Hohenberger Gloria Maria, Schwarz Angelika Maria, Weiglein Andreas Heinrich, Krassnig Renate, Kuchling Sabine, Plecko Michael
1 Department of Orthopedics and Trauma Surgery, Medical University of Graz, Graz, Austria.
2 AUVA Trauma Hospital Graz, Graz, Austria.
J Hand Surg Eur Vol. 2018 May;43(4):426-430. doi: 10.1177/1753193417727138. Epub 2017 Sep 4.
A study was undertaken to examine the presence of the distal oblique bundle of the forearm in a large sample in order to describe its true prevalence. The study sample consisted of 200 cadaveric forearms. Fifteen were excluded due to defects in the distal interosseous membrane. In the remaining 185 specimens, the distal interosseous membrane was examined following removal of soft tissue, to determine whether a distal oblique bundle was present and whether there were connecting fibres to the distal radio-ulnar joint. The distal oblique bundle was observed in 53 specimens (29%). In 45 of these forearms (85%), one or more connecting fibres to the distal radio-ulnar joint were identified. The presence of a distal oblique bundle in 29% is less frequent than that reported in previous literature. The presence of the distal oblique bundle should be noted and may be of importance in the management of disorders of the distal radio-ulnar joint.
为了描述前臂远端斜束的真实患病率,进行了一项研究以检查大量样本中该结构的存在情况。研究样本包括200具尸体的前臂。其中15具因远侧骨间膜缺损而被排除。在其余185个标本中,去除软组织后检查远侧骨间膜,以确定是否存在远端斜束以及是否有与远侧桡尺关节相连的纤维。在53个标本(29%)中观察到了远端斜束。在这些前臂中的45个(85%)中,发现了一条或多条与远侧桡尺关节相连的纤维。29%的标本中存在远端斜束,这一比例低于先前文献报道的频率。应注意远端斜束的存在,其在远侧桡尺关节疾病的处理中可能具有重要意义。