Schmidt H M
Anatomisches Institut, Universität Würzburg, BRD.
Acta Anat (Basel). 1988;131(2):113-21.
In 40 hands of adults the 'loge de Guyon', a narrow bounded area within the proximal hypothenar region, has been dissected to realize an exact determination of the important characteristics of size. Beside measurements of the wall structures in the region of the pisiform bone, the hook of hamate and the entrances of the loge, variations of muscles and the position of the ulnar artery and nerve with their terminal branches have also been examined. The deep palmar branch of the ulnar artery crosses the rami of the ulnar nerve on the palmar side in 65% of cases. The branch of the artery crosses on the dorsal side in 30% and in 5% the ramus profundus of the ulnar artery runs between both terminal branches of the ulnar nerve. The clinical significance of the loge is emphasized, whereas the irregular nomenclature in the national and international literature is discussed in detail.
在40例成人手部标本中，对小鱼际近端一个界限狭窄的区域“Guyon管”进行了解剖，以精确测定其重要的尺寸特征。除了测量豌豆骨区域、钩骨钩以及Guyon管入口处的壁结构外，还检查了肌肉变异情况以及尺动脉和尺神经及其终末分支的位置。尺动脉的掌深支在65%的病例中于掌侧越过尺神经分支。动脉分支在背侧越过的情况占30%，在5%的病例中尺动脉深支走行于尺神经的两个终末分支之间。文中强调了Guyon管的临床意义，并详细讨论了国内外文献中不规则的命名法。
