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傅渊源,王华军,李义凯,潘长卿,袁仕国,沈 欣.肩胛切迹的骨性观测及定位研究[J].中国康复医学杂志,2010,25(6):527~530
肩胛切迹的骨性观测及定位研究    点此下载全文
傅渊源  王华军  李义凯  潘长卿  袁仕国  沈 欣
南方医科大学中医药学院骨伤推拿教研室,广州, 510515
基金项目:
DOI:
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摘要:
      摘要 目的:为肩胛上神经卡压综合征的临床诊治提供解剖形态学基础。 方法:对200例成人干燥肩胛骨的肩胛切迹形状及以肩峰角为标志来确定肩胛切迹的定位方法进行研究。 结果:肩胛切迹分为U型、大弧型、V型、O型及部分骨化型,其中以U型居多(52.50%);肩胛切迹宽度为(10.52±4.27)mm,深度为(6.12±2.24)mm;肩胛切迹到肩胛冈的垂线交点到肩峰角的距离为(43.12±4.82)mm,从交点至肩胛切迹的深度为(31.42±4.01)mm,肩峰角多为钝角,突起明显,位置恒定。 结论:肩峰角可作为肩胛切迹的定位标志,从肩峰角沿肩胛冈上缘水平向内约4cm,再向前约3cm即为肩胛切迹。
关键词:肩胛上神经  应用解剖  肩胛切迹  肩峰角  封闭疗法
The anatomic observation and localization research of scapular notch    Download Fulltext
Department of Orthopedics, College of Traditional Chinese Medicine, The Southern Medical University, Guangzhou, 510515
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Abstract:
      Abstract Objective: To provide the anatomical basis for the diagnosis and treatment of suprascapular nerve compression syndrome. Method: The shapes of scapular notches and the localizing method marked by acromial angle were researched on 200 adults′ dry scapulas. Result: The shapes of scapular notches were classified as type U, type large arc, type V, type O and type incomplete ossification and the most common shape was type U (52.50%). The average width and depth of scapular notches were (10.52±4.27)mm and (6.12±2.24)mm respectively. The distance of acromial angle and vertical intersection point of scapular notch to spine of scapula was (43.12±4.82)mm. The average depth was (31.42±4.01)mm from the intersection point to scapular notch. The shape of most acromial angle was obtuse angle, obvious process and constant locations. Conclusion: Acromial angle can be used as the localization sign of scapular notch. Scapular notch will be located by the method of moving about 4cm from acromial angle to the medial along the supra-edge of spine of scapula then turning forward about 3cm.
Keywords:suprascapular nerve  applied anatomy  scapular notch  acromial angle  block therapy
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