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find Keyword "桡侧腕屈肌" 2 results
  • 桡侧腕屈肌移位重建前臂旋后功能一例

    目的 总结桡侧腕屈肌移位重建前臂旋后功能的临床疗效。 方法 2009 年8 月收治1 例因高处坠落伤致前臂旋后畸形2 年的22 岁男性患者。患者前臂旋后功能受限,固定于旋转中立位,主动旋后消失,被动旋后正常;屈肘肌肌力3 级,屈腕肌肌力正常;肩、腕、掌指及指间活动正常。采用桡侧腕屈肌移位重建前臂旋后功能。 结果 术后切口Ⅰ期愈合,患者获随访1 年。患肢前臂旋后50°,旋后肌力4 级,配合肩关节外展、外旋功能,可满足日常生活需要。 结论 在尺侧腕屈肌、旋前圆肌、肱桡肌功能障碍或已用于重建其他功能时,采用桡侧腕屈肌可较好地重建前臂旋后功能。

    Release date:2016-08-31 05:43 Export PDF Favorites Scan
  • RESTORATION OF SUPINATION OF FOREARM BY FLEXOR CARPI RADIALIS TRANSFER

    The dysfunction of supination of forearm following injury of brachial plexus or poliomyelitis always affects the function of hand. To find the dynamic muscle for restoration of the supination, the flexor carpi radialis was investigated on fifty male cadavers. The blood supply of the muscle was polygenic, mainly derived from the humoral and radial arteries. The movement of the muscle was innervated by median nerve. If the proximal 1/3 belly of the muscle was reserved, the blood supply and innervation of the complete muscle was reserved. According to the anatomic data, the operative procedure was designed as following: transfer the distal 2/3 of flexor carpi radialis over the ulnar aspect of the forearm to the dorsal-radial side, the tendon was fixed on the radius shaft 6 to 10 cm proximal to the styloid process with forearm in full supination. Four patients were treated and after followed up for 3.2 years average, the supination restored. It was discussed that in case of paralysis of the flexor carpi ulnaris and pronator teres, the optimal choice to restore the supination would be flexor carpi radialis.

    Release date:2016-09-01 11:07 Export PDF Favorites Scan
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