“蛇形区域”：治疗掌腱膜挛缩症时数字神经血管螺旋表面解剖的外科医生指南
"The Serpentine Zone": A Surgeon's Guide to the Surface Anatomy of the Digital Neurovascular Spiral in Dupuytren's Contracture.
作者信息
Macey Alistair R M, Thomas Roshin
机构信息
Department of Trauma and Orthopaedics, NHS Dumfries and Galloway, Dumfries and Galloway Royal Infirmary, Dumfries, Scotland.
出版信息
J Hand Microsurg. 2018 Apr;10(1):54-56. doi: 10.1055/s-0037-1607047. Epub 2017 Nov 27.
Abstract
The anatomy of the cords that form in Dupuytren's disease is complicated and a spiral cord is the most challenging variant to address. It displaces the neurovascular bundle toward or beyond the midline and closer to the skin. This article illustrates the surface anatomy of the neurovascular spiral to help surgeons identify this zone of danger that the authors term "the serpentine zone." Careful dissection in this zone will help avoid iatrogenic digital neurovascular injury.
摘要
杜普伊特伦挛缩症中形成的条索解剖结构复杂，螺旋状条索是最难处理的变体。它将神经血管束向中线或超过中线方向推移，并使其更靠近皮肤。本文阐述了神经血管螺旋的表面解剖结构，以帮助外科医生识别作者所称的“蛇形区域”这一危险区域。在此区域进行仔细解剖将有助于避免医源性手指神经血管损伤。
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