Second Department of Orthopaedics, Affiliated Hospital of Chengde Medical College, Chengde, China.
Emergency Centre of Trauma, Third Hospital of Hebei Medical University, Shijiazhuang, China.
Folia Morphol (Warsz). 2020;79(2):387-394. doi: 10.5603/FM.a2019.0093. Epub 2019 Aug 26.
The aim of the study was to investigate the anatomy of the anterior nerve and artery of the elbow joint to provide reference on the relevant surgical approach to the elbow joint, and determine a simple better surgical approach for the treatment of part of the fractures of the elbow joint.
The upper extremities of 10 adult cadavers fixed by formaldehyde and perfused with red latex in the artery were observed to investigate the anatomic structure of the anterior approach to the elbow joint. From the clearance of the brachioradialis and pronator teres muscle to the approach of the neurovascular interval, we observed the states of the median nerve, the brachial, radial and ulnar arteries, and its branches through anatomical layers and measurement methods.
Through the anterior neurovascular interval approach to the elbow, nerve and artery can be protected, and the anterior structures of the elbow, such as the ulna coronoid process, humeroulnar joint and trochlea of the humerus, can be exposed.
This study demonstrates that the anterior anatomical structure of the elbow joint including the trochlea of the humerus, coronoid process of the ulna and the front capsule of the elbow can be exposed through the anterior neurovascular approach to the elbow.
本研究旨在探讨肘关节前神经和动脉的解剖结构，为肘关节相关手术入路提供参考，并确定一种治疗部分肘关节骨折的简单、更好的手术入路。
10 例经甲醛固定和动脉红色乳胶灌注的成人尸体上肢进行观察，研究肘关节前入路的解剖结构。从肱桡肌和旋前肌间隙的清除到神经血管间隙的入路，我们通过解剖层次和测量方法观察正中神经、肱动脉、桡动脉和尺动脉及其分支的状态。
通过肘关节前神经血管间隙入路，可以保护神经和动脉，并显露肘关节的前侧结构，如尺骨冠状突、肱尺关节和肱骨滑车。
本研究表明，通过肘关节前神经血管入路可以显露包括肱骨滑车、尺骨冠状突和肘关节前囊在内的肘关节前解剖结构。
