一种罕见的解剖变体右环指的双辐射数字神经:在手部解剖中考虑
Nikolas Vlassis1, Janse T Schermerhorn2, Genevieve Rambau2
1Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine, Bethesda, MD.
Journal of hand surgery global online
|January 22, 2026
概括
在Dupuytren契合症患者中发现了一种不常见的双辐射数字神经变体. 这一发现凸显了对细致的手术剖析和对解剖变异的认识的需要.
科学领域:
- 人体解剖学 解剖学 解剖学
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
背景情况:
- 数字神经解剖学通常遵循一个可预测的模式,只有一个辐射和部神经血管捆.
- 这种可预测的解剖学允许在许多手术中进行安全的中线剖析.
- 复杂的疾病,如杜普伊特伦收缩症,需要对数字神经解剖学的彻底了解,以便安全地进行手术.
研究的目的:
- 报告双辐射数字神经的罕见解剖变异.
- 为了强调手术中仔细进行神经血管剖析的重要性.
- 提高人们对皮肤穿刺手术的潜在风险的认识.
主要方法:
- 一个68岁的男性患者的病例报告,双边戒指Dupuytren合.
- 在手掌断层切除过程中对数字神经解剖学的术内识别.
- 在随后的手术过程中,在对手手上证实了手术内发现的结果.
主要成果:
- 在受影响的戒指指中发现了两个不同的辐射数字神经.
- 一个辐射神经分支位于传统的辐射方面,而第二个分支位于中心,覆盖着曲肌.
- 这种双辐射数字神经解剖学被双边观察到.
结论:
- 双辐射数字神经代表了一种不常见的解剖变异.
- 精细的手术内剖析对于识别和保存异常神经通路至关重要.
- 这种解剖学变异需要在远端手指的皮肤间干预时保持谨慎.
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