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腋动脉分支的解剖变异及其手术意义:喙突区域的解剖学研究

Anatomical variations and surgical implications of axillary artery branches: an anatomical study of the coracoid process region.

作者信息

Nonthasaen Pawaree, Chaimongkhol Thawanthorn, Chobpenthai Thanapon, Mahakkanukrauh Pasuk

机构信息

Princess Srisavangavadhana College of Medicine, Chulabhorn Royal Academy, Bangkok, Thailand.

Department of Anatomy, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

出版信息

Anat Cell Biol. 2025 Mar 31;58(1):35-43. doi: 10.5115/acb.24.215. Epub 2025 Jan 8.

Abstract

The complex of neurovascular structures surrounding the coracoid process, particularly the axillary artery, the thoracoacromial artery and theirs branches, plays a critical role in shoulder function. Detailed dissection was performed in 36 shoulders from 18 embalmed cadavers. The focus was on axillary artery branches in relation to the coracoid process and the documentation of anatomical variations in this area. Significant findings include the categorization of thoracoacromial artery variations and the identification of acromial and clavicular branches as variable. A key measurement was mean distance between the thoracoacromial artery and tip of the coracoid process (31.89 mm). These findings offer valuable insight into the spatial relationships of these structures. The study provides important information on the vascular anatomy surrounding the coracoid process. Recognizing these anatomical variations is essential for planning safer and more effective shoulder surgeries, such as coracoclavicular stabilization and subcoracoid decompression. Detailed anatomical data are key for surgeons to prevent unintended injuries and enhance surgical success.

摘要

喙突周围的神经血管结构复合体,尤其是腋动脉、胸肩峰动脉及其分支,在肩部功能中起着关键作用。对18具防腐尸体的36个肩部进行了详细解剖。重点是腋动脉分支与喙突的关系以及该区域解剖变异的记录。重要发现包括胸肩峰动脉变异的分类以及肩峰支和锁骨支的变异识别。一个关键测量值是胸肩峰动脉与喙突尖端之间的平均距离(31.89毫米)。这些发现为这些结构的空间关系提供了有价值的见解。该研究提供了关于喙突周围血管解剖的重要信息。认识到这些解剖变异对于规划更安全、更有效的肩部手术至关重要,如喙锁固定和喙突下减压。详细的解剖数据是外科医生预防意外损伤并提高手术成功率的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67e8/11933807/e458df7a41d4/acb-58-1-35-f1.jpg

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