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手部背侧骨间后神经分支模式的解剖研究。

An Anatomical Study to the Branching Pattern of the Posterior Interosseous Nerve on the Dorsal Side of the Hand.

机构信息

Department of Plastic Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.

Department of Anatomy, University Medical Centre Utrecht, Utrecht, The Netherlands.

出版信息

Clin Anat. 2020 Jul;33(5):678-682. doi: 10.1002/ca.23486. Epub 2019 Oct 10.

Abstract

Partial denervation of the wrist can benefit patients with chronic wrist pain. A complication of partial denervation is loss of proprioception and hypesthesia on the dorsal side of the hand. Our aim is to evaluate whether the sensory branches of the posterior interosseous nerve could contribute to the loss of proprioception and sensation. The branching pattern of the posterior interosseous nerve was studied in 20 cadaveric hands. The terminal branches of the posterior interosseous nerve reached the metacarpophalangeal joints in three specimens (15%), the midshaft of the metacarpals in three specimens (15%), carpometacarpal joints in 11 specimens (55%), and the scapholunate joint in three specimens (15%). The finding that terminal branches of the posterior interosseous nerve can reach the metacarpals and the metacarpophalangeal joints indicates that the posterior nerve may contribute to the proprioception and sensation of the dorsal side of the hand. Clin. Anat., 33:678-682, 2020. © 2019 Wiley Periodicals, Inc.

摘要

腕部部分去神经支配可使慢性腕痛患者受益。部分去神经支配的并发症是手部背面本体感觉丧失和感觉迟钝。我们的目的是评估后骨间神经的感觉支是否会导致本体感觉和感觉丧失。研究了 20 具尸体手的后骨间神经分支模式。后骨间神经的终末支在 3 个标本(15%)中到达掌指关节,在 3 个标本(15%)中到达掌骨干,在 11 个标本(55%)中到达掌腕关节,在 3 个标本(15%)中到达舟月关节。后骨间神经终末支可到达掌骨和掌指关节的发现表明,后神经可能对手背的本体感觉和感觉有贡献。临床解剖学,33:678-682, 2020。© 2019 Wiley Periodicals, Inc.

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