Liu Benli, Liu Antang, Jiang Hua, Chen Gang, Yu Dazhi, Dang Ruishan
Department of Plastic Surgery, Changzheng Hospital, the Second Military Medical University, Shanghai, 200003, PR China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2009 Mar;23(3):332-6.
To reveal morphologic features and physiological function in compartments of human forearm muscles, and investigate the possibility of transplantation of neuromuscular compartments.
Sohier's neural staining technique was used to study the nerve branches distribution of forearm skeletal muscles in 5 human cadavers (aging 26-39 years), including flexor carpi radialis, flexor carpi ulnaris (FCU), extensor carpi radialis brevis, extensor carpi ulnaris, palmaris longus (PL), flexor pollicis longus, pronator teres (PT). According to Wickiewicz's methods, Ulnar compartment and radial compartment of forearm skeletal muscles above mentioned from 10 human cadavers were used to study the muscle architectural features.
Each nerve branches run into the ulnar compartment and radial compartment respectively. There was statistically significant difference between the two physiological cross section areas (PSCA) of each neuromuscular compartment from forearm muscles (P < 0.05). Among them, PSCA of ulnar compartment of FCU was the largest. The PSCA of ulnar compartment of PT was the smallest. There was no statistically difference between the ratio (PSCA/muscle wet weight) of each neuromuscular compartment from forearm muscles (P > 0.05). As the ratio of PSCA to the muscle fiber length, the ulnar compartment of PT and the two compartments of PL had the highest one while the ulnar compartment of FCU had the smallest; and there was no statistically difference among the other neuromuscular compartments (P > 0.05).
Each of forearm muscles be divided into ulnar compartment and radial compartment and they have their own nerve supply. And there are significant differences in the physiological function in compartments of forearm muscles, which can be references in muscular compartment transplantation.
揭示人类前臂肌肉各部分的形态学特征和生理功能,并探讨神经肌肉部分移植的可能性。
采用索希尔神经染色技术研究5具人类尸体(年龄26 - 39岁)前臂骨骼肌的神经分支分布,包括桡侧腕屈肌、尺侧腕屈肌(FCU)、桡侧腕短伸肌、尺侧腕伸肌、掌长肌(PL)、拇长屈肌、旋前圆肌(PT)。根据维凯维茨的方法,对10具人类尸体上述前臂骨骼肌的尺侧部分和桡侧部分进行肌肉结构特征研究。
各神经分支分别进入尺侧部分和桡侧部分。前臂肌肉各神经肌肉部分的两个生理横截面积(PSCA)之间存在统计学显著差异(P < 0.05)。其中,FCU尺侧部分的PSCA最大。PT尺侧部分的PSCA最小。前臂肌肉各神经肌肉部分的比例(PSCA/肌肉湿重)之间无统计学差异(P > 0.05)。作为PSCA与肌纤维长度的比值,PT的尺侧部分和PL的两个部分最高,而FCU的尺侧部分最小;其他神经肌肉部分之间无统计学差异(P > 0.05)。
前臂各肌肉可分为尺侧部分和桡侧部分,且它们有各自的神经供应。前臂肌肉各部分的生理功能存在显著差异,可为肌肉部分移植提供参考。