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[小指展肌长肌:解剖学上的罕见情况?]

[M. abductor digiti minimi longus: anatomical rarity?].

作者信息

Wulle C

出版信息

Handchir Mikrochir Plast Chir. 1987 Jan;19(1):43-5.

PMID:3557205
Abstract

Within a period of five months, in eleven of all the cases examined, the author found the M. abductor digiti minimi longus as was described by Frohse and Fränkel in 1908. It ran from the fascia antebrachii through the Canal de Guyon to the hypothenar muscle mass. Vascularization and innervation were by the ulnar artery and nerve. This muscle must be assigned to the hypothenar muscular system, while a variation of the palmaris longus muscle, which is found in the same region and frequently described in the literature is supplied by the median nerve. Further, the literature has held this muscle to be the cause of compression of the ulnar nerve. In the author's view, the compression of the nerve is caused by the distal transverse ligament of the fascia antebrachii. By severing this transverse ligament, regeneration of the nerve is made possible.

摘要

在五个月的时间里,在所有检查的病例中,作者发现了11例如弗罗泽和弗兰克尔在1908年所描述的小指展肌。它起自前臂筋膜,穿过Guyon管至小鱼际肌块。其血管化和神经支配由尺动脉和尺神经提供。该肌肉必须归属于小鱼际肌肉系统,而在同一区域发现的、文献中经常描述的掌长肌变异则由正中神经支配。此外,文献认为该肌肉是尺神经受压的原因。作者认为,神经受压是由前臂筋膜的远侧横韧带引起的。通过切断这条横韧带,神经再生成为可能。

相似文献

1
[M. abductor digiti minimi longus: anatomical rarity?].[小指展肌长肌:解剖学上的罕见情况?]
Handchir Mikrochir Plast Chir. 1987 Jan;19(1):43-5.
2
Unusual coexistence of a variant abductor digiti minimi and reversed palmaris longus and their possible relation to median and ulnar nerves entrapment at the wrist.异常并存的变异小指展肌和反位掌长肌及其与腕部正中神经和尺神经卡压的可能关系。
Rom J Morphol Embryol. 2009;50(4):725-7.
3
Ulnar neuropathy caused by an accessory abductor digiti minimi muscle.
Wis Med J. 1991 Nov;90(11):628-31.
4
[The abductor digiti minimi longus muscle as a cause of distal ulnar compression syndrome].[小指展肌作为尺骨远端压迫综合征的病因]
Handchir Mikrochir Plast Chir. 1990 Jan;22(1):53-4.
5
Anomalous flexor digiti minimi brevis in Guyon's canal.Guyon管内的异常小指短屈肌。
Clin Anat. 2003 Jul;16(4):340-3. doi: 10.1002/ca.10087.
6
Median and ulnar nerve compression at the wrist caused by anomalous muscles.异常肌肉导致的腕部正中神经和尺神经受压
Acta Orthop Belg. 2002 Dec;68(5):431-8.
7
[Proximal ulnar nerve compression syndrome with special reference to the m. epitrochleo-anconaeus].
Handchir Mikrochir Plast Chir. 1987 Jan;19(1):33-42.
8
[An anatomical variation as an unusual cause of the ulnaris compression syndrome].
Handchirurgie. 1979;11(3-4):177-9.
9
[Post-traumatic ulnar nerve irritation and paralysis as a compression syndrome under the palmar carpal ligament].[创伤后尺神经激惹和麻痹作为腕掌韧带下的一种压迫综合征]
Handchir Mikrochir Plast Chir. 1990 May;22(3):130-6.
10
Re: Accessory abductor digiti minimi muscle originating proximal to the wrist causing symptomatic ulnar nerve compression.
Ann Plast Surg. 1993 May;30(5):480.

引用本文的文献

1
Anatomical work-up of an individual with multiple muscular variants on both forearms.对双侧前臂存在多种肌肉变异的个体进行解剖学检查。
Anat Sci Int. 2021 Sep;96(4):556-563. doi: 10.1007/s12565-021-00621-y. Epub 2021 Jun 16.
2
Variation in the hypothenar muscles and its impact on ulnar tunnel syndrome.小鱼际肌的变异及其对尺管综合征的影响。
Surg Radiol Anat. 2013 Dec;35(10):893-9. doi: 10.1007/s00276-013-1113-5. Epub 2013 Apr 5.
3
Possible implications of an accessory abductor digiti minimi muscle: a case report.小指外展肌副肌的可能影响:一例报告
J Brachial Plex Peripher Nerve Inj. 2007 Dec 3;2:22. doi: 10.1186/1749-7221-2-22.