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指伸肌解剖变异的存在。

The presence of extensor digiti medii muscle-anatomical variant.

作者信息

Carlos Jonathan S, Goubran Emile, Ayad Samir

机构信息

Assistant Professor, Department of Basic Sciences, Southern California University of Health Sciences, Whittier, CA 90604.

出版信息

J Chiropr Med. 2011 Jun;10(2):100-4. doi: 10.1016/j.jcm.2010.12.004. Epub 2011 Apr 5.

Abstract

OBJECTIVE

This study reports the presence of the extensor digiti medii muscle (EDM) in a population of cadavers dissected by students at a chiropractic college anatomy laboratory and determines its frequency, bilaterality, innervation, and sex differences.

METHODS

Dissection of upper extremities of 47 human cadavers (24 males, 23 females) was conducted. Both upper extremities were examined for bilaterality. The long extensor tendons were exposed, separated, and cut to expose the EDM. Identifying the innervation of the variant muscle was attempted. The specimens were then photographed.

RESULTS

In this report, the prevalence of EDM is at 7.4%. The EDM was discovered in 5 male cadavers and 1 female cadaver (5:1 ratio). It also revealed that the EDM was prevalent on the left forearm than on the right forearm at a ratio of 5:2. Out of the 47 cadavers studied in this report, only one was observed to have EDM bilaterally (2.1%). In 2 cadavers, the EDM appeared to be supplied by the posterior interosseous nerve. The branch piercing through the extensor indicis muscle continued to give off a small branch entering the belly of the EDM.

CONCLUSION

The findings obtained in this report support previous observations regarding its prevalence in males more than females. The report also shows that the EDM occurs more in the left forearm than the right forearm as opposed to other reports of equal incidence between left and right forearms. This report also supports one previous study showing that the posterior interosseous nerve innervates the EDM.

摘要

目的

本研究报告了在一所整脊学院解剖实验室由学生解剖的一批尸体中存在指伸肌(EDM),并确定其出现频率、双侧性、神经支配及性别差异。

方法

对47具人类尸体(24例男性,23例女性)的上肢进行解剖。对双侧上肢检查其双侧性。暴露、分离并切断指伸肌腱以暴露EDM。尝试确定变异肌肉的神经支配。然后对标本拍照。

结果

在本报告中,EDM的发生率为7.4%。在5例男性尸体和1例女性尸体中发现了EDM(比例为5:1)。还发现EDM在左前臂比右前臂更常见,比例为5:2。在本报告研究的47具尸体中,仅观察到1例双侧存在EDM(2.1%)。在2具尸体中,EDM似乎由骨间后神经支配。穿过示指伸肌的分支继续发出一小分支进入EDM肌腹。

结论

本报告中的发现支持了之前关于其在男性中比女性更常见的观察结果。该报告还表明,与其他关于左右前臂发生率相等的报告相反,EDM在左前臂比右前臂更常见。本报告还支持了一项先前的研究,表明骨间后神经支配EDM。

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