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胎儿手部伸肌腱间腱性连接的形态学和形态计量学评估

Morphological and morphometric evaluation of intertendinous connections among extensor tendons in fetal hands.

作者信息

Kalkışım Şahi Nur, Çan Mehmet Ali, Uzun Özlem, Öksüz Canan Ertemoğlu

机构信息

Department of Anatomy, Health Sciences Institute, Vocational School of Health Science, Karadeniz Technical University, 61040, Trabzon, Turkey.

Department of Anatomy, Faculty of Medicine, Karadeniz Technical University, 61040, Trabzon, Turkey.

出版信息

Surg Radiol Anat. 2018 Sep;40(9):979-988. doi: 10.1007/s00276-018-2011-7. Epub 2018 Apr 5.

DOI:10.1007/s00276-018-2011-7
PMID:29623399
Abstract

PURPOSE

The purpose of this study was to determine morphometry and morphology of intertendinous connection on fetal cadavers and perform an evidence on tendon relationships.

METHODS

Thirty dorsal fetal cadaveric hands were dissected. Morphometric measurements (length, width, beginning-ending angles and areas) of intertendinous connections were performed. The intertendinous connections were typed morphologically according to their shape and direction. Measurement values were obtained for the second, third and fourth intermetacarpal spaces. The measurement results were compared between right-left hand and male-female fetuses.

RESULTS

No intertendinous connections were present in the first intermetacarpal space in any dissected hands. Statistical differences were observed between the sides in terms of width, and beginning and end angles.

CONCLUSION

Anatomical results of this study would be helpful in identifying intertendinous connection types, dimensions and their relationships to the extensor tendons, and would assist surgeons when choosing intertendinous connection as an additional structural resource for tendon repair especially pediatric cases.

摘要

目的

本研究旨在确定胎儿尸体上腱间连接的形态测量学和形态,并提供有关肌腱关系的证据。

方法

解剖30例胎儿尸体的背侧手部。对腱间连接进行形态测量(长度、宽度、起止角度和面积)。根据腱间连接的形状和方向对其进行形态学分类。获取第二、第三和第四掌骨间隙的测量值。比较左右手以及男女胎儿的测量结果。

结果

在任何解剖的手部中,第一掌骨间隙均未发现腱间连接。在宽度、起始和终止角度方面,两侧之间观察到统计学差异。

结论

本研究的解剖学结果将有助于识别腱间连接类型、尺寸及其与伸肌腱的关系,并在外科医生选择腱间连接作为肌腱修复(尤其是儿科病例)的额外结构资源时提供帮助。

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本文引用的文献

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Surg Radiol Anat. 2016 Nov;38(9):1083-1093. doi: 10.1007/s00276-016-1673-2. Epub 2016 Apr 7.
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Relationship Between Juncturae Tendinum and Sagittal Bands.腱联合与矢状带之间的关系。
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Anatomical similarity between tendons and Type 3 intertendinous connections: suitability as local donor tissue.肌腱与3型腱间连接的解剖学相似性:作为局部供体组织的适用性。
Acta Orthop Traumatol Turc. 2011;45(5):370-5. doi: 10.3944/AOTT.2011.2369.
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Clin Anat. 2010 Jan;23(1):56-60. doi: 10.1002/ca.20878.
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Extension limitation and deviation of fingers by the scarred junctura tendinum: a case report.瘢痕性腱联合致手指伸展受限及偏斜:1例报告
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