趾长屈肌的亚部化研究及其临床意义
Investigation of compartmentalization on human flexor digitorum longus and their clinical significance
目的 探讨趾长屈肌的亚部划分,为临床外科“半肌”移位手术提供解剖学基础。 方法 大体解剖法、肌构筑法、改良Sihler’s 染色法。 结果 ①可依劈开趾长屈肌肌内腱板,把该肌分为胫侧和腓侧两个亚部;②胫侧亚部各构筑学值大于腓侧亚部;③两亚部存在单独神经支配。 结论 ①趾长屈肌可分为胫侧亚部和腓侧亚部,两亚部有独立的神经支配;②趾长屈肌的两个亚部均为半羽肌,胫侧亚部产生的肌力大于腓侧亚部。
Objective To reveal morphologic features of human flexor digitorum longus (FDL) for clinical application. Methods Muscle architecture skill and modified Sihler's staining were used in this study. Results ①The FDL could be divided into tibial and fibula compartments by the instramuscular tendon; ②The values of muscle architecture of tibial compartment of FDL were bigger than those of the fibula compartment; ③Tibial compartment and fibula compartment were innervated respectively. Conclusions ①The FDL can be divided into tibial and fibula compartments, with independent nerve innervation; ②Two compartments formed by the half pinnate muscle, however, muscle strength of tibial compartment is more strong than that of fibula compartment.
Flexor digitorum longus / Muscle architecture / Instramuscular nerve / Muscle compartment
[1] Won SY,Kim DH.Clinical and anatomical approach using Sihler's staining technique
[J].Anat Cell Biol, 2011, 44(1):1-7.
[2] 杨方玖,薛黔,李季容.斜方肌各亚部的肌构筑肌梭分布研究及其临床意义
[J]. 中国临床解剖学杂志, 2010, 28(1):7-9.
[3] 薛黔, 李名扬, 李志义. 人小腿肌的构筑学研究
[J]. 解剖学杂志, 1997,20(5):528-530.
[4] 李瑞平, 田小运, 张建利, 等. 趾长屈肌瓣修复小腿创面的临床应用
[J].中华显微外科杂志, 2006, 29(2):147-148.
[5] Mu L, Sanders I. Sihler's whole mount nerve staining technique
[J]. Biotechnic & Histochemistry, 2010, 85(1):19-42.
[6] Letbetter WD. Influence of intramuscular nerve branching on motor unit organization in medial gastrocnemius muscle
[J]. Anat Rec, 1974, 178(5) : 402- 405.
[7] 葛兆茹,谷方,王庆保,等.小腿后群肌的应用研究
[J].泰山医学院学报, 1998, 19: 288-229.
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