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通过单一前入路在前臂远侧三分之一处将骨间后神经转位至尺神经浅支:解剖学可行性研究

Posterior interosseous nerve to the superficial branch of the ulnar nerve transfer at the distal third of the forearm through a single anterior approach: Anatomical feasibility study.

作者信息

Menu G, Hidalgo Diaz J J, Pire E, Clavert P, Facca S, Liverneaux P

机构信息

Department of hand surgery, SOS main, CCOM, university hospital of Strasbourg, FMTS, university of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.

Institut d'anatomie normale, FMTS, university of Strasbourg, 1, place de l'hôpital, 67000 Strasbourg, France.

出版信息

Hand Surg Rehabil. 2017 Oct;36(5):330-332. doi: 10.1016/j.hansur.2017.05.006. Epub 2017 Jul 18.

DOI:10.1016/j.hansur.2017.05.006
PMID:28732845
Abstract

The purpose of this study was to determine in a cadaver model, whether transfer of the posterior interosseous nerve (PIN) to the superficial branch of the ulnar nerve (SBUN) by a single approach was feasible. The experiment was carried out on five fresh cadavers. The ulnar nerve was split into its motor branches and the SBUN. The PIN was collected behind the interosseous membrane and sutured to the SBUN on its anterior surface. All sutures were tensionless and technically possible with the PIN's diameter being at least 50% of the SBUN's diameter in all cases. Our results demonstrate that PIN to SBUN transfer through a single anterior approach is feasible in a cadaver model.

摘要

本研究的目的是在尸体模型中确定,通过单一入路将骨间后神经(PIN)转移至尺神经浅支(SBUN)是否可行。该实验在五具新鲜尸体上进行。将尺神经分离为其运动分支和尺神经浅支。骨间后神经在骨间膜后方采集,并在其前表面缝合至尺神经浅支。所有缝合均无张力,并且在所有病例中,技术上均可行,骨间后神经直径至少为尺神经浅支直径的50%。我们的结果表明,在尸体模型中,通过单一前入路将骨间后神经转移至尺神经浅支是可行的。

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