桡骨茎突部软组织结构的解剖学观测及临床意义

中国临床解剖学杂志 ›› 2011, Vol. 29 ›› Issue (1): 51-54.

桡骨茎突部软组织结构的解剖学观测及临床意义

肖　亮，　刘　强，　李义凯

南方医科大学中医药学院，广州 510515

收稿日期:2010-05-30 出版日期:2011-01-25 发布日期:2011-01-24
通讯作者: 刘　强，主治医师，Tel:(020)61648255，E-mail:ortho@　fimmu.com
作者简介:肖　亮(1986-)，男, 河南开封人，在读硕士，主要从事骨伤科的基础与临床方面的研究
基金资助:
广东省中医药管理局课题(2009260)

Anatomy study of soft tissue in the styloid process of radius and its clinical significance

XIAO Liang, LIU Qiang, LI Yi-kai

College of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, China

Received:2010-05-30 Online:2011-01-25 Published:2011-01-24

摘要/Abstract

摘要：

目的　观测桡骨茎突部软组织结构的特点及变异，为临床局部封闭、针刀等治疗提供解剖学依据。方法　对30例成人腕关节防腐固定标本的第1骨性纤维鞘管长度、上下口直径，及其与桡动脉、桡神经浅支间的宽度进行测量，并对纤维间隔和拇长展肌副腱进行了观测。结果　单隔间63.3%　(19例)，表现为拇长展肌(APL)肌腱与拇短伸肌(EPB)肌腱通过同一个纤维鞘管，中间无纤维间隔；双隔间　36.7%(11例)，表现为纤维鞘管中存在纤维间隔将APL与EPB肌腱隔开。APL副腱70%(21例),表现为　APL存在1～4条副腱。纤维鞘管的长度、下口内、外径及上口内、外径分别为(35.35±3.04) mm、(9.36±　0.38) mm 、(11.08±0.36) mm、 (13.15±0.87) mm和(13.67±0.82) mm。纤维鞘管与桡动脉、桡神经浅支间的距离分别为(1.60±0.17)～(4.58±0.45) mm、(1.42±0.18)～(4.59±0.45) mm。结论　第1骨性纤维鞘管可作为安全和有效的治疗部位。

关键词: 桡骨茎突狭窄性腱鞘炎, 桡骨茎突, 封闭, 应用解剖

Abstract:

Objective　To provide anatomical data for local blocking treatment and the needle knife therapy through investigating features and anatomical variance of the soft tissue in the styloid process of radius. Methods　Anatomical observation was performed at 30 adult wrist joints of cadaver samples. The diameter of upper and lower openings and length of the first extensor compartment, the distance from the first extensor compartment to radial artery and the distance from the first extensor compartment to superficial branch of radial nerve were measured. The septa of the extensor compartments and APL tendons were observed.　Results　In 19 specimens (63.3%), there was two tendons (APL and EPB) in one compartment. In 11 specimens (36.7%), there was APL and EPB in two separate compartments. In 21 specimens (70%) , APL had more than one tendon. The length, inside and outside diameters of lower opening and inside and outside diameters of upper opening of the first extensor compartment were (35.35±3.04) mm, (9.36±0.38) mm, (11.08±0.36) mm，(13.15±0.87) mm and (13.67±0.82) mm. The distance from the first extensor compartment to radial artery and the distance were (1.60±0.17)~(4.58±0.45) mm, (1.42±0.18 )~(4.59±0.45) mm from the first extensor compartment to superficial branch of radial nerve.　Conclusion　The first extensor compartment is a safe and effective area for treatment.

Key words: De Quervain's disease, Process of radius, Local blocking treatment, Applied anatomy

中图分类号:

R322.73

肖　亮, 刘　强, 李义凯. 桡骨茎突部软组织结构的解剖学观测及临床意义[J]. 中国临床解剖学杂志, 2011, 29(1): 51-54.

XIAO 　Liang, LI Qiang, LI Yi-Kai. Anatomy study of soft tissue in the styloid process of radius and its clinical significance[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(1): 51-54.

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