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精彩继续 | 一文详解桡骨前侧入路(HENRY入路)

 创骨英文 2022-12-06 发布于广东

桡骨前侧入路

桡骨前侧人路可以良好而安全地显露桡骨全长、显露桡骨近端1/3有损伤骨间后神经的危险。但前路可以骨膜下剥离旋后肌,并用其来保护该神经,避免危险的发生。同样,术中注意放置拉钩的位置,避免向后放置拉钩将神经直接压在烧骨上,因为骨间后神经可能在桡骨颈远端的烧骨粗隆对侧水平与骨直接接触。这一人路首先为Henry所描述,故名Henry 切口。桡骨前侧入路的适应证如下:

1.桡骨骨折切开复位和内固定术。

2,桡骨骨不连的植骨和固定术。

3.桡骨截骨术。

4.桡骨骨肿瘤的活检和治疗。

5,桡骨慢性骨髓炎的死骨摘除。

6,桡骨粗隆的前侧显露。

The biceps brachii is a muscle in the upper arm. It is located in the upper part of the humerus and is part of the muscle network in the arm along with muscles such as the brachialis and brachioradialis. The biceps brachii is a compound muscle made up of two heads: the long head and the short head. They originate from the upper and lower heads of the humerus, respectively, and end at the lower part of the humerus. The main function of the biceps brachii is to flex and rotate the elbow joint, whether the elbow is extended or flexed. It also helps to support and stabilize the wrist. Damage or strain to the biceps brachii can limit elbow movement and affect hand function. Physical therapy and rehabilitation exercises can help to restore muscle function.

biceps brachii(肱二头肌)是人体上肱部的一种肌肉。它位于肱骨(humerus)的上部,与肱前肌(brachialis)和肱桡肌(brachioradialis)等肌肉共同组成肱部的肌肉网。肱二头肌是一种复合肌肉,由两个头组成:长头和短头。它们分别起源于肱骨的上头和下头,终点位于肱骨的下部。肱二头肌的主要功能是收缩和旋转肘关节,即使肘关节能够伸直或旋转。它还可以帮助支持和稳定手腕。肱二头肌的损伤或劳损可能会导致肘关节活动受限,影响手部功能。应通过物理治疗和康复训练来恢复肌肉功能。

The deep branch of the radial nerve is a branch of the radial nerve. The radial nerve is one of the largest nerves in the body. It branches off from the lumbar region of the spinal cord, passes through the posterior part of the humerus, and distributes to the back of the hand and the forearm. The deep branch of the radial nerve primarily distributes between the biceps brachii and the brachialis muscles, providing nerve supply to these muscles. Damage to the deep branch of the radial nerve can cause functional impairments in the arm muscles and affect hand function. Nerve function should be restored through surgery or physical therapy.

桡神经深支(deep branch of the radial nerve)是桡神经(radial nerve)的一个分支。桡神经是人体上最大的神经之一,它由脊髓的腰部分支出,经过肱骨(humerus)的后部,分布到手背和前臂。桡神经深支主要分布在肱二头肌(biceps brachii)和肱前肌(brachialis)之间,为这些肌肉提供神经供应。桡神经深支的损伤可能会导致肱部肌肉的功能障碍,影响手部功能。应通过手术或物理治疗来恢复神经功能。

The brachioradialis muscle is a superficial muscle in the upper arm. It is located between the humerus and the radius, and is part of the muscle network in the arm along with muscles such as the biceps brachii and brachialis. The main function of the brachioradialis muscle is to extend and rotate the elbow joint, whether the elbow is extended or flexed. It also helps to support and stabilize the wrist. Damage or strain to the brachioradialis muscle can limit elbow movement and affect hand function. Physical therapy and rehabilitation exercises can help to restore muscle function.

肱桡肌(brachioradialis muscle)是人体上肱部的一种浅层肌肉。它位于肱骨(humerus)和桡骨(radius)之间,与肱二头肌(biceps brachii)和肱前肌(brachialis)等肌肉共同组成肱部的肌肉网。肱桡肌的主要作用是伸展和旋转肘关节,即使肘关节能够伸直或旋转。它还可以帮助支持和稳定手腕。肱桡肌的损伤或劳损可能会导致肘关节活动受限,影响手部功能。应通过物理治疗和康复训练来恢复肌肉功能。

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