骨间后神经及其拇示指肌支的解剖学特征

廖新品, 常能彬, 廖珏, 高云, 陈波, 孙国刚

中国临床解剖学杂志 ›› 2012, Vol. 30 ›› Issue (5) : 513-516.

中国临床解剖学杂志 ›› 2012, Vol. 30 ›› Issue (5) : 513-516.
应用解剖

骨间后神经及其拇示指肌支的解剖学特征

  • 廖新品1,    常能彬1,    廖珏2,    高云1,    陈波1,    孙国刚1
作者信息 +

Anatomy of posterior interosseous nerve and its muscular branches to thumb and index

  • LIAO Xin-ping1, CHANG Neng-bing1, LIAO Yu2, GAO Yun1, CHEN Bo1, SUN Guo-gang1
Author information +
文章历史 +

摘要

目的 观察前臂骨间后神经及其拇示指肌支的解剖学特征。  方法 解剖43具尸体的86侧上肢部桡神经深支及其分支到腕背部,观测骨间后神经的行程与投影及其拇示指肌支起始部位横径、长度和骨性标志线与神经干间夹角关系等参数。  结果 骨间后神经及其各分支均呈扁薄的窄带状神经束,其主干和多数肌支都走行在前臂后面中2/4段浅、深层肌之间,终末支止于腕背侧的梭形膨大部;主干起始处横径为(3.79±0.64)mm,各分支在起始部的平均横径(除指伸肌支约2.0 mm外)均小于1.0 mm;在旋后位,它呈向桡侧开放的弓形线段投影在肱骨外上髁至尺骨茎突连线的尺侧,半旋前位时则投影于该连线上或其桡侧。  结论 前臂后面中2/4段是骨间后神经主干及其大多数拇示指肌支在临床上易被损伤、误伤发生的高风险区域。

Abstract

Objective To explore the anatomic features of posterior interosseous nerve and its muscular branches to thumb and index fingers. Methods 86 upper limb specimens from 43 fixed cadavers were used in this study. Deep branches of radial nerve were dissected, for following the courses of  posterior interosseous nerve. As well, the origin, diameter, and other anatomic parameters of its muscular branches to thumb and index fingers were measured and analyzed. Results Posterior interosseous nerve and its branches presented as flat and thin nerve bundles. Its main trunk and muscular branches passed between intermuscular space at posterior and middle 2/4 part of forearm. Fusiform terminal fiber enlargement appeared at the dorsal side of the wrist. The diameter of the origin of the main trunk was about(3.79±0.64)mm,except for branches to extensor digitoium with the diameter of 2.0mm, the mean diameter of other branches was less than 1.0mm. The projection line of posterior interosseous nerve extended ulnarly or radially from radial condyle of humerus to ulnar malleolus, at the supination or semipronation positions, respectively. Conclusions Posterior interosseous nerve and its muscular branches are easy to be damaged during its course at the middle and posterior 2/4 segment of forearm.

关键词

骨间后神经 / 肌支 / 应用解剖

Key words

Nervus interosseus / Muscular branch / Applied anatomy

引用本文

导出引用
廖新品, 常能彬, 廖珏, 高云, 陈波, 孙国刚. 骨间后神经及其拇示指肌支的解剖学特征[J]. 中国临床解剖学杂志. 2012, 30(5): 513-516
LIAO Xin-Pin, CHANG Nai-Ban, LIAO Jue, GAO Yun, CHEN Bei, SUN Guo-Gang. Anatomy of posterior interosseous nerve and its muscular branches to thumb and index[J]. Chinese Journal of Clinical Anatomy. 2012, 30(5): 513-516
中图分类号: R323.71   

参考文献


[1]  林其仁,黄奕铁,王文怀,等.桡神经深支损伤的显微外科修复
[J].中华显微外科杂志,1999,22(4):256-257.

[2]  赵德伟,郭林,于小光,等.骨间后神经拇长伸肌肌支损伤
[J].中华手外科杂志,1997,13(1):15-15.

[3]  姚忠喜.桡神经深支损伤漏诊8例
[J].解剖与临床,2006,11(2):l12.

[4]  陈玉兵,王群殿,徐兴臣,等.手术致桡神经损伤的原因分析及防治
[J].中国矫形外科杂志,2000,7(5):512-513.

[5]  凌云.桡神经外伤(完全断裂伤)38例临床分析
[J].中华现代外科杂志,2008,5(6):441-442.


[6] Sanderland S.Metrical and non-metrical features of the muscular branches of the radial nerve
[J].Comp Neurel,1946,85(1):93-ll2.

[7]  钟世镇,刘牧之,周长满,等.桡神经的显微外科解剖学研究
[J].解剖学报,1983,14(1):1-6.

[8]  黄涛,刘大庸,秦建强,等.桡神经前臂各肌支的解剖学研究
[J].中华骨科杂志,2002,22(3):158-160.

[9]  Tubbs RS,Salter EG,Wellons JC 3rd,et a1.Superficial superficial surgical  landmarks for identifying the posterior interosseous nerve
[J].J Neurosurg,2006,104(5):796-799.

[10] 陈刚,江华,党瑞山,等.桡神经前臂伸肌支分布的解剖学研究
[J].医学研究生学报,2007,20(6):574-577.

[11] 李世芳,张晓亮,向宇燕,等.桡神经深支的应用解剖学研究
[J].局解手术学杂志,2011,20(1):3-5.

[12] 单建林,姜恒,孙天胜,等.桡神经深支的体表定位及其临床意义
[J].中国临床解剖学杂志,2004,22(4):347-349.

[13] 马泉,刘瑞荣,孔祥玉,等.骨间后神经与桡骨上端关系的解剖学观测及临床意义
[J].中国临床解剖学杂志,2007,25(4):367-368.

[14] 姜云杰. 桡神经深支与旋后肌的关系
[J].温州医学院学报,1992,22(4):199-201.

[15] 杜心如,张一模,田占庄,等.骨间后神经与腕背痛关系的解剖学探讨
[J].中国临床解剖学杂志,1995,13(1):38-39.

[16] Elgafy H,Ebraheim NA,Rezcallah AT,et a1.Posterior interesseous nerve terminal branches
[J].Clin Orthop,2000,376(6):242-251.


Accesses

Citation

Detail

段落导航
相关文章

/