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桡侧腕屈肌腱在腕管中的走行:一项放射学和尸体研究。

Tendon of Flexor Carpi Radialis in carpal tunnel: a radiologic and cadaveric study.

机构信息

Department of Anatomy, Faculty of Medicine, Hacettepe University, Ankara, Turkey

Department of Anatomy, Faculty of Medicine, Balıkesir University, Balıkesir, Turkey

出版信息

Turk J Med Sci. 2021 Aug 30;51(4):1912-1916. doi: 10.3906/sag-2012-31.

DOI:10.3906/sag-2012-31
PMID:33705637
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8569728/
Abstract

BACKGROUND/AIM: Carpal tunnel is an important anatomical passage that carries the flexor tendons into the hand. As there is still no consensus about its contents among the anatomy textbooks, the main purpose of this study was to identify the relations of the flexor carpi radialis tendon in the carpal tunnel.

MATERIALS AND METHODS

This retrospective study was completed in April 2018 at authors’ university’s hospital. Seventy-four female and 44 male patients’ wrists without any pathology were examined by using magnetic resonance images. The series of axial sections where the pisiform exist were evaluated by using T1 sequence and the structures in the carpal tunnel were identified.

RESULTS

Results of this study showed that the tendon of the flexor carpi radialis was found above the flexor retinaculum within its own septal compartment in all patients.

CONCLUSION

According to the results, tendon of flexor carpi radialis crosses the wrist region superficial to the carpal tunnel. Thus, tendon of flexor carpi radialis doesn’t have any effect on the carpal tunnel syndrome. Further cadaveric studies would be useful for identifying the contents of the carpal tunnel and morphological organization of the wrist.

摘要

背景/目的:腕管是一个重要的解剖通道,它将屈肌腱输送到手部。由于解剖学教科书中仍未就其内容达成共识,因此本研究的主要目的是确定腕管中桡侧腕屈肌腱的关系。

材料和方法

本回顾性研究于 2018 年 4 月在作者所在大学医院完成。对 74 名女性和 44 名男性无任何病理手腕的磁共振成像进行了检查。使用 T1 序列评估存在豌豆骨的轴向系列切片,并识别腕管中的结构。

结果

本研究结果表明,在所有患者中,桡侧腕屈肌腱均位于屈肌支持带内的自身间隔腔内。

结论

根据结果,桡侧腕屈肌腱在腕管区域浅层穿过手腕。因此,桡侧腕屈肌腱对腕管综合征没有任何影响。进一步的尸体研究对于确定腕管的内容物和腕部的形态组织将是有用的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/becb/8569728/23aeaeeee7f1/turkjmedsci-51-1912-fig002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/becb/8569728/180266d85ae0/turkjmedsci-51-1912-fig001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/becb/8569728/23aeaeeee7f1/turkjmedsci-51-1912-fig002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/becb/8569728/180266d85ae0/turkjmedsci-51-1912-fig001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/becb/8569728/23aeaeeee7f1/turkjmedsci-51-1912-fig002.jpg

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Morphology and innervation of brachioradialis and flexor carpi radialis and their utility in tendon transfer surgeries: A Cadaveric Study.肱桡肌和桡侧腕屈肌的形态和神经支配及其在肌腱转移手术中的应用:尸体研究。
Morphologie. 2020 May;104(345):91-96. doi: 10.1016/j.morpho.2019.10.046. Epub 2019 Nov 21.
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Anatomic Landmarks to Locate the Median Nerve for Safe Wrist Block or Carpal Tunnel Steroid Injection.
用于安全腕部阻滞或腕管类固醇注射定位正中神经的解剖标志。
Eplasty. 2019 Jul 29;19:e19. eCollection 2019.
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Carpal Tunnel Syndrome: Symptoms, Causes and Treatment Options. Literature Reviev.腕管综合征:症状、病因及治疗选择。文献综述
Ortop Traumatol Rehabil. 2017 Jan 26;19(1):1-8. doi: 10.5604/15093492.1232629.
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Ulnar Tunnel Syndrome, Radial Tunnel Syndrome, Anterior Interosseous Nerve Syndrome, and Pronator Syndrome.尺管综合征、桡管综合征、骨间前神经综合征和旋前圆肌综合征。
J Am Acad Orthop Surg. 2017 Jan;25(1):e1-e10. doi: 10.5435/JAAOS-D-16-00010.
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