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李斯特结节的解剖定位及其临床和外科意义。

Anatomical Localization of Lister's Tubercle and its Clinical and Surgical Importance.

作者信息

Ağır Ismail, Aytekin Mahmut Nedim, Küçükdurmaz Fatih, Gökhan Servan, Cavuş Umut Yücel

机构信息

Department of Orthopedics and Traumatology, Adıyaman University Training and Research Hospital, Adıyaman, Turkey.

Department of Orthopedics and Traumatology, Atatürk Training and Research Hospital, Ankara, Turkey.

出版信息

Open Orthop J. 2014 Apr 4;8:74-7. doi: 10.2174/1874325001408010074. eCollection 2014.

Abstract

The dorsal tubercle of the radius, once called Lister's tubercle, is used as a landmark in wrist arthroscopy, wrist joint injections, and similar surgical and clinical procedures. However, there is no useful information in the reference anatomy books and literature. The aim of this study was to identify the anatomical localization of Lister's tubercle on the dorsum of radius in relation to the radial styloid process and the ulnar notch of radius and to demonstrate the clinical and surgical importance of these relationships. We studied 20 dried cadaver radius specimens. The distances from Lister's tubercle to the radial styloid process and to the ulnar notch were measured by using a digital micrometer caliber and the ratio of the two measures was calculated. The dorsal tubercle of the radius is variable in position and can be either closer to the radial styloid process or to the ulnar notch. The present study showed that in 11 of the radii the dorsal tubercle of the radius was nearer to the radial styloid process than the ulnar notch, while in 9 subjects it was nearer to the ulnar notch. This anatomical variation may be relevant for wrist injections, wrist artroscopy or wrist surgery.

摘要

桡骨背侧结节,曾被称为李斯特结节,在腕关节镜检查、腕关节注射及类似的外科和临床操作中用作一个标志。然而,在参考解剖学书籍和文献中没有有用的信息。本研究的目的是确定桡骨背侧李斯特结节相对于桡骨茎突和桡骨尺切迹的解剖定位,并证明这些关系的临床和外科意义。我们研究了20个干燥的尸体桡骨标本。使用数字千分卡尺测量从李斯特结节到桡骨茎突和到桡骨尺切迹的距离,并计算这两个测量值的比值。桡骨背侧结节的位置是可变的,它可以更靠近桡骨茎突或更靠近桡骨尺切迹。本研究表明,在11根桡骨中,桡骨背侧结节比桡骨尺切迹更靠近桡骨茎突,而在9例受试者中,它更靠近桡骨尺切迹。这种解剖变异可能与腕关节注射、腕关节镜检查或腕关节手术有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1832/4023390/1cf653b333b1/TOORTHJ-8-74_F1.jpg

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