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[人类手掌深弓的解剖学(作者译)]

[Anatomy of the arcus volaris profundus of man (author's transl)].

作者信息

Mestdagh H

出版信息

Anat Anz. 1980;147(2):180-7.

PMID:7457902
Abstract

The deep volar arch presents few deviations from the so-called normal arrangement in: Keen's (1961) general survey of the arterial variations of the limbs, no abnormality of the arcus volaris profundus (AVP) is reported even if a fairly rate ruperficial dorsal radial artery is found (1 both sided in our series of 50 specimens). The deep palmar branch may arise from the ulnar artery, either above, or below the hook of the hamate; contrary to Coleman and Anson's (1961) findings, we considered that both vessels rarely join the radial artery together. 3 recurrent twigs were usually encountered running upwards along the carpal interspaces of the 2nd row; they contribute to the arterial carpal network around the capitate and may reach the tubercle of the scaphoid or the triquetrum. On the contrary the arch provided no nutrient vessel for the lunate which was merely supplied by branches descending from the radial and interosseous arteries. Hence no compensatory supply is to be expected through the rete carpi volare once the chief arterial trunks of the forearm are interrupted.

摘要

在基恩(1961年)对肢体动脉变异的总体调查中,掌深弓与所谓的正常排列仅有少量偏差:即便发现相当比例的桡动脉浅背支(在我们的50例标本系列中有双侧各1例),也未报告掌深弓(AVP)存在异常。掌深支可起自尺动脉,位于钩骨钩的上方或下方;与科尔曼和安森(1961年)的研究结果相反,我们认为这两条血管很少一起汇入桡动脉。通常可见3条返支沿第二排腕骨间隙向上走行;它们参与头状骨周围的腕动脉网,可能到达舟骨结节或三角骨。相反,该弓未为月骨提供营养血管,月骨仅由桡动脉和骨间动脉发出的下行分支供血。因此,一旦前臂主要动脉干中断,掌侧腕网无法提供代偿性供血。

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