肱二头肌短头近端起源部位的解剖学特征

徐高磊; 张振华; 易诗琪; 张译铮; 刘锦

doi:10.16098/j.issn.0529-1356.2023.02.013

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解剖学报 ›› 2023, Vol. 54 ›› Issue (2) : 216-219. DOI: 10.16098/j.issn.0529-1356.2023.02.013

解剖学

肱二头肌短头近端起源部位的解剖学特征

徐高磊^1,2 刘锦¹ 易诗琦³ 张译铮³ 张振华^1*

作者信息 +

Anatomy of the original short head of biceps-muscular structure

XU Gao-lei^1,2 LIU Jin¹ YI Shi-qi³ ZHANG Yi-zheng³ ZHANG Zhen-hua^1*

Author information +

文章历史 +

摘要

目的分析和描述肱二头肌近端起源部位的形态学特点，并测量其肌腱的解剖学数据，为肱二头肌的相关临床应用提供参考。方法在6侧成人肩部标本上（左4具，右2具）解剖观察肱二头肌短头肌腱的起源、形态、走行以及其与喙肱肌、肌皮神经等结构的毗邻关系，并测量肱二头肌短头肌腱长度、宽度和厚度。结果肱二头肌短头前表面覆以一层较厚的腱膜，腱膜下为肌性结构并以肌纤维直接起源于喙突尖，而不是一般意义上的腱性结构。肱二头肌短头肌腱的长度、宽度和厚度分别为(107.7±9.6)mm，(20.0±1.5)mm和(5.8±2.0)mm。结论肱二头肌短头是以肌纤维直接起于喙突。

Abstract

Objective To analyze and describe the morphological characteristics of the proximal origin of the biceps brachii, and measure the anatomical data of its tendons, so as to provide references for related clinical applications of the biceps brachii. Methods Six adult shoulder specimens (4 on the left and 2 on the right) were dissected to observe the origin, morphology, and course of the biceps brachii tendon and its adjacent relationship with the coracobrachialis muscle, musculocutaneous nerve and other structures. And then the length, width, and thickness of the biceps tendon were measured. Results The origin of the short head of biceps consisted of muscle fibers attaching directly to the tip of the coracoid process, with a thin, tendinous aponeurosis covering its anterior surface, rather than a true tendon as previously described. The mean of length，widths and thickness of the short head of biceps were (107.7±9.6) mm，(20.0±1.5)mm and (5.8±2.0)mm. Conclusion The short head of the biceps brachii is directly from the coracoid process with muscle fibers.

导出引用

徐高磊刘锦易诗琦张译铮张振华. 肱二头肌短头近端起源部位的解剖学特征[J]. 解剖学报. 2023, 54(2): 216-219 https://doi.org/10.16098/j.issn.0529-1356.2023.02.013

XU Gao-lei LIU Jin YI Shi-qi ZHANG Yi-zheng ZHANG Zhen-hua. Anatomy of the original short head of biceps-muscular structure[J]. Acta Anatomica Sinica. 2023, 54(2): 216-219 https://doi.org/10.16098/j.issn.0529-1356.2023.02.013

中图分类号： R323

参考文献

［1］Traverso A, Piasecki K, Gallusser N, et al. Agenesis of the long head of the biceps brachii tendon: ignored variations of the anatomy and the next tendon to disappear ［J］? BMJ Case Reports, 2020, 13(5): e234962.

［2］Ding DY, Garofolo G, Lowe D, et al. The biceps tendon: from proximal to distal: AAOS exhibit selection［J］. J Bone Joint Surg Am,2014, 96(20):e176.

［3］Koulouris G, Malone W, Omar I M, et al. Bifid insertion of the distal biceps brachii tendon with isolated rupture: Magnetic resonance findings［J］. J Shoulder Elbow Surg, 2009, 18(6):e22-25.

［4］Tamaoki M, Belloti JC, Lenza M, et al. Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults［J］. Cochrane Database Syst Rev, 2010, 8(8):CD007429.

［5］Huang GZh, Wang L, Ruan CL, et al. Anatomy of the short tendon of biceps brachii and its clinical application to the repair of dislocation of acromioclavicular joint［J］. Chinese Journal of Clinical Anatomy, 2002,20(4):316-317. (in Chinese)

黄广智,王璐,阮彩莲,等. 肱二头肌短头肌腱转位修复肩锁关节脱位的解剖及临床应用［J］. 中国临床解剖学杂志, 2002,20(4):316-317.

［6］Dorland WA. Dorland-s Illustrated Medical Dictionary 31e［M］. Philadelphia: Saunders, 2007: 118, 1904.

［7］Ruxton GD, Neuh?user M. Improving the reporting of P-values generated by randomization methods［J］. Methods in Ecology Evolution, 2013, 4(11):1033-1036.

［8］Ilayperuma I, Nanayakkara B G, Hasan R, et al. Coracobrachialis muscle: morphology, morphometry and gender differences［J］. Surg Radiol Anat, 2016, 38(3):335-340.

［9］Mohammed H, Skalski MR, Patel DB, et al. Coracoid process: the lighthouse of the shoulder［J］. Radiographics, 2016，37（7）:2084-2101.

［10］Ding DY, Garofolo G, Lowe D, et al. The biceps tendon: from proximal to distal: AAOS exhibit selection［J］. J Bone Joint Surg Am, 2014, 96(20):e176.

［11］Joshi SD, Joshi SS, Sontakke YA, et al. Some details of morphology of biceps brachii andits functional relevance［J］. J Anat Soc India, 2014, 63(63):24-29.

［12］Helton MS. Conservative treatment of a proximal full-thickness biceps brachii muscle tear in a special operations soldier.［J］. Phys Ther, 2014, 94(4):571-577.

［13］Kulshreshtha R, Singh R, Sinha J, et al. Anatomy of the distal biceps brachii tendon and its clinical relevance［J］. Clin Orthop Relat Res, 2007, 456:117-120.

［14］Yiyit N, Saygn H. Anomalies of biceps brachii muscle as a potantial component of Poland’s syndrome［J］. Respir Case Rep，2015, 4(1):64=66.

［15］More RS, Singh R, Malviya K, et al. Unusual origin of supernumerary head of biceps brachii -rare case report［J］. Int J Health Sci Res, 2015, 5(2):410-413.

［16］Pardhi G, Gadekar S. Unilateral variation in biceps brachii muscle with four heads［J］. Int J Anat Res, 2014, 2(4):777-780.