CAJ | 학술논문

目的：从解剖学角度研究和探讨颈肩痛病因，为临床治疗提供解剖学资料。方法对7具经福尔马林溶液固定成人尸体标本肩胛神经分布特点解剖特点、走向以及与软组织的毗邻关系进行研究。结果肩胛上神经通过肩胛上横韧带下方进入冈上窝，行于肩胛骨和冈上肌之间，在肩胛上孔发出1至3支肩关节关节支和冈上肌肌支及肩锁骨关节支，肩胛上神经皮支出现较少，少数皮支出现在近肩峰尖位置通过三角肌在腋神经的支配部位，部分肌支有细小分支，肩胛神经在肌筋包裹，与肌肉结合较紧密。结论在肩胛痛诊断中，不应局限于肩胛上神经在肩胛上切迹的卡压，还应注意到由于肩胛上神和肌肉结合紧密，肌肉收缩可导致神经牵长并导致损伤，应综合考虑何种因素，科学选择治疗措施。
목적：종해부학각도연구화탐토경견통병인，위림상치료제공해부학자료。방법대7구경복이마림용액고정성인시체표본견갑신경분포특점해부특점、주향이급여연조직적비린관계진행연구。결과견갑상신경통과견갑상횡인대하방진입강상와，행우견갑골화강상기지간，재견갑상공발출1지3지견관절관절지화강상기기지급견쇄골관절지，견갑상신경피지출현교소，소수피지출현재근견봉첨위치통과삼각기재액신경적지배부위，부분기지유세소분지，견갑신경재기근포과，여기육결합교긴밀。결론재견갑통진단중，불응국한우견갑상신경재견갑상절적적잡압，환응주의도유우견갑상신화기육결합긴밀，기육수축가도치신경견장병도치손상，응종합고필하충인소，과학선택치료조시。
Objective: To study and explore the anatomy cause neck and shoulder pain , provide anatomical information for clinical treatment . Methods: 7 formalin -fixed adult cadavers dissected special scapular nerve distribution , to the adjacent soft tissue as wel as to study the relationship . Results: suprascapular nerve through superior transverse scapular ligament below into the supraspinatus fossa, the line in the scapula and the supraspinatus muscle , between the suprascapular holes emit 1-3 shoulder articular branch and the supraspinatus muscle branch of the articular branch of the clavicle and shoulder , suprascapular nerve cutaneous branches appear less spending a few leather shoulder tip position is now nearly through the domination of the axilary nerve in the deltoid area , some muscular branches with tiny branches wrapped scapular nerve in the muscles and tendons , and muscles combine more closely . CONCLUSION: In the diagnosis of shoulder pain , should not be limited suprascapular nerve in the suprascapular notch entrapment , it should be noted on the shoulders of God and muscles tightly, muscle contraction can lead to nerve damage and lead to a long pul , should be integrated factors to be considered , the scientific selection of therapeutic measures.