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  本文關(guān)鍵詞：肩胛下肌的解剖學特點與臨床意義　出處：《延邊大學》2017年碩士論文　論文類型：學位論文

  更多相關(guān)文章： 肩胛下肌 腋神經(jīng) 喙突撞擊綜合征 肩關(guān)節(jié)穩(wěn)定性 解剖

【摘要】：目的:本文主要研究肩胛下肌及其毗鄰結(jié)構(gòu)的解剖學特征,為臨床上治療肩胛下肌損傷提供解剖學資料和參考依據(jù)。方法:16側(cè)無肩胛區(qū)組織病變的成人尸體。對肩胛下肌及其毗鄰結(jié)構(gòu)進行解剖學研究,中立位下觀察并測量以下數(shù)據(jù):1.肩胛下肌在肱骨小結(jié)節(jié)止點處最高點到喙突距離2.肩胛下肌上緣到喙突距離3.肩胛下肌在肱骨小結(jié)節(jié)止點處的寬度4.肩胛下肌腱性部分長度5.肩胛下肌距肱骨小結(jié)節(jié)頂點2.0cm處肌腱的寬度6.肩胛下肌距肱骨小結(jié)節(jié)頂點2.0cm處肌腱的厚度7.肩胛下肌和腋神經(jīng)交界處距肱骨小結(jié)節(jié)頂點的垂直距離8.距肱骨小結(jié)節(jié)2.0cm處肩胛下肌下緣與下方腋神經(jīng)的垂直距離9.腋神經(jīng)入四邊孔處距肱骨小結(jié)節(jié)頂點的垂直距離10.肩關(guān)節(jié)前屈90時°,前臂中立位、前臂旋前90°、前臂旋前180°三個體位分別內(nèi)收,喙突與肩胛下肌小結(jié)節(jié)止點相接觸時的內(nèi)收的角度。測量結(jié)果用SPSS統(tǒng)計軟件進行統(tǒng)計分析。結(jié)果:1.肩胛下肌在肱骨小結(jié)節(jié)止點處最高點到喙突距離2.500±0.009cm。2.肩胛下肌上緣到喙突距離0.437±0.008cm。3.肩胛下肌在肱骨小結(jié)節(jié)止點處的寬度3.188±0.009cm。4.肩胛下肌腱性部分長度3.122±0.008cm。5.肩胛下肌距肱骨小結(jié)節(jié)頂點2.0cm處肌腱的寬度3.822±0.009cm。6.肩胛下肌距肱骨小結(jié)節(jié)頂點2.0cm處肌腱的厚度0.524±0.008cm。7.肩胛下肌和腋神經(jīng)交界處距肱骨小結(jié)節(jié)頂點的垂直距離3.522±0.008cm。8.距肱骨小結(jié)節(jié)2.0cm處肩胛下肌下緣與下方腋神經(jīng)的垂直距離1.026±0.008cm。9.腋神經(jīng)入四邊孔處距肱骨小結(jié)節(jié)頂點的垂直距離3.042±0.008cm。10肩關(guān)節(jié)前屈90°,前臂中立位、前臂旋前90°、前臂旋前180°三個體位分別內(nèi)收時,喙突與肩胛下肌小結(jié)節(jié)止點相接觸時的內(nèi)收的角度分別為44.506土1.182°、50.013土1.093°、54.292±1.201°,三者之間比較P0.05,具有統(tǒng)計學意義。結(jié)論通過研究肩胛下肌及其毗鄰結(jié)構(gòu)的解剖學特點,為治療與肩胛下肌損傷相關(guān)的疾病和指導肩關(guān)節(jié)活動提供理論依據(jù)。
[Abstract]:Objective: to study the anatomical characteristics of the subscapular muscle and its adjacent structures. Objective: to provide anatomic data and reference basis for clinical treatment of subscapular muscle injury. Methods the anatomical study of the subscapular muscle and its adjacent structures was carried out in 16 sides of adult cadavers without tissue lesions in the scapular region. The following data are observed and measured under the neutral position:. 1. Distance from the highest point of the subscapular muscle to the coracoid process 2. The distance between the superior edge of the subscapular muscle and the coracoid process 3. The width of the subscapular muscle at the insertion point of the subscapular tubercle 4. The length of the tendon part of the subscapular muscle 5. The width of the tendon at 2.0 cm from the apex of the tubercle of the humerus, the thickness of the tendon between the subscapular muscle and the apex of the tubercle of the humerus, and the vertical distance between the subscapular muscle and the axillary nerve from the apex of the tubercle of the humerus. Distance 8. The vertical distance between the inferior margin of the subscapular muscle and the inferior axillary nerve at 2.0 cm from the tubercle of the humerus. The vertical distance between the axillary nerve and the vertex of the tuberculus humerus was 10. 90 擄at the anterior flexion of the shoulder. The forearm was in neutral position, forearm pronation was 90 擄, forearm pronation was 180 擄. The angle of adduction when the coracoid process is in contact with the insertion point of the subscapular tubercle. The measured results were statistically analyzed by SPSS software. Results:. 1. The distance from the highest point of the subscapular muscle to the coracoid process is 2.500 鹵0.009cm.2.The distance from the superior edge of the subscapular muscle to the coracoid process is 0.437 鹵0.008cm.3. The width of the subscapular tendon was 3.188 鹵0.009 cm. 4. The length of the subscapular tendon was 3.122 鹵0.008 cm. 5. The distance between the subscapular muscle and the vertex of the tuberculus humerus was 2.0c. The width of tendon at m was 3.822 鹵0.009 cm 路6. The thickness of tendon was 0.524 鹵0.008 cm 路7. Subscapular muscle and axillary nerve. The vertical distance from the junction to the apex of the humeral tubercle is 3.522 鹵0.008cm.8.The vertical distance between the inferior margin of the subscapular muscle and the inferior axillary nerve is 1.026 鹵0.0 at 2.0 cm from the humeral tubercle. The vertical distance between the axillary nerve and the vertex of the humeral tubercle was 3.042 鹵0.008cm.10 the shoulder joint flexion 90 擄. Forearm neutral position, forearm pronation 90 擄, forearm pronation 180 擄respectively. The angle of adduction between coracoid process and subscapular tubercle was 44.506 鹵1.182 擄, 50.013 鹵1.093 擄and 54.292 鹵1.201 擄, respectively. Conclusion the anatomical characteristics of the subscapular muscle and its adjacent structures were studied. To provide theoretical basis for the treatment of diseases related to subscapular muscle injury and the guidance of shoulder joint movement.
【學位授予單位】：延邊大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R687;R322

