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Insertion sites of the muscles attached to the clavicle: a cadaveric study of the clavicle
http://hdl.handle.net/10458/0002000362
http://hdl.handle.net/10458/0002000362d12ae630-dda9-4c6a-be53-f30ab2999f55
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2023-12-08 | |||||
タイトル | ||||||
タイトル | Insertion sites of the muscles attached to the clavicle: a cadaveric study of the clavicle | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
キーワード | Anatomical structures | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
キーワード | Anterior plate | |||||
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言語 | en | |||||
主題Scheme | Other | |||||
キーワード | Clavicle | |||||
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言語 | en | |||||
主題Scheme | Other | |||||
キーワード | Muscle insertion sites | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
キーワード | Muscle attachments | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
キーワード | Quantitative 3D analysis | |||||
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資源タイプ | journal article | |||||
著者 |
今里, 浩之
× 今里, 浩之× 高橋, 伸育× 澤口, 朗× Hirakawa, Yusuke× 山口, 洋一朗× 日吉, 優× 田島, 卓也× 帖佐, 悦男 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Clavicle fractures are common injuries, especially in young, active individuals. Operative treatment is recommended for completely displaced clavicle shaft fractures, and plate fixation is stronger than the use of intramedullary nails. Few studies have reported on iatrogenic injuries to the muscle attached to the clavicle during fracture surgery. The aim of this study was to clarify the area of the insertion sites of muscles attached to the clavicle in Japanese cadavers using gross anatomy and three-dimensional (3D) analysis. We also aimed to compare the effects of anterior plate templating and superior plate templating on clavicle shaft fractures using 3D images. Methods Thirty-eight clavicles from Japanese cadavers were analyzed. We removed all clavicles to identify the insertion sites and measured the size of the insertion area of each muscle. Three-dimensional templating was performed on both the superior and anterior plates of the clavicle using data obtained from computed tomography. The areas covered by these plates on the muscles attached to the clavicle were compared. Histological examination was performed on four randomly selected specimens. Results The sternocleidomastoid muscle was attached proximally and superiorly; the trapezius muscle was attached posteriorly and partly superiorly; and the pectoralis major muscle and deltoid muscles were attached anteriorly and partially superiorly. The non-attachment area was located mainly in the posterosuperior part of the clavicle. It was difficult to distinguish the borders of the periosteum and pectoralis major muscles. The anterior plate covered a significantly broader area (mean 6.94 ± 1.36 cm2) of the muscles attached to the clavicle than did the superior plate (mean 4.11 ± 1.52 cm2) (p < 0.0001). On microscopy, these muscles were inserted directly into the periosteum. Conclusion Most of the pectoralis major and deltoid muscles were attached anteriorly. The non-attachment area was located mainly from the superior to posterior part of the clavicle midshaft. Both macroscopically and microscopically, the boundaries between the periosteum and these muscles were difficult to demarcate. The anterior plate covered a significantly broader area of the muscles attached to the clavicle than that by the superior plate. |
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言語 | en | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Citation: Imazato H, Takahashi N, Sawaguchi A, Hirakawa Y, Yamaguchi Y, Hiyoshi M, Tajima T, Chosa E. Insertion sites of the muscles attached to the clavicle: a cadaveric study of the clavicle. BMC Musculoskelet Disord. 2023 Mar 3;24(1):160. doi: 10.1186/s12891-023-06266-4. PMID: 36864447; PMCID: PMC9983183. |
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言語 | en | |||||
書誌情報 |
en : BMC Musculoskeletal Disorders 巻 24, 号 1, p. 160, 発行日 2023-03-03 |
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出版者 | ||||||
出版者 | SpringerNature | |||||
言語 | en | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1186/s12891-023-06266-4 | |||||
権利 | ||||||
言語 | en | |||||
権利情報 | © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | |||||
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出版タイプ | VoR |