带延伸 (3LT) 程序后显示出最多的延伸. 早期的积极运动协议应将手腕曲限制在30°以防止在DIC的部松动.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 带的重建 带的重建
背景情况:
- 了解三带延展 (3LT) 的生物力学特性对于改善手术结果和术后康复至关重要.
- 3LT手术是一种用于手腕重建的手术技术.
研究的目的:
- 为了研究三带延展 (3LT) 程序的生物力学特性.
- 分析与手腕曲相关的肌延长和失败模式.
主要方法:
- 这项研究使用了10个解剖手腕样本.
- 每个标本都经历了5次测试,以评估3LT后的延伸和故障类型.
主要成果:
- 在背部手掌间复合体 (DIC) 观察到显著的延伸 (3.75±0.91毫米在80°的曲),相对延伸达到33.4%.
- flexor carpi radialis (FCR) 肌滑动的延伸不那么明显 (0.96 ± 0.38 mm 在80°的曲,4.1%的相对延伸).
- 在30度曲后的测试中,近端DIC的部松动发生在4%的测试中,而没有观察到带破裂或拔出.
结论:
- 背部手掌间复合体 (DIC) 是3LT后延伸的主要部位.
- 这些发现表明,在早期的积极运动协议中,限制初始手腕曲到30°,以减轻与DIC部松动相关的风险.
- 本建议旨在促进患者的康复和预防3LT手术后的并发症.
相关概念视频
Muscles of the Forearm that Move the Hand and Fingers
2.3K
The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
2.3K
Bones of the Upper Limb: Ulna
4.1K
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...
4.1K
Bones of the Upper Limb: Radius
4.4K
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...
4.4K
Spinal Nerves: Plexus I
2.3K
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
2.3K
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
Ankle Joint
2.7K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
2.7K


