Menck J, Schreiber H W, Hertz T, Bürgel N
Abteilung für Neuroanatomie, Universität Hamburg.
Langenbecks Arch Chir. 1994;379(2):70-5. doi: 10.1007/BF00195866.
The periosteal and endosteal blood supply of the human ulna and radius was investigated by anatomical dissection. The main artery concerned is the anterior interosseous artery. It supplies the diaphysis of ulna and radius; its branches feed the distal one-fourths of both the ulna and the radius. The proximal one-fourth of the ulna is supplied by the ulnar artery, the ulnar recurrent artery and the recurrent interosseous artery. Periosteal branches of the common interosseous artery, the ulnar artery and the recurrent interosseous artery supply the proximal one-fourth of the radius. In both bones the main branch of the nutrient artery has an ascending course. The anterior interosseous artery, as the main artery of the periosteal and endosteal supply of the human ulna and radius, is important in transplantation and reconstruction, especially with a view to reducing the rate of pseudarthrosis. When osteosynthesis is planned so-called LC-DC plates should be chosen to preserve the periosteal branches. When a vascularized bone graft is taken from the forearm the vascularization of the remaining bones has to be considered. The vascularity of this area allows various options in grafting.
通过解剖学 dissection 研究了人类尺骨和桡骨的骨膜和骨髓血液供应。主要相关动脉是骨间前动脉。它供应尺骨和桡骨的骨干;其分支滋养尺骨和桡骨的远侧四分之一。尺骨的近侧四分之一由尺动脉、尺侧返动脉和骨间返动脉供应。骨间总动脉、尺动脉和骨间返动脉的骨膜分支供应桡骨的近侧四分之一。在两块骨中,营养动脉的主要分支呈上升走行。骨间前动脉作为人类尺骨和桡骨骨膜和骨髓供应的主要动脉,在移植和重建中很重要,尤其是为了降低假关节发生率。当计划进行骨固定时,应选择所谓的 LC-DC 钢板以保留骨膜分支。当从前臂获取带血管蒂骨移植时,必须考虑剩余骨骼的血管化。该区域的血管情况允许在移植时有多种选择。