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收肌管(亨特管)的解剖与病理

Anatomy and pathology of adductor canal (Hunter's canal).

作者信息

Mettu Sindhura, Saran Sonal, Shirodkar Kapil, Shah Ankit B, Shah Bipin R, Siddi Ganie Iqbal, Raghu Teja K J S S, Iyengar Karthikeyan P, Botchu Rajesh

机构信息

Department of Radiology, Himagiri Hospitals, Hyderabad, India.

Department of Radiology, AIIMS Rishikesh, Rishikesh, India.

出版信息

Skeletal Radiol. 2025 Jun;54(6):1169-1177. doi: 10.1007/s00256-024-04814-0. Epub 2024 Oct 13.

DOI:10.1007/s00256-024-04814-0
PMID:39397167
Abstract

Adductor canal (Hunter's canal) pathologies are often underdiagnosed, with the saphenous nerve being the most commonly affected. While uncommon, involvement of the femoral artery and vein can cause severe and irreversible complications if not detected early. Significant attention must be given to adductor canal pathologies because the musculoaponeurotic tunnel is predominantly fibrotic with minimal adipose tissue. As a result, any edema or space-occupying lesion can lead to early compression of the structures within the adductor canal. Incorporating adductor canal syndrome into the imaging differential diagnosis is essential. For diagnosing and sometimes managing these conditions. In this article, we describe the anatomy and spectrum of pathologies involving the Hunter's canal.

摘要

收肌管(亨特管)病变常被漏诊,其中隐神经最常受累。虽然股动脉和静脉受累不常见,但如果不及早发现,可导致严重且不可逆的并发症。必须高度重视收肌管病变,因为该肌性纤维隧道主要为纤维化组织,脂肪组织极少。因此,任何水肿或占位性病变都可能导致收肌管内结构早期受压。将收肌管综合征纳入影像鉴别诊断至关重要,有助于诊断并有时用于处理这些病症。在本文中,我们描述了涉及亨特管的病理学解剖结构及范围。

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1
Anatomy and pathology of adductor canal (Hunter's canal).收肌管(亨特管)的解剖与病理
Skeletal Radiol. 2025 Jun;54(6):1169-1177. doi: 10.1007/s00256-024-04814-0. Epub 2024 Oct 13.
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Anatomy of the Hunter's canal and its role in the venous outlet syndrome of the lower limb.亨特氏管的解剖结构及其在下肢静脉流出道综合征中的作用。
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本文引用的文献

1
Ultrasound-Guided Adductor Canal Block Versus Intraoperative Transarticular Saphenous Nerve Block: A Retrospective Analysis.超声引导下内收肌管阻滞与术中经关节隐神经阻滞的回顾性分析
J Arthroplasty. 2022 Jun;37(6S):S134-S138. doi: 10.1016/j.arth.2021.11.033. Epub 2022 Feb 18.
2
Ultrasound Imaging for the Cutaneous Nerves of the Extremities and Relevant Entrapment Syndromes: From Anatomy to Clinical Implications.四肢皮神经及相关卡压综合征的超声成像:从解剖到临床意义
J Clin Med. 2018 Nov 21;7(11):457. doi: 10.3390/jcm7110457.
3
Re-defining the anatomical structures for blocking the nerves in adductor canal and sciatic nerve through the same injection site: an anatomical study.
通过同一注射部位重新定义内收肌管和坐骨神经阻滞的解剖结构:一项解剖学研究
Surg Radiol Anat. 2018 Nov;40(11):1267-1274. doi: 10.1007/s00276-018-2094-1. Epub 2018 Aug 23.
4
Adductor canal compression syndrome in an 18-year-old female patient leading to acute critical limb ischemia: A case report.一名18岁女性患者的内收肌管压迫综合征导致急性严重肢体缺血:病例报告
Int J Surg Case Rep. 2017;37:113-118. doi: 10.1016/j.ijscr.2017.06.030. Epub 2017 Jun 17.
5
Defining the Location of the Adductor Canal Using Ultrasound.超声定位收肌管。
Reg Anesth Pain Med. 2017 Mar/Apr;42(2):241-245. doi: 10.1097/AAP.0000000000000539.
6
Entrapment of the saphenous nerve at the adductor canal affecting the infrapatellar branch - a report on two cases.隐神经在收肌管处受压影响髌下支——两例报告
J Can Chiropr Assoc. 2013 Dec;57(4):341-9.
7
Peripheral tumor and tumor-like neurogenic lesions.周围性肿瘤和神经源性肿瘤样病变。
Eur J Radiol. 2013 Jan;82(1):38-50. doi: 10.1016/j.ejrad.2011.04.036. Epub 2011 May 10.
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Neuropathies in runners.跑步者神经病。
Clin Sports Med. 2010 Jul;29(3):437-57. doi: 10.1016/j.csm.2010.03.002.
9
Three-Dimensional CT venography of varicose veins of the lower extremity: image quality and comparison with doppler sonography.下肢静脉曲张的三维CT静脉造影:图像质量及与多普勒超声检查的比较
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10
Anatomy and potential clinical significance of the vastoadductor membrane.股大收肌膜的解剖结构及其潜在临床意义
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