• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

肩部前上方入路中腋神经的位置:一项尸体研究

Axillary nerve position in the anterosuperior approach of the shoulder: a cadaveric study.

作者信息

Ikemoto Roberto Yukio, Nascimento Luis Gustavo Prata, Bueno Rogerio Serpone, Almeida Luiz Henrique Oliveira, Strose Eric, Murachovsky Joel

机构信息

Faculdade de Medicina do ABC, Santo André, SP, Brazil, Faculdade de Medicina do ABC, Santo André, SP, Brazil.

出版信息

Acta Ortop Bras. 2015 Jan-Feb;23(1):26-8. doi: 10.1590/1413-78522015230100960.

DOI:10.1590/1413-78522015230100960
PMID:26327791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4544516/
Abstract

OBJECTIVE

To determine the distance between the axillary nerve and the antero-lateral (AL) edge of the acromion, its anatomical variability and relationship to humeral length and body height.

METHODS

Twenty-two shoulders were dissected. The anterosuperior (AS) approach was used; the deltoid was detached from the acromion and the distance between the AL portion and the axillary nerve was measured and submitted to statistical analysis.

RESULTS

The distance varied from 4.3 to 6.4 cm (average 5.32 ± 0.60 cm). The axillary nerve distance increased as the humeral size (p<0.05) and the height of each cadaver increased. However, the correlation with the specimens height was not significant (p=0.24).

CONCLUSIONS

The distance between the acromion and the axillary nerve on the AS approach was 5.32 ± 0.60 cm in both shoulders, and increasing the humeral length there is also an increase in the axillary nerve distance. Level of Evidence IV, Case Series - Anatomic Study.

摘要

目的

确定腋神经与肩峰前外侧(AL)边缘之间的距离、其解剖变异性以及与肱骨长度和身高的关系。

方法

解剖22个肩部。采用前上(AS)入路;将三角肌从肩峰分离,测量AL部分与腋神经之间的距离并进行统计分析。

结果

该距离在4.3至6.4厘米之间变化(平均5.32±0.60厘米)。腋神经距离随着肱骨大小(p<0.05)和每个尸体的身高增加而增加。然而,与标本身高的相关性不显著(p=0.24)。

结论

在AS入路中,两侧肩部肩峰与腋神经之间的距离为5.32±0.60厘米,肱骨长度增加时腋神经距离也增加。证据等级IV,病例系列 - 解剖学研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc57/4544516/0795ebd4433c/1413-7852-aob-23-01-00026-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc57/4544516/8765f276a8cd/1413-7852-aob-23-01-00026-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc57/4544516/7aa767c36fd3/1413-7852-aob-23-01-00026-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc57/4544516/0795ebd4433c/1413-7852-aob-23-01-00026-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc57/4544516/8765f276a8cd/1413-7852-aob-23-01-00026-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc57/4544516/7aa767c36fd3/1413-7852-aob-23-01-00026-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc57/4544516/0795ebd4433c/1413-7852-aob-23-01-00026-gf03.jpg

相似文献

1
Axillary nerve position in the anterosuperior approach of the shoulder: a cadaveric study.肩部前上方入路中腋神经的位置:一项尸体研究
Acta Ortop Bras. 2015 Jan-Feb;23(1):26-8. doi: 10.1590/1413-78522015230100960.
2
Position of the anterior branch of the axillary nerve in relation to the humeral bone length.腋神经前支相对于肱骨长度的位置。
Am J Orthop (Belle Mead NJ). 2012 Oct;41(10):452-5.
3
Qualitative and Quantitative Anatomy of the Proximal Humerus Muscle Attachments and the Axillary Nerve: A Cadaveric Study.肱骨近端肌肉附着点和腋神经的定性和定量解剖:尸体研究。
Arthroscopy. 2018 Mar;34(3):795-803. doi: 10.1016/j.arthro.2017.08.301. Epub 2017 Dec 8.
4
Acromion-axillary nerve distance and its relation to the arm length in the prediction of the axillary nerve position: a clinical study.肩峰-腋神经距离及其与臂长的关系在腋神经位置预测中的临床研究。
J Orthop Surg Res. 2022 Apr 24;17(1):248. doi: 10.1186/s13018-022-03085-6.
5
The correlation between acromion-axillary nerve distance and upper arm length; a cadaveric study.肩峰-腋神经距离与上臂长度的相关性:一项尸体研究
J Med Assoc Thai. 2014 Aug;97 Suppl 8:S27-33.
6
Is there a safe area for the axillary nerve in the deltoid muscle? A cadaveric study.三角肌中腋神经是否存在安全区域?一项尸体研究。
J Bone Joint Surg Am. 2006 Nov;88(11):2395-9. doi: 10.2106/JBJS.E.01375.
7
Prediction of the location of the anterior branch of the axillary nerve, using correlations with physical factors: a cadaveric study.预测腋神经前支的位置,使用与物理因素的相关性:尸体研究。
J Shoulder Elbow Surg. 2013 Nov;22(11):e9-e16. doi: 10.1016/j.jse.2013.01.021. Epub 2013 Mar 27.
8
Relationship between axillary nerve and percutaneously inserted proximal humeral locking plate: a cadaver study.腋神经与经皮插入式肱骨近端锁定钢板的关系:一项尸体研究。
Acta Orthop Traumatol Turc. 2014;48(5):553-7. doi: 10.3944/AOTT.2014.13.0083.
9
Surgical anatomy of the axillary nerve.腋神经的手术解剖学
J Shoulder Elbow Surg. 1992 Jan;1(1):31-6. doi: 10.1016/S1058-2746(09)80014-1. Epub 2009 Feb 2.
10
Effects of shoulder position on axillary nerve positions during the split lateral deltoid approach.在三角肌外侧劈开入路中肩部位置对腋神经位置的影响。
J Shoulder Elbow Surg. 2009 Sep-Oct;18(5):748-55. doi: 10.1016/j.jse.2008.12.001. Epub 2009 Mar 17.

