Tsutsui H
Nihon Seikeigeka Gakkai Zasshi. 1986 Apr;60(4):401-14.
The purpose of this paper is to apply selective angiography to the shoulder joint based on anatomical quantitative study. Prior to the selective angiography, I made the arterial casts of adult cadavers (30 joints) to investigate the vascular distribution of the rotator cuff, and the arterial specimen of fetus cadavers (60 joints) using a modification of Teichmann's technique with cold injection medium to observe the types of origin of the main arteries roentgenographically. Results of these anatomical studies showed the rotator cuff to have 4 main arteries, and each tendon of the rotator cuff to have 2 or more arteries from the scapular side and the humeral side, forming a vascular network on the tendon. The critical zone of the vascular network was in the subacromial part of the rotator cuff where the selective angiogram showed a variety of abnormal vasculature in clinical cases with lesions at the supraspinatus tendon.
本文的目的是在解剖学定量研究的基础上，将选择性血管造影应用于肩关节。在进行选择性血管造影之前，我制作了成人尸体（30个关节）的动脉铸型，以研究肩袖的血管分布，并使用改良的Teichmann技术和冷注射介质制作了胎儿尸体（60个关节）的动脉标本，以通过X射线观察主要动脉的起源类型。这些解剖学研究结果表明，肩袖有4条主要动脉，肩袖的每条肌腱从肩胛侧和肱骨侧有2条或更多动脉，在肌腱上形成血管网络。血管网络的关键区域位于肩袖的肩峰下部分，在临床病例中，当冈上肌腱有病变时，选择性血管造影显示出各种异常血管系统。
