指深屈肌的神经支配：一项系统评价

Innervation of the Flexor Digitorum Profundus: A Systematic Review.

作者信息

Hwang Kun, Bang Seung Jun, Chung Sook Hyun

机构信息

Department of Plastic Surgery, Inha University School of Medicine, Incheon, South Korea.

Inha University School of Medicine, Incheon, South Korea.

出版信息

Plast Surg (Oakv). 2018 May;26(2):120-125. doi: 10.1177/2292550317740692. Epub 2017 Nov 22.

DOI:10.1177/2292550317740692

PMID:29845050

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5967167/

Abstract

PURPOSE

The aim of this study was to review the innervation of the flexor digitorum profundus (FDP).

METHODS

In PubMed and Scopus, terms (Flexor digitorum profundus OR FDP) AND (innervation OR nerve) were used, resulting in 233 and 281 papers, respectively. After excluding 142 duplicates, 73 abstracts were reviewed. Forty-seven abstracts were excluded, 26 full papers were reviewed, and 17 papers were analyzed.

RESULTS

In most cases (97.6%), the index FDP was innervated by the anterior interosseous nerve (AIN). Dual innervation from the AIN and ulnar nerve (UN) was observed in 2.4% of papers. In majority (76.8%), the middle FDP received dual innervation from the AIN and the UN. The rest was innervated by the AIN only (22.0%) or the UN only (1.2%). In most cases (85.4%), the ring FDP was innervated by the UN only. The rest (14.6%) received dual innervation from the AIN and the UN. In majority of cases (64.6%), the little FDP was innervated by the UN only. The rest (35.4%) received dual innervation from the AIN and the UN. The AIN entered the FDP at 107.63 (8.80) mm from the elbow, corresponding to 26.75% (2.17%) of the forearm length, measured proximally. The average number of AIN branches to the FDP was 2.27 (1.33). The average number of UN branches to the FDP was 1.37 (0.94). In 8.8% of limbs, a communicating branch supplied the FDP. Among the limbs with a communicating branch, 32.3% had branches supplying the FDP.

CONCLUSION

The results of this study may be useful in managing nerve injury patients.

摘要

目的

本研究旨在回顾指深屈肌（FDP）的神经支配情况。

方法

在PubMed和Scopus数据库中，使用检索词（Flexor digitorum profundus或FDP） AND（innervation或nerve），分别检索到233篇和281篇论文。排除142篇重复论文后，对73篇摘要进行了审阅。排除47篇摘要，审阅了26篇全文，并分析了17篇论文。

结果

在大多数情况下（97.6%），示指指深屈肌由骨间前神经（AIN）支配。2.4%的论文观察到骨间前神经和尺神经（UN）的双重支配。在大多数情况下（76.8%），中指指深屈肌接受骨间前神经和尺神经的双重支配。其余分别仅由骨间前神经支配（22.0%）或仅由尺神经支配（1.2%）。在大多数情况下（85.4%），环指指深屈肌仅由尺神经支配。其余（14.6%）接受骨间前神经和尺神经的双重支配。在大多数情况下（64.6%），小指指深屈肌仅由尺神经支配。其余（35.4%）接受骨间前神经和尺神经的双重支配。骨间前神经在距肘部107.63（8.80）mm处进入指深屈肌，相当于从近端测量的前臂长度的26.75%（2.17%）。骨间前神经至指深屈肌的分支平均数量为2.27（1.33）。尺神经至指深屈肌的分支平均数量为1.37（0.94）。在8.8%的肢体中，有一条交通支支配指深屈肌。在有交通支的肢体中，32.3%有分支支配指深屈肌。