【參考文獻】

相關(guān)期刊論文 前10條

1 苗戰(zhàn)杰;牛俊克;劉群華;何青青;;Bankart損傷關(guān)節(jié)鏡下修復與開放性手術(shù)的臨床療效對比[J];系統(tǒng)醫(yī)學;2017年01期

2 宋云駿;王永為;姜林鶴;黃微;辛建會;肖春山;;肩胛上神經(jīng)卡壓機制的臨床解剖學研究[J];中國臨床解剖學雜志;2015年06期

3 吳昊;Goutallier Danial;;逆向型人工全肩關(guān)節(jié)置換研究進展[J];中國修復重建外科雜志;2015年07期

4 劉雪峰;李躍敏;;運動員肩胛下肌損傷的診斷和治療方法[J];四川體育科學;2013年04期

5 許本柯;楊運平;劉洪濤;羅鋼;劉兵;劉本菊;;岡上肌腱的血供特點及臨床意義[J];中國臨床解剖學雜志;2012年01期

6 杜正位;;電針與挑刺治療肩胛下肌勞損[J];中醫(yī)臨床研究;2011年07期

7 丁實;賈科鋒;翟麗東;黃三合;李云生;;結(jié)節(jié)間溝及其毗鄰結(jié)構(gòu)斷層解剖學研究[J];解剖學研究;2010年06期

8 汪洋;;肩袖損傷的研究概況[J];井岡山醫(yī)專學報;2008年01期

9 童建軍,肖德明;肩袖損傷的形態(tài)學研究進展及其臨床意義[J];中國矯形外科雜志;2005年14期

10 徐鳳生,張潛,薛黔;人肩胛下肌的構(gòu)筑學研究[J];遵義醫(yī)學院學報;1997年Z1期

相關(guān)博士學位論文 前2條

1 凌奕清;MRI及肩關(guān)節(jié)特殊檢查對岡上肌撕裂的斷對比研究及關(guān)節(jié)鏡下肩袖修補術(shù)預后預測因素研究[D];浙江大學;2013年

2 陳剛;前臂肌內(nèi)神經(jīng)血管構(gòu)筑的解剖學研究[D];第二軍醫(yī)大學;2006年

相關(guān)碩士學位論文 前2條

1 耿春梅;背闊肌腱下滑囊炎應用解剖及其臨床研究[D];云南中醫(yī)學院;2013年

2 丁實;肩關(guān)節(jié)的斷層解剖與MRI對照研究[D];天津醫(yī)科大學;2011年

，

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