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[旋前方肌——形态学与功能分析]

[The quadrate pronator muscle--a morphological and functional analysis].

作者信息

Koebke J, Werner J, Piening H

出版信息

Anat Anz. 1984;157(4):311-8.

PMID:6529015
Abstract

Based upon the findings of dissections and of histological investigations, the m. pronator quadratus was found to be composed of 2 heads. In the majority of the cases an oblique superficial head entirely covered a deep head, whose fasciculi were oblique from the ulnar origin to the distal volar surface of the radius. The fibers of both heads were arranged obliquely to the axis of rotation. From this both heads by contraction will develop a rotatory and a shunt force, the shunt components acting antagonistically. The superficial head is the rotator for pronation, whereas the deep head is well located for maintenance of transverse forces at the distal radioulnar joint. Moreover, the two heads insert into the capsule of the articulatio radioulnaris distalis.

摘要

基于解剖和组织学研究结果,发现旋前方肌由两个头组成。在大多数情况下,一个斜行的浅头完全覆盖深头,深头的肌束从尺骨起点向桡骨远端掌面呈斜行。两个头的纤维均与旋转轴呈斜行排列。因此,两个头收缩时都会产生旋转力和分力,分力起拮抗作用。浅头是旋前的旋转肌,而深头的位置有利于在桡尺远侧关节维持横向力。此外,两个头均止于桡尺远侧关节的关节囊。

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引用本文的文献

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Should We Repair the Pronator Quadratus in a Distal Radius Fracture with an Ulnar Styloid Base Fracture? A Biomechanical Study.对于伴有尺骨茎突基底骨折的桡骨远端骨折,我们是否应该修复旋前方肌?一项生物力学研究。
J Wrist Surg. 2021 Oct;10(5):407-412. doi: 10.1055/s-0041-1730341. Epub 2021 Jun 21.
2
Pronator Quadratus Repair Does Not Affect Reoperation Rates Following Volar Locking Plate Fixation of Distal Radius Fractures.旋前方肌四头肌腱重建术并不影响掌侧锁定钢板固定桡骨远端骨折的再次手术率。
Hand (N Y). 2022 Dec;17(1_suppl):31S-36S. doi: 10.1177/15589447211017239. Epub 2021 Jun 9.
3
Repair of the pronator quadratus after volar plate fixation in distal radius fractures: a systematic review.
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Strategies Trauma Limb Reconstr. 2017 Nov;12(3):181-188. doi: 10.1007/s11751-017-0288-4. Epub 2017 May 17.
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Simulation of altered excursion of the pronator quadratus.旋前方肌异常活动范围的模拟。
J Wrist Surg. 2014 Aug;3(3):198-202. doi: 10.1055/s-0034-1384744.
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[Anatomy of the wrist joint and carpus].[腕关节和腕骨的解剖结构]
Unfallchirurgie. 1988 Apr;14(2):74-9.
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