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桡动脉走行于解剖鼻烟窝:一例报告。

The radial artery running over the anatomical snuffbox: a case report.

机构信息

Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, South Korea.

College of Arts and Sciences, Boston University, Boston, MA, USA.

出版信息

Surg Radiol Anat. 2022 May;44(5):659-663. doi: 10.1007/s00276-022-02944-5. Epub 2022 May 16.

DOI:10.1007/s00276-022-02944-5
PMID:35576017
Abstract

BACKGROUND

The radial artery, a terminal branch of the brachial artery, typically originates at the level of the radial neck. It runs under the cover of the brachioradialis muscle, descending along the lateral side of the forearm with paired accompanying veins and a superficial branch of the radial nerve. The radial artery rewinds around the lateral aspect of the wrist, passing beneath the tendons of the abductor pollicis, extensor pollicis longus, and extensor pollicis brevis. Finally, it crossed the floor of the anatomical snuffbox.

CASE REPORT

This case report presents an anatomical variant in which the radial artery runs over the radial fossa, that is, superficially of the tendons of the hand's abductor pollicis, extensor pollicis longus, and extensor pollicis brevis muscles.

CONCLUSION

The variation described in this paper sheds light on the possible atypical topographical relationships of the radial artery with the neighboring anatomical structures in the wrist, which can be crucial during hand surgery procedures.

摘要

背景

桡动脉是肱动脉的终末分支,通常起源于桡骨颈水平。它在肱桡肌的覆盖下运行,沿着前臂的外侧下降,与成对的伴行静脉和桡神经浅支一起。桡动脉在手腕的外侧迂回,穿过拇外展肌、拇长展肌和拇短伸肌腱下方。最后,它穿过解剖鼻烟窝的底部。

病例报告

本病例报告介绍了一种解剖变异,即桡动脉走行于桡骨窝之上,即手部拇外展肌、拇长展肌和拇短伸肌腱的表面。

结论

本文描述的变异提示桡动脉与手腕邻近解剖结构之间可能存在非典型的局部解剖关系,在手外科手术中至关重要。

相似文献

1
The radial artery running over the anatomical snuffbox: a case report.桡动脉走行于解剖鼻烟窝:一例报告。
Surg Radiol Anat. 2022 May;44(5):659-663. doi: 10.1007/s00276-022-02944-5. Epub 2022 May 16.
2
[The innervation of deep muscles of the human forearm extensors].[人类前臂伸肌深层肌肉的神经支配]
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Acta Anat (Basel). 1987;128(2):110-23.
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Anatomy, Shoulder and Upper Limb, Hand Anatomical Snuff Box解剖学,肩部及上肢,手部,解剖学鼻烟壶
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本文引用的文献

1
The High Origin of the Radial Artery (Brachioradial Artery): Its Anatomical Variations, Clinical Significance, and Contribution to the Blood Supply of the Hand.桡动脉(肱桡动脉)的高起源:其解剖变异、临床意义及其对手部血液供应的贡献。
Biomed Res Int. 2018 Jun 11;2018:1520929. doi: 10.1155/2018/1520929. eCollection 2018.
2
Low origin of the radial artery: a case study including a review of literature and proposal of an embryological explanation.桡动脉低位起源:一项病例研究,包括文献综述及胚胎学解释的提出
Anat Sci Int. 2017 Mar;92(2):293-298. doi: 10.1007/s12565-016-0371-9. Epub 2016 Sep 15.
3
Arterial patterns in the hand based upon a study of 650 specimens.
基于对650个标本的研究得出的手部动脉模式。
Surg Gynecol Obstet. 1961 Oct;113:409-24.
4
Brachial and antebrachial arterial patterns; a study of 750 extremities.肱动脉和前臂动脉模式;对750个肢体的研究。
Surg Gynecol Obstet. 1953 Jan;96(1):43-54.
5
Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature.上肢动脉模式变异再探讨:一项形态学与统计学研究,并附文献综述
J Anat. 2001 Nov;199(Pt 5):547-66. doi: 10.1046/j.1469-7580.2001.19950547.x.
6
Bilateral superficial radial artery at the wrist associated with a radial origin of a unilateral median artery.双侧腕部桡浅动脉伴单侧正中动脉起自桡动脉。
J Anat. 1996 Dec;189 ( Pt 3)(Pt 3):691-3.
7
[The superficial brachial artery].[肱浅动脉]
Anat Anz. 1985;160(4):285-94.