肱骨

Forearm flexor origin from the medial epicondyle was exposed to allow tunneling of the long head tendon underneath the flexor origin.

方法切断胸大肌在肱骨的止点，在肱骨结节间沟顶端切断肱二头肌长头腱，然后向远端分离，显露至长头腱桡骨结节止点处，将前臂屈肌起点从肱骨内髁下方分离；将肱二头肌长头腱从前臂屈肌下方深面穿过，反折后穿过胸大肌止点，调整好张力再返回远端编结缝合。

Results:radial nerve crossed the posterior aspect of the humerus 18.2±0.4 cm above the medial epicondyle,13.9±1.3 cm above the olecranon and 8.4±1.4 cm above the lateral epicondyle.

结果：桡神经在肱骨内上髁上方(18.2±0.4) cm，臂后中线鹰嘴上方(13.9±1.3) cm，肱骨外上髁上方(8.4±1.4) cm跨过肱骨后面。

Of, relating to, or located in the region of the humerus or the shoulder.

肱骨的，肩骨的属于，关于肱骨或肩部的或位于肱骨区或肩部的

The rounded protuberance at the lower end of the humerus that articulates with the radius.

肱骨的，肩骨的属于，关于肱骨或肩部的或位于肱骨区或肩部的

In order to recover maximally the shoulder joint functions for post-artificial humeral head replacement, we must try our best to avoid soft tissue damage, reserve the bone of the tuberosity, select appropriate humerus head prosthesis, perform early post-operative staging rehabilitation, as well as maintain a normal retroversion of the prosthesis.

要最大限度恢复人工肱骨头置换后肩关节的功能，置换过程中要尽可能减少软组织损伤，尽量保留大结节部位的骨质，选择与关节盂大小匹配的肱骨头假体，早期分阶段功能锻炼，维持正常的肱骨头后倾角。关键词：肱骨近端骨折；人工肱骨头；置换

The transepicondylar axis of different position has no effect on volume rendering technique measuring the humeral head retroversion angle with multi slice spiral CT.The top view at which lateral epicondyle of the humerus showing minitriangulum and the anterior surface of the distal humerus articulation with the forearm being shaded is more simple,faster and precise for the volume rendering technique measuring the humeral head retroversion angle with multi slice spiral CT.

结论］肱骨头扭转角变异较大，肩关节假体扭转角设计应个性化；肱骨远端不同位置内外上髁轴线对多层螺旋CT容积再现测量肱骨头扭转角没有影响；俯视位观察肱骨，当外上髁露出呈小三角形、肱骨远端前关节面被肱骨头遮盖重叠的位置是多层螺旋CT三维重建测量肱骨头扭转角的更简单、更快捷而且准确的测量位置。

Results: Transverse diameters of left and right humeral heads were (40.67±1.90)mm and (40.49±1.36)mm, vertical diameter (44.54±1.31)mm and (43.45±1.48)mm, retroversion angle (26.59±1.36)° and (26.85±1.61)°, max interval of humeral head-tuberosity (6.63±1.13)mm and (6.80±1.02)mm, humeral head-shaft angle (l34.320±3.49)° and (135.58±1.50)° respectively.

结果：肱骨头横径：左侧(40.67±1.90)mm，右侧(40.49±1.36)mm；肱骨头纵径：左侧(44.54±1.31)mm，右侧(43.45±1.48)mm；肱骨头后倾角：左侧(26.59±1.36)°，右侧(26.85±1.61)°；头结节距（肱骨头最高点至大结节最高点的垂直距离）：左侧(6.63±1.13)mm，右侧(6.80±1.02)mm；颈干角：左侧(134.320±3.49)°，右侧(135.58±1.50)°。

Methods:Fifty paired embalmed cadaveric humeri (twenty-five pairs:fourteen from male donors and eleven from female donors) were scanned in medial-lateral and anterior-posterior position according to the humeral retroversion by CT. Images of the humeri in the transverse planes at the lowest border of neck,20mm and 40mm distal of LBN(LBN-20、LBN-40), isthmus, head-neck anterior-posteriorwere obtained. Sixty-one extracortical and intracortical parameters were measured exactly by image analytic computer software that included offset, head position, head-shaft angle, head to tuberosity height, head thickness, curvature radius, articular surface arc, neck diameter, isthmus position, proximal and distal border of isthmus, maximum coronal and sagittal diameter of medullary canal and thickness of cortical bone in four planes, including LBN, LBN-20,LBN-40 and isthmus.

50根成对防腐肱骨(男14对，女11对)按肱骨头扭转角置于冠状位和矢状位，行肱骨全长，头颈矢状面，解剖颈下缘及其下20mm、40mm，髓腔狭窄部四平面CT扫描，由CT软件测量冠、矢状位髓腔内外参数共61项，包括头心—干轴距，头位置，头干角，头—结节高度差，头厚度，头半径，关节面张角，解剖颈直径，髓腔狭窄部位置，解剖颈下缘及其下20mm、40mm和狭窄部四个平面髓腔的最大冠、矢状径，皮质骨厚度等。

METHODS: A total of 22 patients with complex fracture of proximal humerus, managed by humeral head replacement in Changhai Hospital of The Second Military Medical University from June 2006 to December 2008 were collected, including 12 males and 10 females, with average age of 67 years (52-86 years). During the procedure, soft tissue damage was minimized, the bone of the tuberosity was reserved as much as possible, appropriate matching size of humerus head prosthesis was selected, and early staging functional rehabilitation was performed. Neer's scoring system was used to evaluate the treatment results after replacement.

回顾性分析2006-06/2008-12解放军第二军医大学长海医院骨科收治的肱骨近端粉碎骨折患者22例，男12例，女10例，年龄52~86岁，平均67岁；全部患者均采用人工肱骨头置换，置换过程中尽量减少软组织损伤，保留大结节部位的骨质，选择与关节盂大小匹配的肱骨头假体，早期分阶段功能锻炼，置换后采用Neer评分标准评价人工关节功能。

The operative techniques of open intracapsular reduction and internal fixation with locking proximal humeral plate can enhance validity of reduction and stability of fixation,and alleviate the disturbance on vascular supply of the humeral head.

采用切开囊内复位技术和LPHP锁定肱骨近端接骨板内固定治疗肱骨近端骨折可减轻肱骨头血运影响，提高骨折复位的有效性和固定的稳定性。

However, as the name（read－only memory）implies, CD disks cannot be written onorchanged in any way.

然而，正如其名字所指出的那样，CD盘不能写，也不能用任何方式改变其内容。

Galvanizes steel pallet is mainly export which suits standard packing of European Union, the North America. galvanizes steel pallet is suitable to heavy rack. Pallet surface can design plate type, corrugated and the gap form, satisfies the different requirements.

镀锌钢托盘多用于出口，替代木托盘，免薰蒸，符合欧盟、北美各国对出口货物包装材料的法令要求；喷涂钢托盘适用于重载上货架之用，托盘表面根据需要制作成平板状、波纹状及间隔形式，满足不同的使用要求。