本文關(guān)鍵詞：TFCC損傷導(dǎo)致腕尺側(cè)痛的解剖學(xué)研究　出處：《吉林大學(xué)》2010年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： TFCC 腕尺側(cè)痛 韌帶 神經(jīng)

【摘要】： 腕尺側(cè)痛嚴(yán)重影響患者的工作和日常生活,其治療也是困擾手外科醫(yī)師的難題。腕尺側(cè)痛的產(chǎn)生與腕三角纖維軟骨復(fù)合體(TFCC)損傷有關(guān),但目前國內(nèi)外對TFCC的研究并不多,且大多局限于生物力學(xué)和損傷后的診斷方面,對其解剖的研究較少,在很多方面尚未達(dá)成一致,存在較大的爭議。因此,TFCC損傷導(dǎo)致腕尺側(cè)痛的解剖學(xué)基礎(chǔ)不明確這種情況在很大程度上限制了TFCC損傷的診斷和腕尺側(cè)痛的治療。TFCC由腕三角纖維軟骨(TFC)及其周圍韌帶組成,由于腕關(guān)節(jié)腕骨及韌帶結(jié)構(gòu)復(fù)雜,韌帶短小、菲薄,纖維相互交叉,導(dǎo)致腕關(guān)節(jié)韌帶結(jié)構(gòu)在觀察、測量上十分的困難。這是目前國內(nèi)外對TFCC的解剖的認(rèn)識不全面、存在一定程度偏差的原因。在我們的臨床工作過程中發(fā)現(xiàn),尺月、尺三角韌帶的解剖構(gòu)成及走行與目前國內(nèi)外所報道的情況有所不同。為此我們系統(tǒng)解剖了10例健康男性成人上肢腕關(guān)節(jié)標(biāo)本,證實了我們的觀點(diǎn),明確了TFCC全部韌帶的走行及起止情況,并進(jìn)一步解剖觀察了TFCC的神經(jīng)支配,在解剖學(xué)上確定了TFCC損傷導(dǎo)致腕尺側(cè)痛的原因,為今后TFCC損傷的診斷及進(jìn)一步開展TFCC支配神經(jīng)切除治療腕關(guān)節(jié)尺側(cè)痛奠定了基礎(chǔ)。
[Abstract]:Ulnar carpal pain seriously affects patients' work and daily life, and its treatment is also a difficult problem for hand surgeons. The occurrence of ulnar carpal pain is related to the injury of TFCCs. But at present, there are few researches on TFCC at home and abroad, and most of them are confined to biomechanics and diagnosis after injury. There is little research on the anatomy of TFCC, and no agreement has been reached in many aspects. There's a lot of controversy. So... The anatomical basis of ulnar carpal pain caused by TFCC injury is unclear, which largely limits the diagnosis of TFCC injury and the treatment of ulnar carpal pain. And its surrounding ligaments. Because of the complex structure of carpal bones and ligaments, the short and thin ligaments, and the intersecting of fibers, the structure of the carpal ligaments is observed. It is very difficult to measure. This is the reason why the dissection of TFCC is not fully understood at home and abroad, and there is a certain degree of deviation. The anatomical composition and running of the ligamentum deltaeus ulnar are different from those reported at home and abroad. Therefore, we have systematically dissected the wrist joints of 10 healthy male adults and confirmed our point of view. The running and beginning and ending of all the ligaments in TFCC were clarified, and the nerve innervation of TFCC was observed further. The cause of ulnar carpal pain caused by TFCC injury was determined anatomically. It lays a foundation for the diagnosis of TFCC injury and the treatment of wrist ulnar pain by TFCC innervation.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2010
【分類號】：R322

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相關(guān)期刊論文 前3條

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本文編號：1434773