桡骨茎突部软组织结构的解剖学观测及临床意义

Abstract

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

CLC Number:

R322.73

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.

References

[1] Gray H. Anatomy, Descriptive and Surgical
[M]. 13th edition. Philadelphia: Lea Bros & Co, 1893, 491.

[2] De Quervain F. Uber Eine form von chronische tendovaginitis
[J]. Correspondez-Nisy G Schweiger Aertze, 1895, 25:389-394.

[3]张国,张雪健. 局部封闭治疗桡骨茎突部狭窄性腱鞘炎的疗效观察
[J].河南外科学杂志, 2007, 13(6):79-80.

[4] 郑锡臣.足量强的松龙治疗绕古井狭窄性腱鞘炎
[J].医学理论与实践,1994, 8(7):45-46.

[5] 孙彦奇.针刀为主综合治疗桡骨茎突狭窄性腱鞘炎50例
[J].中国针灸,2009,增刊：26.

[6] 来心平,来宾.针刀治疗桡骨茎突狭窄性腱鞘炎96例
[J].科学之友,2007, 4:137.

[7] 何开仁.小针刀治疗桡骨茎突部狭窄性腱鞘炎86例
[J].大理学院学报,2007, 6:190.

[8] 张作仁,冯殿发,李国辉,等.桡骨茎突狭窄性腱鞘炎局部封闭致手指坏死(附3例报告)
[J].中国矫形外科杂志, 2005, 13(5):392.

[9] 陈振兵,洪光祥,王发斌.小针刀治疗手指狭窄性腱鞘炎的并发症
[J].临床误诊误治, 2004, 17(7):508.

[10]王启华,孙博.临床解剖学丛书(四肢分册)
[M].北京:人民卫生出版社出版, 1991, 150.

[11]肖亮,刘强,李义凯.桡骨茎突解剖形态学分型及临床意义
[J].中国临床解剖学杂志，2010，28(5):507-509.

[12] Hoch J, Fritsch H, Lewejohann S. Congenital or acquired disposition of the separate compartment of the extensor pollicis brevis tendon associated with stenosing tendovaginitis (de Quervain's disease)? Macroanatomical and fetal-plastinationhistological studies of the first compartment of the wrist
[J]. Ann Anat, 2004, 186(4):305-310.

[13]Bahm J, Szabo Z, Foucher G. The anatomy of de Quervain’s disease: A study of operative findings
[J]. Int Orthop, 1995, 19(4):209-211.

[14]张志钧,刘有生,万道富,等.桡骨茎突狭窄性腱鞘炎封闭疗法的解剖学基础
[J].中国骨伤, 2001, 14(3): 139-140.

[15]朱汉章.小针刀疗法
[M].北京:中国中医出版社出版, 1992:171.

[16]Yuasa K, Kiyoshige Y. Limited surgical treatment of de Quervain' s disease: decompression of only the extensor pollicis brevis subcompartment
[J]. J Hand Surg (Am), 1998, 23:840-843.

[17]易传军,田光磊,李忠哲.单纯切开拇短伸肌腱鞘治疗桡骨茎突狭窄性腱鞘炎
[J].中华骨科杂志, 2005, 25(10):626-628.

[18]Jackson WT, Viegas SF, Coon TM, et al. Anatomical variations in the first extensor compartment of the wrist
[J]. J Bone Joint Surg, 1986, 68(6):923-926.

[19]Gile KW. Anatomical variations affecting the surgery of De Quervain’s disease
[J]. J Bone Joint Surg Br, 1960, 42:352-355.

[20]Leao L. De Quervain’s disease-a clinical and anatomical study
[J]. J Bone Joint Surg, 1958, 40(5):1063-1070.

[21]Keon-Cohen B. De Quervain’s disease
[J]. J Bone Joint Surg, 1951, 33:96-99.

[22]Suresh SS, Zaki H. De Quervain disease ibri technique to avoid superficial radial nerve injury
[J]. Tech Hand Up Extrem Surg, 2009, 13(2):113-115.

[23] Jeyapalan K, Choudhary S. Ultrasound-guided injection of triamcinolone and bupivacaine in the management of de Quervain′s disease
[J]. Skeletal Radiol, 2009, 38(11):1099-1103.

[24]李义凯,钟世镇.能这样治疗狭窄性腱鞘炎吗
[J] ? 颈腰痛杂志, 2007, 28(1): 13-15.

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

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