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迈向人体尺神经的粘弹性表征:使用防腐尸体的早期评估。

Towards viscoelastic characterisation of the human ulnar nerve: An early assessment using embalmed cadavers.

作者信息

Barberio Carla G, Chaudhry Tahseen, Power Dominic M, Tan Simon, Lawless Bernard M, Espino Daniel M, Wilton Joanne C

机构信息

Department of Anatomy, College of Medical and Dental Sciences, University of Birmingham, United Kingdom.

Hand and Peripheral Nerve Research Network Birmingham, Queen Elizabeth Hospital, University Hospitals Birmingham, United Kingdom.

出版信息

Med Eng Phys. 2019 Feb;64:15-22. doi: 10.1016/j.medengphy.2018.12.009. Epub 2018 Dec 13.

Abstract

Cubital tunnel syndrome is the most prevalent neuropathy of the ulnar nerve and its aetiology is controversial. Potential replacement materials should display similar viscoelastic properties. The purpose of this study was to assess the feasibility and merit of quantifying the frequency-dependent viscoelastic properties of proximal and distal sections of the human ulnar nerve. Four ulnar nerves (n = 4) were dissected from the elbows of human cadavers and sectioned at the level of the cubital tunnel into proximal and distal sections. These eight sections of the ulnar nerve were sinusoidally loaded to induce stresses between 0.05 and 0.27 MPa and the viscoelastic properties were measured between 0.5 and 24 Hz using dynamic mechanical analysis. The nerves were found to exhibit frequency-dependent viscoelastic behaviour throughout this frequency range. The median storage moduli of the proximal nerves ranged between 7.03 and 8.18 MPa, and 8.85-10.19 MPa for distal nerves, over the frequency-sweep tested. The median loss moduli of the proximal nerves ranged between 0.46 and 0.81 MPa and between 0.51 and 0.80 MPa for distal nerves. Ulnar nerves display frequency dependency viscoelasticity. Such characterisation is feasible with potential applications to suitable nerve grafts.

摘要

肘管综合征是最常见的尺神经病变,其病因存在争议。潜在的替代材料应具有相似的粘弹性特性。本研究的目的是评估量化人尺神经近端和远端频率依赖性粘弹性特性的可行性和价值。从人体尸体肘部解剖出4条尺神经(n = 4),并在肘管水平将其切成近端和远端部分。对这8段尺神经施加正弦载荷,以产生0.05至0.27兆帕的应力,并使用动态力学分析在0.5至24赫兹之间测量其粘弹性特性。结果发现,在整个频率范围内,神经均表现出频率依赖性粘弹性行为。在所测试的频率扫描范围内,近端神经的中位储能模量在7.03至8.18兆帕之间,远端神经的中位储能模量在8.85至10.19兆帕之间。近端神经的中位损耗模量在0.46至0.81兆帕之间,远端神经的中位损耗模量在0.51至0.80兆帕之间。尺神经表现出频率依赖性粘弹性。这种特性描述是可行的,可能适用于合适的神经移植物。

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