肱骨远端手术中桡神经的标记和安全性

Ibrahim Etli, Merve Yildirim
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引用次数: 0

摘要

该研究分析了10具男性尸体(左右各10具)的20个肘部,这些尸体是根据严格的纳入标准选出的。既往有手术史、感染史、创伤史或畸形史的尸体被排除在样本之外。这些尸体的平均年龄为46岁,从28岁到64岁不等。精确的测量是使用Microscribe-G2X设备获得的,该设备以其精度高达千分之一毫米而闻名。测量桡神经在桡神经沟的支点到肱骨远端的长度,以及外侧上髁与桡神经之间的横径和肱骨本身的长度。测量桡神经在桡神经沟的支点到肱骨远端的长度,以及外侧上髁与桡神经之间的横径和肱骨本身的长度。测量桡神经在桡神经沟的支点到肱骨远端的长度,以及外侧上髁与桡神经之间的横径和肱骨本身的长度。测得左右两侧分别为30.54±0.65cm和30.54±0.59cm,差异无统计学意义。桡神经沟桡神经支点至肱骨远端距右侧15.07±1.27cm,左侧15.34±1.21cm。右侧为15.07±1.27cm,左侧为15.34±1.21cm。测量外侧上髁与桡神经之间的横径,右侧为2.95±0.14cm,左侧为3.05±0.13cm。我们认为,了解肱骨远端手术的安全区域可以大大提高手术的安全性。
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Land marks and safety with respect to radial nerve in distal humeral surgery
The study analyzed 20 elbows from 10 preserved male human cadavers (10 right and 10 left), which were selected based on strict inclusion criteria. Cadavers with a history of prior surgery, infection, trauma or deformity were excluded from the sample. The average age of the cadavers was 46 years, ranging from 28 to 64 years. The precise measurements were obtained using the Microscribe-G2X device, renowned for its accuracy of up to one-thousandth of a millimeter. The length from the pivot point of the radial nerve in the sulcus nervi radialis to the distal end of the humerus is measured, along with the transverse diameter between the lateral epicondyle and the radial nerve and the length of the humerus itself. The length from the pivot point of the radial nerve in the sulcus nervi radialis to the distal end of the humerus is measured, along with the transverse diameter between the lateral epicondyle and the radial nerve and the length of the humerus itself. The length from the pivot point of the radial nerve in the sulcus nervi radialis to the distal end of the humerus is measured, along with the transverse diameter between the lateral epicondyle and the radial nerve and the length of the humerus itself. The right and left sides were measured to be 30.54±0.65cm and 30.54±0.59cm, respectively, with no considerable difference between them. The distance from the pivot point of the radial nerve in the sulcus nervi radialis to the distal part of the humerus was 15.07±1.27cm on the right side and 15.34±1.21cm on the left side. On the right, the distance was 15.07±1.27cm, while on the left, it was 15.34±1.21cm. Moreover, the transverse diameter between the lateral epicondyle and the radial nerve was measured at 2.95±0.14cm on the right side and 3.05±0.13cm on the left side. We contend that comprehension of the safe zone in distal humerus surgery can greatly improve surgical safety.
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