Anatomical study on the distribution of deep neurovascular structures associated with pain in the dorsal side of the wrist

WANG Hong-bin, SUN Feng-gang, CHEN Guo-yong, WANG Hui, AN Shu-hong, DUN Ai-she

Chinese Journal of Clinical Anatomy ›› 2018, Vol. 36 ›› Issue (3) : 245-247.

Chinese Journal of Clinical Anatomy ›› 2018, Vol. 36 ›› Issue (3) : 245-247. DOI: 10.13418/j.issn.1001-165x.2018.03.002

Anatomical study on the distribution of deep neurovascular structures associated with pain in the dorsal side of the wrist

  • WANG Hong-bin, SUN Feng-gang, CHEN Guo-yong, WANG Hui, AN Shu-hong, DUN Ai-she
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Abstract

 Objective The origin, course and distribution of deep neurovascular structures in the dorsal side of the wrist were dissected to explore the relationship between neurovascular injury and wrist dorsal pain, and to provide anatomical basis for clinical diagnosis and treatment of wrist dorsal pain. Methods Under the head-mounted magnifying glass, the origin, couse and distribution of deep neurovascular structures in the dorsal side of 10 cadavers were studied on 20 sides of the upper limbs, and the relevant data were measured. Results The deep dorsal nerve of the wrist derived from the terminal branch of the posterior interosseous nerve, traveled through the fourth osseofibrous tunnel, and then distributed to the dorsal side of the wrist. The artery  derived from the terminal branch of the anterior interosseous artery. The anterior interosseous artery went through the anterior interosseous membrane of the arm to the back of the forearm. the terminal branch divided into the radial and ulnar branch, went through the fourth and fifth osseofibrous canal, respectively and distributed to the dorsal side of the wrist. The radial branch was associated with the posterior interosseous nerve endings in the fourth osseofibrous canal. The ulnar branch passed alone through the fifth osseofibrous canal.    Conclusion It is of great significance to prevent, diagnose and treat pain of dorsal wrist by having a thorough understanding of the anatomy of deep neurovascular structures in dorsal aspect of the wrist.

Key words

Dorsal wrist /  Nerve and blood vessel /  Pain of dorsal wrist

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WANG Hong-bin, SUN Feng-gang, CHEN Guo-yong, WANG Hui, AN Shu-hong, DUN Ai-she. Anatomical study on the distribution of deep neurovascular structures associated with pain in the dorsal side of the wrist[J]. Chinese Journal of Clinical Anatomy. 2018, 36(3): 245-247 https://doi.org/10.13418/j.issn.1001-165x.2018.03.002

References

[1]  陈德松,方有生. 腕背痛的一个并不罕见的原因-骨间后神经卡压征[J]. 中华手外科杂志,1996, 12(3):140-142.
[2]  Eaton CJ. Radial nerve compression[J]. Hand Clinics,1992, 8:345.
[3]  刘毅, 洪光祥, 杨士豪. 骨间后神经终末支显微外科的解剖学研究及其临床意义[J].中华手外科杂志, 2003, 19(3):58-59.
[4]  李忠华, 王兴海, 等. 解剖学技术[M].第2版.人民卫生出版社,1997:61-64.
[5]  靳安民, 汪华桥. 骨科临床解剖学[M]. 第1版. 山东科学技术出版社, 2010:361-517.
[6]  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.
[7]  李旭升, 胡旺平. 国人骨间前动脉的应用解剖[J].咸宁医学院学报,1998,12(3):164-165.
[8]  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.
[9]  刘毅, 洪光祥. 慢性腕背痛[J]. 实用手外科杂志, 2002, 16(4):228-229.

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