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      2. west china medical publishers
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        find Keyword "前臂旋后" 2 results
        • 橈側腕屈肌移位重建前臂旋后功能一例

          目的 總結橈側腕屈肌移位重建前臂旋后功能的臨床療效。 方法 2009 年8 月收治1 例因高處墜落傷致前臂旋后畸形2 年的22 歲男性患者。患者前臂旋后功能受限,固定于旋轉中立位,主動旋后消失,被動旋后正常;屈肘肌肌力3 級,屈腕肌肌力正常;肩、腕、掌指及指間活動正常。采用橈側腕屈肌移位重建前臂旋后功能。 結果 術后切口Ⅰ期愈合,患者獲隨訪1 年。患肢前臂旋后50°,旋后肌力4 級,配合肩關節外展、外旋功能,可滿足日常生活需要。 結論 在尺側腕屈肌、旋前圓肌、肱橈肌功能障礙或已用于重建其他功能時,采用橈側腕屈肌可較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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          2. 射丝袜