胸部小肌肉与肌肉转移相关的心肌过程的解剖学变化:一个尸体研究
Naoki Umatani1, Ryuzo Arai2, Shinichi Kuriyama3
1Department of Orthopaedic Surgery, Athletics Orthopedic Surgery Shoulder and Knee Sports Clinic, Osaka, Japan; Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
概括
胸部小肌肉 (PMiM) 肌的附着不同,其中50%附着在中间心肌表面. 在中部附件中注意到更大的心肌长度,为手术采集更安全的PMiM肌提供了信息.
科学领域:
- 整形外科手术 整形外科手术
- 人体解剖学 解剖学 解剖学
- 手术解剖学手术解剖学
背景情况:
- 胸部小肌肉 (PMiM) 肌转移通常涉及从心肌过程中采集骨片的收获.
- 在心肌过程中PMiM肌插入的变化可能会影响外科手术技术.
- 了解这些解剖变异对于成功的PMiM转移程序至关重要.
研究的目的:
- 为了研究胸部小肌肉肌附着部位的解剖学变异,在心肌过程上.
- 为了分析心脏状体过程尺寸和PMiM肌插入模式之间的关系.
主要方法:
- 在22个尸体肩膀中检查PMiM肌附着部位.
- 测量心肌长度和宽度,以与身体尺寸和附着变化相关联.
主要成果:
- 在50%的标本中,胸部小肌肌附着在心脏状骨的中间表面.
- 其余50%的患者在上部或中部至上部表面出现了附着部位.
- 肩膀中部表面附着部位的肩膀具有显著更大的平均心肌长度和宽度 (P <0.05).
结论:
- 五成的胸部小肌肌插入到中间心肌表面.
- 介质附带与显著更大的心脏状体尺寸有关.
- 这些发现提供了关键的解剖学数据,以尽量减少PMiM肌摘取手术转移期间肌肉骨结节损伤.
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