Rayan G M
Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
Hand Clin. 1999 Feb;15(1):73-86, vi-vii.
Familiarity with the normal palmar fascial anatomy of the hand is necessary for understanding the convoluted pathologic changes that take place in Dupuytren's disease. This article includes a literature review and the findings of a study by the author of the fascial anatomy and pathology as related to Dupuytren's disease. Gross and microdissection of the palmar fascial structures were carried out with the aid of the operative microscope and an arthroscope, which allowed examination of the fine and undisturbed retinacular anatomy. The palmar fascial complex of the hand has five components: the radial aponeurosis, ulnar aponeurosis, central (palmar) aponeurosis, palmo-digital fascia, and digital fascia. The subtle constituents of each component are outlined and the transformation from normal to pathologic anatomy is clarified.
熟悉手部正常的掌侧筋膜解剖结构对于理解在掌腱膜挛缩症中发生的复杂病理变化是必要的。本文包括一篇文献综述以及作者关于与掌腱膜挛缩症相关的筋膜解剖学和病理学研究结果。借助手术显微镜和关节镜对掌侧筋膜结构进行大体和显微解剖，这使得能够检查精细且未受干扰的支持带解剖结构。手部的掌侧筋膜复合体有五个组成部分：桡侧腱膜、尺侧腱膜、中央（掌侧）腱膜、掌指筋膜和指筋膜。概述了每个组成部分的细微成分，并阐明了从正常解剖结构到病理解剖结构的转变。
