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The larger the acromion index, the higher the ascending force component during active abduction and the higher of the pressure in the subacromial space. The situation may cause the subacromial impingement syndrome.

在较大的肩峰指数所反映的肩峰肱骨头位置关系中,外展时三角肌对肱骨头向上的分力大,肩峰下间隙内压力高,易引发肩峰下撞击综合征。

The part of vertical incision from acromion to lower end of the incision can′t go beyond(6.19±0.49)cm that is to say the vertical operative incision can′t go beyond the upper 2/5 of the length of the deltoid muscle.

纵行切口,从肩峰向下不超过(6.19±0.49)cm,也就是说此纵切口不超过三角肌中线长度的上2/5。

The point where the anterior branch of axillary nerve crosses the line junction the acromion to the deltoid tuberosity lies below the acromion (6.19±0.49) cm, and it corresponds to the junction of upper 2/5 and lower 3/5 of the length of the deltoid muscle.

腋神经前支于肩峰外侧端与三角肌止点连线相交点位于肩峰下(6.19±0.49)cm,相当于肩峰与三角肌止点连线间三角肌长度的上2/5与下3/5交点。

The depth of posterior branch is 3.0 cm at the point of posterior edge of deltoid.

后支在三角肌后缘中、下1/3交点处距皮肤的距离为3.0 cm。

Additionally, the activities of deltoid, trapeizus and erector spinae were higher in asymmetrical conditions as compared with in symmetrical conditions.

此外,三角肌、斜方肌及背脊肌的反应量在非对称持物姿势下明显高於对称持物姿势下的反应量。

[Objective]To investigate the effect of minimally invasive treating proximal humeral fracture with PHILOS plate under acromial anterior lateral deltoid splitting approach.

[目的]探讨肩峰下前外侧经三角肌分离入路运用Philos接骨板微创治疗肱骨近端骨折的初步效果。

Introduce the needle into the center of the triangle formed by the two lower heads of the sternomastoid and the clavicle, aiming toward s the ipsilateral nipple.

在胸锁乳突肌下两头(胸锁乳突肌下端有两个起点,分别起自胸骨柄前面和锁骨的胸骨端,译者注)和锁骨形成的三角中心处进针,穿向同侧乳头方向。

To systematicallyinvestigate this landmark, we conducted a study in four phases:1 Two blindfolded examiners determined the distance betweenthe tuberosity's medial border and the clavicle's lateral endin 100 dried clavicles and then 2 performed subclavian veincannulation in 20 fresh human cadavers using the tuberosityand the suprasternal notch as landmarks. 3 Three-dimensionalreconstructions of the subclavian artery and vein and surroundingstructures were derived from computed tomography datasets of10 patients. The length of the path of a virtual subclavianvein cannulation with the deltoid tuberosity landmark was measuredbilaterally. 4 In a prospective, randomized trial, subclavianvein cannulation was performed in 60 patients with a standardapproach or with the deltoid tuberosity as landmark.

为系统地研究这个解剖标志,作者将本研究分为四个阶段:1 双盲检查100个干燥的锁骨测量其三角肌粗隆内侧缘至锁骨侧面末端的距离;2 在20具新鲜的尸体上以三角肌粗隆和胸骨上切迹为标志进行锁骨下静脉穿刺;3 利用 CT 所获取的数据资料对10个病人的锁骨下动脉和静脉以及周围结构进行三维重建,测量两侧以三角肌粗隆为标志的虚拟锁骨下静脉置管路径的长度;4 选择60例病人以标准路径或三角肌粗隆为标志进行锁骨下静脉穿刺的前瞻性随机试验研究。

To systematicallyinvestigate this landmark, we conducted a study in four phases:1 Two blindfolded examiners determined the distance betweenthe tuberosity's medial border and the clavicle's lateral endin 100 dried clavicles and then 2 performed subclavian veincannulation in 20 fresh human cadavers using the tuberosityand the suprasternal notch as landmarks. 3 Three-dimensionalreconstructions of the subclavian artery and vein and surroundingstructures were derived from computed tomography datasets of10 patients. The length of the path of a virtual subclavianvein cannulation with the deltoid tuberosity landmark was measuredbilaterally. 4 In a prospective, randomized trial, subclavianvein cannulation was performed in 60 patients with a standardapproach or with the deltoid tuberosity as landmark.

为系统地研究这个解剖标志,作者将本研究分为四个阶段:1 双盲检查100个乾燥的锁骨测量其三角肌粗隆内侧缘至锁骨侧面末端的距离;2 在20具新鲜的尸体上以三角肌粗隆和胸骨上切迹为标志进行锁骨下静脉穿刺;3 利用 CT 所获取的资料资料对10个病人的锁骨下动脉和静脉以及周围结构进行三维重建,测量两侧以三角肌粗隆为标志的虚拟锁骨下静脉置管路径的长度;4 选择60例病人以标准路径或三角肌粗隆为标志进行锁骨下静脉穿刺的前瞻性随机试验研究。

Results The length between posterior superior iliac spine and greater trochanter of femur was (15.2±1.35) cm for man and (11.5±0.72) cm for woman; the length between posterior superior iliac spine and ischial tuberosity was (13.3±0.87) cm in man and (10.3±0.49) cm in woman; the length between greater trochanter of femur and ischial tuberosity was (8.3±0.83) cm in man and (5.5±0.61) cm in woman; the surface projection where the superior gluteal artery, superior gluteal veins and superior gluteal nerve permeate the suprapitiform foramen was below the point 0~6.8 mm between 2/5 superior and middle trunk from posterior superior iliac spine to greater trochanter of femur; the surface projection where the inferior gluteal artery, inferior gluteal veins and inferior gluteal nerve permeate the infrapiriform foramen was at the point between 2/5 inferior and middle trunk from posterior superior iliac spine to ischial tuberosity; the surface projection where sciatic nerve permeate the infrapiriform foramen was at the point between 3/5 lateral and middle trunk from ischial tuberosity to greater trochanter of femur.

结果臀三角各边的长度分别为:髂后上棘转子间距,男(15.2±1.35) cm,女(11.5±0.72) cm;髂后上棘结节间距,男(13.3±0.87) cm,女(10.3±0.49) cm;转子结节间距,男(8.3±0.83) cm,女(5.5±0.61) cm。臀上动脉、静脉、神经出入梨状肌上孔的体表投影在髂后上棘与大转子连线中、上2/5交界处向下0~6.8 mm内;臀下动脉、静脉、神经出入梨状肌下孔处的体表投影在髂后上棘与坐骨结节连线中、下2/5处;坐骨神经出梨状肌下孔处的体表投影在坐骨结节与大转子连线中外3/5处。

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