前臂肌腱部分移位修复桡尺远侧关节脱位的应用解剖  

Applied anatomy of transposition of partial tendon of forearm to repair dislocation of distal radio-ulnar joint

作　　者：张国栋[1] 张发惠[1] 林永绥[2] 陈日景[3] 钟桂午[4] 

机构地区：[1]南京军区福州总医院军区临床解剖学研究中心,福建福州350025 [2]南京军区福州总医院骨科,福建福州350025 [3]广东医学院附属医院骨科 [4]中国人民解放军第466医院骨科,北京710054

出　　处：《实用手外科杂志》2005年第4期213-215,F0004,共4页Journal of Practical Hand Surgery

摘　　要：目的为前臂肌腱部分移位修复桡尺远侧关节脱位提供解剖学依据。方法30侧成人上肢标本,将尺侧腕屈肌腱、尺侧腕伸肌腱、桡侧腕长伸肌腱、肱桡肌腱作形态学测量,将尺侧腕屈肌腱、尺侧腕伸肌腱进行力学测试。结果尺侧腕屈肌腱长(16.7±2.7)cm;尺侧腕伸肌腱长(14.9±2.5)mm;桡侧腕长伸肌腱长(19.0±2.0)cm;肱桡肌腱长(11.7±2.4)cm。力学测试:尺侧腕屈、伸肌腱其全肌腱破坏载荷分别为(2.4±0.9)Mpa、(3.1±0.9)Mpa,半肌腱破坏载荷分别为(2.2±0.9)Mpa、(2.5±0.8)Mpa,t检验无显著性差异。结论前臂肌腱部分转位有足够的长度和强度修复桡尺远侧关节脱位。Objective To provide anatomical basis for the operation of the transposition of partial tendon of forearm to repair dislocation of the distal radio-ulnar joint.Methods Morphology configuration were measured on tendon of flexor carpi ulnaris and tendon of extensor carpi ulnaris and tendon of long radial extensor carpal muscle and tendon of brachioradial muscle and mechanics test were measured with tendon of flexor carpi ulnaris and tendon of flexor carpi ulnaris on 30 sides of adult cadaver upper limb specimen.Results The length of the tendon of flexor carpi ulnaris was （16.7±2.7）cm. The length of tendon of extensor carpi ulnaris was （14.9±2.5）mm.The length of tendon of long radial extensor carpal muscle was （19.0±2.0）cm. The lenth of tendon of brachioradial muscle was （11.7±2.4）cm. Mechanics test： the integrity of tendon of flexor carpi ulnaris was loading （2.4±0.9）Mpa, the half one was loading （2.2±0.9）Mpa. The integrity of tendon of extensor carpi ulnaris was loading （3.1±0.9）Mpa, the half one was loading （2.5±0.8）Mpa,they had no significant difference by T test.Conclusion The transposition of tendon of forearm has enough lenth and intensity to repair dislocation of the distal radio-ulnar joint.

关 键 词：前臂肌腱 桡尺远侧关节脱位 部分肌腱移位 应用解剖 

分 类 号：R687.4[医药卫生—骨科学] R322[医药卫生—外科学]