文章目录 Table of Contents of Articles

摘要 summary
abstract
引言 introduction
第一部分肩胛上神经的应用解剖学研究 Part I Applied Anatomical Study of the Suprascapular Nerve
材料与方法 Materials and methods
1 研究对象 1 Subject
2 研究方法 2 Research Methodology
3 统计学分析 3 Statistical analysis
结果 outcome
1 肩胛上神经的解剖 1 Anatomy of the suprascapular nerve
2 数据测量 2 Data Measurement
讨论 discuss
结论 conclusion
第二部分利用三维重建定义关节镜Latarjet手术中避免肩胛上神经损伤的安全区
Part 2 Defining the safe area to avoid suprascapular nerve injury during arthroscopic Latarjet surgery using 3D reconstruction
材料与方法 Materials and methods
1 实验设计及思路 1 Experimental design and ideas
2 数据测量 2 Data Measurement
结果 outcome
讨论 discuss
结论 conclusion
参考文献 References
综述肩胛上神经病变的研究进展 Review of research progress in suprascapular neuropathy
综述参考文献 Review references
攻读学位期间的研究成果 Research results during the duration of your degree
缩略词表 List of abbreviations
致谢 Thanks

青岛大学山东省
Qingdao University, Shandong Province

关节镜Latarjet手术中如何避免肩胛上神经损伤：肩胛上神经的走行和安全区研究
How to avoid suprascapular nerve injury during arthroscopic Latarjet surgery: a study of the walking and safety zones of the suprascapular nerve

摘要： Summary: 目的:关节镜下Latarjet手术将喙突移植到肩关节盂前下方,并用两个双皮质螺钉固定,螺钉尖端在肩胛骨后方可能损伤肩胛上神经,造成肩关节疼痛和无力。本研究旨在探讨肩胛上神经与肩胛骨之间的三维解剖关系,以及在Latarjet手术中螺钉损伤SSN的风险,描述关节镜下Latarjet手术的可靠解剖标志。方法:第一部分:(1)对12例新鲜成人完整的肩关节标本进行解剖,12个标本中有7个是右利手,8个是男性。为了研究肩胛上神经和肩胛骨的解剖关系,以关节盂面钟表系统为参照,测量肩胛上神经在12:00、11:00、10:00、9:00、肩胛上切迹水平、冈盂切迹水平到肩关节盂前缘的距离,记录肩胛上神经距离关节盂缘最窄距离的距离及时钟刻度。定义肩胛骨分区,记录各分区肩胛上神经的分支数量。第二部分:(2)将肩胛上神经用医用钡线标记,使用计算机断层扫描(CT)扫描肩关节标本,将扫描数据导入Mimics软件进行三维重建,在三维模型中绘制关节盂最佳拟合圆,依据关节盂钟表系统,测量肩胛上神经在12:00、11:00、10:00、9:00到肩关节盂前缘的距离,模拟喙突截骨移植术,螺钉于关节盂前方插入,出口位于肩胛上神... 更多
Objective: Arthroscopic Latarjet surgery transplants the coracoid process to the anterior and inferior glenoid of the shoulder joint and fixes it with two double cortical screws, the tip of which is behind the scapula, may damage the suprascapular nerve, causing pain and weakness in the shoulder joint. The aim of this study was to investigate the three-dimensional anatomical relationship between the suprascapular nerve and the scapula, as well as the risk of screw injury to SSN during Latarjet surgery, and to describe reliable anatomical landmarks for arthroscopic Latarjet surgery. Methods: Part I: (1) 12 fresh adult complete shoulder joint specimens were dissected, 7 of the 12 specimens were right-handed and 8 were male. In order to study the anatomical relationship between the suprascapular nerve and the scapula, the distance between the suprascapular nerve and the anterior edge of the glenoid at 12:00, 11:00, 10:00, 9:00, the level of the suprascapular notch, and the level of the glenoid notch was measured with the glenoid clock system as a reference, and the distance between the suprascapular nerve and the narrowest distance of the glenoid margin and the clock scale were recorded. Define the scapular partition and record the number of branches of the suprascapular nerve in each division. Part 2: (2) The suprascapular nerve is marked with a medical barium line, the shoulder joint specimen is scanned by computed tomography (CT), the scan data is imported into Mimics software for 3D reconstruction, the best fitting circle of the glenoid is drawn in the 3D model, and the distance from the suprascapular nerve to the anterior edge of the shoulder glenoid at 12:00, 11:00, 10:00 and 9:00 is measured according to the glenoid clock system, and the coracoid process osteotomy grafting is simulated. more

关键词： Keyword:

肩关节前方不稳定;Latarjet手术;肩胛上神经;三维重建;尸体解剖;
anterior instability of the shoulder joint; Latarjet surgery; suprascapular nerve; 3D reconstruction; Autopsy;