【摘要】 目的:为应用肱二头肌短头肌腱转位修复肩锁关节脱位提供解剖学基础和术式设计。方法:在31侧经动脉内灌注红色乳胶的成人尸体标本上,对肱二头肌短头肌腱的形态、血管及喙突的局部结构进行解剖学观察、摹拟手术设计并应用于临床11例。结果:肱二头肌短头肌腱长8.7±1.5cm,上部宽0.9±0.4cm,中部宽1.2±0.4cm,下部宽1.4±0.4cm,喙突尖至肩峰的距离4.7±0.5cm,喙突尖至锁骨肩峰端4.3±0.4cm。应用肱二头肌短头肌腱转位修复肩锁关节脱位疗效满意。结论:应用肱二头肌短头肌腱移位重建喙锁韧带、肩锁韧带及修复肩锁关节脱位,是一种行之有效的新术式。更多还原

【Abstract】 Objective:To provide anatomic basis and operation methods tendon of biceps brachii short head by transposition of for the repairing of dislocation of acromioclavicular joint. Methods: The morphology and vessels of the Iendon and regional structure of coracoid process were observed on 31 sides of adult cadavers infiltrated with red emulsion simulated operation was designed and applied to cases. Results:The length of the tendon of biceps brachii short head was 8. 7 ± 1. 5cm,0. 9±0.4cm the width was(in upperparr) ,1.2 ± 0.4cm (in middle part) and 1.4 + 0. 4cm(in lower part). The distance was 4. 7 ± 0. 5cm between the coracoid process tip and the acromial end of clavicle. Biceps brachii short head was transposed to repair dislocation of acromioclavicular joint and the effect was satisfactory. Conclusion: It was a feasible and new to reconstruct coracoclavicular ligament and superior acromioclavicular ligament by transposition of tendon of biceps brachii short head.更多还原