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腓骨肌

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Methods: 1/2 anterior tibia muscle shifting were used to take the place of long peroneal muscle and short peroneal muscle of paralysis. 13 of 22 cases are congenital talipes equinovalgas, 9 are monstrosity of crossfoot of poliomyelitis.

将胫前肌半腱(外侧1/2)外移代替瘫痪的腓骨长、短肌,配合足部软组织松解或关节融合术,治疗马蹄内翻足畸形。

Anatomical study proved:①.4~8 nutritional vessels of sural nerve –small saphenous vein were the intermuscular perforators of peroneal artery, the furthermost one located at(1.0±1.3)cm above the tip of external malleolus with diameter (0.6±0.2)mm;②.2~6 musculocutaneous perforators were given off by the artery of outer head of gastrocnemius muscle to supply nutrition to the sural nerve-small saphenous vein;③.intermuscular perforators from peroneal artery supplied blood to fibula and outer head of soleus muscle.the perforators with an average outer diameter of (1.3-1.6)cm gave off cutaneous branch ,fascial branch and nutritional vessels to the sural nerve-small saphenous vein,which formed the vessel chain of the sural nerve-small saphenous vein ,sub-fascial and suprafascial vessel net.

结果:1、解剖实验证实:①、腓肠神经-小隐静脉营养血管来自腓动脉肌间隔穿支4~8支,最远的跟外侧动脉穿支距外踝尖上(1.0±1.3)cm,外径(0.6±0.2)mm。②、腓肠肌外侧头动脉沿途发2-6支的肌皮穿支营养腓肠神经-小隐静脉。③、腓动脉肌间隔穿支营养腓骨、比目鱼肌外侧半。上述穿皮支平均外径在0.3~1.6mm,发出皮支、筋膜支、腓肠神经-小隐静脉营养血管,形成腓肠神经-小隐静脉血管链以及深、浅筋膜血管网。

The anterior border of all flaps exceeded crista anterior fibulae, and that of 2 flaps reached to the crista anterior tibiae. The width of flap on anterial compartment of the cnemis ranged from 2.5cm to 7.0cm, averagely 4.0 cm.

行前界扩大的改良腓肠肌外侧头肌皮瓣21例,修复的创面位于小腿上1/3段9例,中1/3段前内侧7例,中1/3段前外侧5例。21例皮瓣前缘均超过腓骨前缘,其中2例达胫骨前嵴,位于小腿前骨筋膜室表面的皮瓣部分宽度为2.5~7.0 cm,平均4.0 cm。

The reversed island fibular musculocutaneous flap provide a new method for repairing the severe heel defect, especially in full defect of calcaneus and cuboid bone.

逆行岛状腓骨肌皮瓣可修复足跟严重缺损,尤其为跟骨及骰骨完全缺失者提供了一种新方法。

Objective To detect the duplication or deletion of peripheral myelin protein 22 (PMP22) gene in Chinese patients with Charcot-Marie-Tooth disease or hereditary neuropathy with liability to pressure palsies using real-time quantitative polymerase chain reaction.

目的应用实时荧光定量PCR在腓骨肌萎缩症和遗传性压力易感性神经病患者中检测周围髓鞘蛋白22基因(peripheral myelin protein22,PMP22)重复或缺失。

Tube through the fibula and between flexor long, from the soleus muscle and between the peroneus longus muscle and out.

管穿过腓骨和长屈肌之间,从比目鱼肌和腓骨长肌之间穿出。

Anatomical relationships. B, That part of peroneus longus that arises from lateral surface of fibular head proximal to common peroneal nerve has been detached, allowing nerve to be retracted over fibular head.

解剖关系; B 起于邻近腓总神经的腓骨头外侧面的腓骨长肌已被分离,使得腓总神经被牵到腓骨头上方。

Anatomical relationships. B, That part of peroneus longus that arises from lateral surface of fibular head proximal to common peroneal nere has been detached, allowing nere to be retracted oer fibular head.

解剖关系; B 起于邻近腓总神经的腓骨头外侧面的腓骨长肌已被分离,使得腓总神经被牵到腓骨头上方。

Expose the nerve first at the posteromedial aspect of the distal end of the biceps femoris tendon and trace it distally to where it winds around the neck of the fibula. In this location the nerve is covered by the origin of the peroneus longus muscle. With the back of the knife blade toward the nerve, divide the thin slip of peroneus longus muscle bridging it. Then displace the nerve from its normal bed into an anterior position.

先在股二头肌腱远端后内方暴露腓总神经,顺神经向远端追踪至环绕腓骨头的部分,此处腓总神经被腓骨长肌起点覆盖,保持刀背指向腓总神经,挑断跨越神经的部分腓骨肌纤维,然后将腓总神经自正常的位置转移至前移的位置。

On magnetic resonance imaging examination, the thigh, calf, arm, and paravertebral muscles were selectively involved, especially in the paravertebral, biceps brachii, gluteus maximus and medius, vastus lateralis and medialis, sartorius, adductor magnus, tibialis anterior, soleus, lateral head of gastrocnemius, and peroneus longus muscles.

肌肉磁振扫描发现大腿、小腿、手臂及脊椎旁肌肉呈现选择性侵犯,尤其脊椎旁肌肉、肱二头肌、臂大肌、臂中肌、股外侧及内侧肌、缝匠肌、股内缩大肌、胫骨前肌、比目鱼肌、腓肠肌侧头及腓骨长肌变化最为明显。

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