引用本文的文献

1
Deltoid compartment syndrome and pulmonary embolism following arthroscopic rotator cuff repair.关节镜下肩袖修复术后三角肌间隙综合征和肺栓塞
JSES Rev Rep Tech. 2025 Jan 21;5(2):311-314. doi: 10.1016/j.xrrt.2024.12.006. eCollection 2025 May.
2
Limited Arthroscopic Deltoid Fasciectomy Increases Subacromial Visualization and Characterization of Rotator Cuff Tears.有限关节镜下三角肌筋膜切除术可增加肩峰下视野并有助于肩袖撕裂的特征性诊断。
Arthrosc Tech. 2023 Jul 31;12(8):e1467-e1471. doi: 10.1016/j.eats.2023.04.020. eCollection 2023 Aug.
3
Functional Shoulder Evaluation after Osteosynthesis of Greater Tuberosity Fracture: Is There any Influence of Glenohumeral Dislocation?

本文引用的文献

1
Surgical anatomy of the axillary nerve.腋神经的手术解剖学
J Shoulder Elbow Surg. 1992 Jan;1(1):31-6. doi: 10.1016/S1058-2746(09)80014-1. Epub 2009 Feb 2.
2
Is there a safe area for the axillary nerve in the deltoid muscle? A cadaveric study.三角肌中腋神经是否存在安全区域?一项尸体研究。
J Bone Joint Surg Am. 2006 Nov;88(11):2395-9. doi: 10.2106/JBJS.E.01375.
3
Determining the relationship of the axillary nerve to the shoulder joint capsule from an arthroscopic perspective.从关节镜角度确定腋神经与肩关节囊的关系。
大结节骨折切开复位内固定术后的肩关节功能评估:盂肱关节脱位有何影响?
Rev Bras Ortop (Sao Paulo). 2022 Jun 6;58(2):265-270. doi: 10.1055/s-0042-1749416. eCollection 2023 Apr.
4
MRI evaluation of axillary neurovascular bundle: Implications for minimally invasive proximal humerus fracture fixation.腋窝神经血管束的磁共振成像评估:对微创肱骨近端骨折固定的意义
JSES Int. 2021 Jan 9;5(2):205-211. doi: 10.1016/j.jseint.2020.11.002. eCollection 2021 Mar.
5
Identifying the axillary nerve during shoulder surgery: an anatomic study using advanced imaging.肩部手术中腋神经的识别:一项使用先进成像技术的解剖学研究
JSES Int. 2020 Jul 25;4(4):987-991. doi: 10.1016/j.jseint.2020.06.011. eCollection 2020 Dec.
6
Unusual anatomic variant of the axillary nerve challenging the deltopectoral approach to the shoulder: a case report.腋神经的异常解剖变异对肩部的三角肌胸大肌入路构成挑战:一例报告。
Patient Saf Surg. 2019 Feb 14;13:9. doi: 10.1186/s13037-019-0189-1. eCollection 2019.
7
Re-definition of position and calculation of safe area for axillary nerve in deltoid muscle with its clinical relevance: a cadaveric study.三角肌中腋神经位置的重新定义及安全区计算及其临床意义:一项尸体研究
Anat Cell Biol. 2018 Jun;51(2):93-97. doi: 10.5115/acb.2018.51.2.93. Epub 2018 Jun 27.
J Bone Joint Surg Am. 2004 Oct;86(10):2135-42. doi: 10.2106/00004623-200410000-00003.
4
The posterior branch of the axillary nerve: an anatomic study.腋神经后支:一项解剖学研究。
J Bone Joint Surg Am. 2003 Aug;85(8):1497-501. doi: 10.2106/00004623-200308000-00010.
5
Applied anatomy of the axillary nerve for selective neurotization of the deltoid muscle.用于三角肌选择性神经化的腋神经应用解剖学
Clin Orthop Relat Res. 2001 Sep(390):244-51. doi: 10.1097/00003086-200109000-00028.
6
Radial and axillary nerves. Anatomic considerations for humeral fixation.桡神经和腋神经。肱骨固定的解剖学考量。
Clin Orthop Relat Res. 2000 Apr(373):259-64.
7
The internal topography of the axillary nerve: an anatomic and histologic study as it relates to microsurgery.
J Reconstr Microsurg. 1996 Aug;12(6):359-63. doi: 10.1055/s-2007-1006498.
8
The anterior humeral circumflex vessels and the axillary nerve. An anatomic study.肱前旋血管与腋神经:一项解剖学研究
Orthop Rev. 1993 Sep;22(9):1023-6.
9
The axillary nerve and its relationship to common sports medicine shoulder procedures.腋神经及其与常见运动医学肩部手术的关系。
Am J Sports Med. 1986 Mar-Apr;14(2):113-6. doi: 10.1177/036354658601400203.
10
Anatomy of the axillary nerve and its relation to inferior capsular shift.腋神经的解剖及其与关节囊下移位的关系。
Clin Orthop Relat Res. 1989 Jun(243):100-5.