肩胛骨上角区的解剖及临床意义  

Applied anatomy of superior angle of the scapula and its clinical significance

作　　者：杨希重[1] 王德春[1] 沈若武[2] 陈晓亮[1] 

机构地区：[1]青岛大学医学院附属医院骨科,青岛266003 [2]青岛大学医学院解剖学教研室,青岛266021

出　　处：《中国临床解剖学杂志》2007年第4期361-363,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的:研究肩胛骨上角的解剖学特点及其临床意义。方法:在16具32侧成人尸标本上对肩胛骨上角区的肌肉附着、神经走行及其相互关系进行详细观测。结果:斜方肌位于肩胛骨上角处深面筋膜增厚变白,增厚筋膜平均面积为4cm×2cm。其中有滑囊出现率12.5%(4/32),副神经位于增厚筋膜内的出现率78.12%(25/32)。副神经距肩胛骨上角最近距离为(2.0±0.6)cm。肩胛背神经主干与肩胛提肌交点距肩胛骨上角距离为(1.25±0.32)cm。结论:肩胛骨上角复杂肌肉附着及神经走行于肩胛骨上角附近时易造成卡压是肩背痛的解剖学基础。Objective： To study anatomic features of superior angle of the scapula and explore its clinical significance. Mothods： Anatomic structures concerning with the area of superior angle of the scapula were observed on 16 adult embalmed cavadvers （32 sides）. Results： The mean area of thicken fascia under trapezius at superior angle of the scapula was about 4 cm×2 cm, with the presence of bursa about 12.5%（4/32）. The nearest distance between the spinal accessory nerve and superior angle of the scapula was about （2.0±0.6） cm. The distance between the dorsal scapular nerve piercing the anterior border of levator scapulae and superior angle of the scapula was about （1.25±0.32） cm. Conclusiona： The multiple relations among muscles and nerves surrounding superior angle of the scapula are the anatomic basis of neck pain and shoulder pain.

关 键 词：肩胛骨上角 副神经 斜方肌 应用解剖 

分 类 号：R323.4[医药卫生—人体解剖和组织胚胎学]