Yokoyama I
Department of Orthopaedic Surgery, Osaka City University Medical School, Japan.
Nihon Seikeigeka Gakkai Zasshi. 1989 Sep;63(9):1085-102.
To accurately determine the intraneural topography at each level of the brachial plexus, the funicular pattern of the brachial plexus in 10 Japanese adult cadavers was investigated by microdissection and an intraneural topographic map at different levels of the brachial plexus was prepared. It was possible to identify the intraneural location of funiculi from the cord level to the distal level of the nerve root. At the cord level, the funiculi were very thin and the funicular pattern was complicated. At the level from the division to the root, some nerve fibers were mixed. The intraneural topographic map of the C5 nerve root appears to be most important for cable grafting. In the C5 nerve root, the funiculus of the suprascapular nerve was located cranially, funiculi containing the musculocutaneus nerve anteriorly and those containing the axillary nerve posteriorly.
为准确确定臂丛神经各水平的神经内局部解剖结构,通过显微解剖研究了10例日本成年尸体的臂丛神经束型,并绘制了臂丛神经不同水平的神经内局部解剖图谱。从脊髓水平到神经根远端水平,均有可能识别神经束在神经内的位置。在脊髓水平,神经束非常细,束型复杂。在分支到根部的水平,一些神经纤维相互混合。C5神经根的神经内局部解剖图谱似乎对电缆移植最为重要。在C5神经根中,肩胛上神经的神经束位于头侧,包含肌皮神经的神经束位于前方,包含腋神经的神经束位于后方。