局部解剖学：腕前区和手掌.ppt

,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,Chengchun Chen Dept of Anatomy WZMC,*,局部解剖学,jiepou,断层影像解剖,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,1,腕前区和手掌,The anterior wrist&palm,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,2,腕,手,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,3,腕（,wrist,）,一、腕前区,（一）浅层结构,（二）深层结构,（,1,）腕掌侧韧带,（,2,）,屈肌支持带,(3),腕管,(4),尺侧及桡侧腕管,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,4,腕 管,：,由屈肌支持带与腕骨沟共同围成，,内有指浅、深屈肌腱和拇长屈肌腱,9,条肌腱及正中神经通过,损伤,：,腕管综合征,屈肌总腱鞘,（尺侧囊）,拇长屈肌腱鞘,（桡侧囊）,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,5,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,6,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,7,手掌,(Palm of hand),2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,8,尺侧,腕管,：,腕掌侧,lig,与屈肌支持带之间，有尺神经和血管经过,桡侧腕管：,屈肌支持带两层之间，有桡侧腕屈肌肌腱经过,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,9,手掌,(Palm of hand),一,、,浅层结构,1,皮肤和浅筋膜,2,浅血管和皮神经,正中神经掌支,（,2/3,）,尺神经掌支（,1/3,）,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,10,二,、,掌部深层结构,1.,深筋膜,浅层：,掌腱膜,深层：骨间掌侧筋膜,拇收肌筋膜,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,11,2.,手掌骨筋膜鞘：,深筋膜的浅、深两层与,内、外侧肌间隔围成,外侧鞘,中间鞘,内侧鞘）,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,12,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,13,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,14,3.,手掌的筋膜间隙,位于手掌骨筋膜鞘的中间鞘内，借掌中间隔，将其分为,:,鱼际间隙,(,外侧,),掌中间隙,(,内侧,),2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,15,4.,手掌的血管,（,1,）,掌浅弓,:,尺动脉终支桡动脉的掌浅支,（,2,）,掌深弓,:,桡动脉终支尺动脉掌深支,5.,手掌的神经,（,1,）尺神经,浅支,（,2,）尺神经,深支,：,“,爪形手,”,（,3,）正中神经：,返支受损使拇指丧失,对掌功能,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,16,Nerves of hand,尺神经,正中神经,2025/5/17 周六,Chengchun Chen Dept of Anatomy WZMC,17,