Aszmann O C, Dellon A L, Birely B T, McFarland E G
Division of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Clin Orthop Relat Res. 1996 Sep(330):202-7. doi: 10.1097/00003086-199609000-00027.
The distribution and variability of the nerves innervating the shoulder joint were determined in 25 fresh human adult cadavers using 3.5x magnification for dissection. The results showed that 100% of the specimens had dual innervation of the coracoclavicular ligaments, the subacromial bursa, and the acromioclavicular joint. This dual innervation was from the articular branches of the suprascapular nerve and of the lateral pectoral nerve. Constant relationship of these 2 nerves to bony landmarks will permit anesthetic blocks for diagnosis and possible therapeutic intervention. A consistent pattern of innervation of the posterior and inferior shoulder joints also is described.
在25具新鲜成人尸体上，使用3.5倍放大倍数进行解剖，以确定支配肩关节的神经分布和变异性。结果显示，100%的标本中，喙锁韧带、肩峰下囊和肩锁关节均有双重神经支配。这种双重神经支配来自肩胛上神经和胸外侧神经的关节支。这两条神经与骨性标志的恒定关系将有助于进行诊断性麻醉阻滞和可能的治疗干预。文中还描述了肩关节后下方神经支配的一致模式。
