肱二头肌远端肌腱的解剖学研究及其临床意义  

Applied anatomy and clinical application of the distal biceps tendon

作　　者：冯彦华[1] 王诗波[2] 唐可[1] 骆宇春[2] 张伟伟[1] 樊嵘[2] 许斌[2] 

机构地区：[1]江苏大学临床医学院,镇江212013 [2]解放军第101医院骨科,江苏无锡214044

出　　处：《中国矫形外科杂志》2013年第6期591-594,共4页Orthopedic Journal of China

摘　　要：[目的]描述并测量肱二头肌远端肌腱的形态学特点及解剖学数据,为肱二头肌远端肌腱损伤的临床诊疗提供参考。[方法]在13具成人尸体标本上(男8具,女5具;26只肘关节)解剖观察肱二头远端肌腱的形态走行,并测量肱二头肌远端肌腱长度、肌腱到腱膜间距离、肌腱与腱膜间夹角以及该夹角顶点到肱血管、正中神经间距离。[结果]26只肘关节肱二头肌远端肌腱均分为两束;肱二头肌远端肌腱左右两侧平均长度、肌腱到腱膜平均长度、肌腱与腱膜之间夹角以及两者夹角顶点到肘窝血管神经间距离差异无统计学意义(P>0.05)。[结论]肱二头肌远端肌腱在形态学上分为前内侧束和后外侧束;肌腱与腱膜之间有肱血管及正中神经穿过。详细了解肱二头肌远端肌腱形态学特点、解剖学数据以及与周围重要结构的毗邻关系,可为临床上肱二头肌远端肌腱损伤的诊断及治疗提供参考。[ Objective] To investigate the measurement and delineation morphology and anatomy of the distal biceps tendon to provide reference for the clinical diagnosis and treatment. [ Method ] Anatomical observation of distal tendon morphology walking was made and the length, the distance and the angle between tendon and aponeurosis and the distance between angle and vascular and nerve were measured in 13 eadaveric specimens（ male 8 ,female 5 ; 26 elbow joint）. [ Result] All the distal biceps tendon were divided into two bundles. There were not statistically significant differences in left and right for the length, the distance between tendon and aponeurosis, the angle between tendon and aponeurosis, the distance between angle and vascular and nerve（ P 〉0.05 ）. [ Conclusion] To provide information for the clinical occurrence of diagnose and treatment for the distal biceps tendon injury ,we should have relatively systematic understanding for morphology characteristics, anatomical and its surrounding vital structures abutting relationship. In morphology the distal biceps tendon divides into znt-medial cord and aft-lateral cord,there have brachial vessels median nerve between tendon and aponeurosis.

关 键 词：肱二头肌远端肌腱 形态学 解剖学 

分 类 号：R684[医药卫生—骨科学]