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对于肩关节无论是采用关节镜还是开放手术,都可能损伤三角肌起端,因此详细了解它的解剖十分重要。经典解剖学专著中的描述既不清楚也不可靠。 William和Warwick在《Gray’s解剖学》中描述三角肌起自锁骨外侧1/3浅面和前缘,Grant和Smith也有同样的描述;Jenkins描述起自锁骨外侧1/3,但认为锁骨的前部是一个面,而不是上述作者所描述的边和缘,我们发现三角肌起自锁骨外侧1/3整个弯曲的表面,直接起自于骨膜。
For the shoulder joint arthroscopy or open surgery, may damage the deltoid start, so a detailed understanding of its anatomy is very important. The descriptions in classic anatomy are neither clear nor reliable. William and Warwick describe the deltoids in the “Gray’s Anatomy” from the superficial 1/3 shallow side and the leading edge of the clavicle, as described by Grant and Smith; Jenkins describes the outer third of the clavicle but considers the anterior portion of the clavicle Is a face, rather than the edge and edge described by the author, we found that the deltoid muscle from the outer side of the clavicle 1/3 the entire curved surface, directly from the periosteum.