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奥斯本韧带:其历史、解剖结构及手术重要性综述

Osborne's Ligament: A Review of its History, Anatomy, and Surgical Importance.

作者信息

Granger Andre, Sardi Juan P, Iwanaga Joe, Wilson Thomas J, Yang Lynda, Loukas Marios, Oskouian Rod J, Tubbs R Shane

机构信息

Department of Anatomical Sciences, St. George's University School of Medicine, Grenada, West Indies.

Neurociencias, Pontificia Universidad Javeriana.

出版信息

Cureus. 2017 Mar 6;9(3):e1080. doi: 10.7759/cureus.1080.

DOI:10.7759/cureus.1080
PMID:28405530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5383373/
Abstract

When discussing the pathophysiology of ulnar neuropathy, Geoffrey Vaughan Osborne described a fibrous band that can be responsible for the symptoms seen in this disorder. In this paper, we take a glimpse at the life of Osborne and review the anatomy and surgical significance of Osborne's ligament. This band of tissue connects the two heads of the flexor carpi ulnaris and thus forms the roof of the cubital tunnel. To our knowledge, no prior publication has reviewed the history of this ligament, and very few authors have studied its anatomy in any detail. Therefore, the aim of the present paper is to elucidate this structure that is often implicated and surgically transected to decompress the ulnar nerve at the elbow.

摘要

在讨论尺神经病变的病理生理学过程中,杰弗里·沃恩·奥斯本描述了一条纤维带,它可能是导致该疾病所见症状的原因。在本文中,我们简要了解一下奥斯本的生平,并回顾奥斯本韧带的解剖结构及其手术意义。这条组织带连接尺侧腕屈肌的两个头,从而形成肘管的顶部。据我们所知,此前没有出版物回顾过这条韧带的历史,而且很少有作者对其解剖结构进行过详细研究。因此,本文的目的是阐明这种常被牵涉且在手术中被切断以松解肘部尺神经的结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bafc/5383373/9dfcb6805b4b/cureus-0009-00000001080-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bafc/5383373/c33bda21a6a2/cureus-0009-00000001080-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bafc/5383373/28f619f2f859/cureus-0009-00000001080-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bafc/5383373/9dfcb6805b4b/cureus-0009-00000001080-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bafc/5383373/c33bda21a6a2/cureus-0009-00000001080-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bafc/5383373/28f619f2f859/cureus-0009-00000001080-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bafc/5383373/9dfcb6805b4b/cureus-0009-00000001080-i03.jpg

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本文引用的文献

1
The "hierarchical" Scratch Collapse Test for identifying multilevel ulnar nerve compression.用于识别多级尺神经受压的“分级”抓痕塌陷试验。
Hand (N Y). 2015 Sep;10(3):388-95. doi: 10.1007/s11552-014-9721-z.
2
Tardy ulnar nerve palsy after fracture non-union medial epicondyle of humerus - An unusual case.肱骨内上髁骨折不愈合后迟发性尺神经麻痹——一例罕见病例。
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Anatomical considerations of fascial release in ulnar nerve transposition: a concept revisited.
非血管性埃勒斯-当洛斯综合征患者关节手术的功能获益:一项回顾性研究的结果。
Orphanet J Rare Dis. 2024 Sep 23;19(1):351. doi: 10.1186/s13023-024-03261-3.
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Ultrasonographic differential diagnosis of medial elbow pain.肘部内侧疼痛的超声鉴别诊断
Ultrasonography. 2024 Sep;43(5):299-313. doi: 10.14366/usg.24102. Epub 2024 Jun 23.
5
The anatomical variations of the cubital tunnel in a South African body donor sample.南非尸体捐献者样本中肘管的解剖变异。
Surg Radiol Anat. 2024 Jun;46(6):777-785. doi: 10.1007/s00276-024-03327-8. Epub 2024 Mar 29.
6
Multimodal ultrasound evaluation of asymptomatic ulnar nerve dislocation at the cubital tunnel.肘管处无症状性尺神经脱位的多模态超声评估
Quant Imaging Med Surg. 2024 Jan 3;14(1):633-639. doi: 10.21037/qims-23-301. Epub 2024 Jan 2.
7
Ulnar nerve anteposition with adipofascial flap, an alternative treatment for severe cubital syndrome.带脂肪筋膜瓣的尺神经前置术治疗严重肘管综合征
BMC Surg. 2023 Sep 4;23(1):268. doi: 10.1186/s12893-023-02173-6.
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Cubital tunnel compression neuropathy in the presence of an anomalous venous complex: a case study.存在异常静脉复合体时的尺神经沟综合征:一例病例报告
JSES Rev Rep Tech. 2023 Apr 24;3(3):427-430. doi: 10.1016/j.xrrt.2023.04.001. eCollection 2023 Aug.
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Hydrodissection of an ulnar nerve fascial adhesion in a baseball pitcher.一名棒球投手尺神经筋膜粘连的松解术
JSES Rev Rep Tech. 2022 Dec 28;3(2):252-255. doi: 10.1016/j.xrrt.2022.12.002. eCollection 2023 May.
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Postoperative ulnar neuropathy: a systematic review of evidence with narrative synthesis.术后尺神经病变:证据的系统评价与叙述性综合。
Br J Anaesth. 2023 Jul;131(1):135-149. doi: 10.1016/j.bja.2023.04.010. Epub 2023 May 15.
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Ultrasound of the elbow with emphasis on detailed assessment of ligaments, tendons, and nerves.肘部超声检查,重点是对韧带、肌腱和神经进行详细评估。
Eur J Radiol. 2015 Apr;84(4):671-81. doi: 10.1016/j.ejrad.2014.12.007. Epub 2014 Dec 19.
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The cubital tunnel: a radiologic and histotopographic study.肘管:一项放射学与组织拓扑学研究。
J Anat. 2014 Aug;225(2):262-9. doi: 10.1111/joa.12206. Epub 2014 Jun 10.
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Entrapment neuropathies and polyneuropathies in joint hypermobility syndrome/Ehlers-Danlos syndrome.易位性神经病和多发性神经病在关节过度活动综合征/埃勒斯-当洛斯综合征中的表现。
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