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旋后肌

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Objective To improve possibility of transfer extensor carpi ulnaris branch to supinator branch in anatomy. Methods Twelve adult embalmed cadaver arms were dissected.

目的 探讨臂丛颈5、6根性撕脱伤后桡神经尺侧腕伸肌支部分束移位修复旋后肌支解剖上的可行性。

Methods: The muscular branches originating from the three parts(radial tunnel part, supinator tunnel part and post-tunnel part) of PIN were observed on 30 sides upper limb specimens.The dimensions and morphology of the radial tunnel, supinator tunnel and the arcade of extensor carpi radialis brevis muscle were observed and measured with caliper, and the surface projection of the entrance and exit of the ST were located.

30侧尸体上肢标本,将PIN分为3段(即桡管段、旋后肌管段和旋后肌管后段)观察其肌支的分支情况;用卡尺对桡管、旋后肌管和桡侧腕短伸肌腱弓的形态和大小进行了观测,并对ST入口和出口的体表投影定位。

At present, supinator syndrome can be diagnosed definitely according to the clinical symptom, and the examination with electromyogram is beneficial to diagnose this disease, hot it has not specificity. Moat patients of supinator syndrome often get satisfactory effects after conservation treatment, and the ones who are failed can get the improvement from surgical treatment timely.

旋后肌综合征主要根据临床表现确诊,肌电图检查有助于该病的诊断,但并不具备特异性;大部分患者经积极的非手术治疗可取得较满意的疗效,非手术治疗无效的患者及时采取手术治疗亦可获得满意疗效。

From the radial head to the arcade of frohse, the length of PIN was 19.3±4.4 mm; while from the supinator muscular to the exit point, the length was 53.4±5.2 mm.

PIN从桡骨头至旋后肌腱弓和PIN从旋后肌穿出处的长度分别为(19.3±4.4)mm和(53.4±5.2)mm。

Results: The PINOF crossed the anterior midline of the radial head and then descended laterally. The site of it entering the supinator was about (13.8±4.2)mm below the superior edge of radius with the distance of (3.2±1.1)mm from the anterior midline of radius. After entering supinator tunnel under the Frohse, s arcade, the PINOF passed between superficial and profound part of supinator. It passed the lateral midline of radius below the superior edge of radius about (42.6±6.5)mm, the posterior plane below the superior edge of radius about (63.4±7.6)mm.

结果:骨间后神经越过桡骨头上缘前方中线稍偏外斜向外下方走行,距桡骨头上缘(13.8±4.2)mm、桡骨前方中线外侧(32±1.1)mm处经旋后肌腱弓深方入旋后肌管,走行于旋后肌深浅两层之间,在桡骨头上缘下方(42.6±6.5)mm越过桡骨外侧中线,在桡骨头上缘下方(63.4±7.6)mm越过桡骨后平面。

After unharmful separation SB of radial nerve could transfer directly to ECUB.

旋后肌支无损伤干支分离后,能与尺侧腕伸肌支直接缝合。

Distance from the origin point to O point was (1.84±0.69)cm,unharmful separation point to O point was (0.05±0.12)cm,muscle entry point to O point was (4.35±0.12)cm.

结果 桡神经旋后肌支数为2.6±0.52,其自然分支处距O点(1.84±0.69)cm,干支分离后分支距O点(0.05±0.12)cm,入肌点距O点(4.35±0.12)cm。

AF was made from 53.3%musculotendinous tissue, 23.3%appneurosis tissue and 23.3%muscular tissue.The distal margin of 70%supinator was tendinous, and all AECRM were tendinous.

AF的53.3%由肌性加腱性组织构成,23.3%由腱性组织构成,23.3%由肌组织构成。70%旋后肌远侧缘由腱性组织构成,所有AECRM均是腱性。

Pronators and supinators need structured support in their footwear to correctly align the foot.

旋前肌和旋后肌需要有保护性能的鞋子。

The electromyographies were made on 12 healthy young adult males to investigate the function of supinators and pronators in the extended and flexed elbows during pro- nation and supination.

本文在12个健康男性青年的旋前方肌、旋前圆肌、旋后肌、肱二头肌及肱桡肌,以Ediswan脑电墨水描记仪,用肌内电极引出电位进行分析,结果认为:旋前方肌无论在肘的伸位或屈位,当前臂慢旋前时,它的电位都比旋前圆肌更活动。

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