手部解剖中的黑洞:探索手外科的研究领域。

Duncan Angus McGrouther
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引用次数: 0

摘要

“黑洞”一词已被应用于需要进一步研究的解剖学领域。历史记载On Growth and Form (D'AW Thompson, Cambridge University Press, 1917)运用数学原理来解释物理力如何影响骨骼、肌腱、韧带和筋膜的形态。骨的小梁结构是通过力负荷维持的,提供了应变浓度图,以更好地了解骨折固定和骨愈合。屈肌腱分为鞘病理区,但肌腱损伤的部位取决于损伤时的姿势。韧带是多股结构,为了在整个运动过程中保持关节的稳定性,不同的纤维股必须通过韧带屈曲来分担负荷。金伯托的筋膜描述将人体可视化为由微液泡组成,可以从高原物理定律中量化。人类形态可以通过数学来理解。这些“黑洞”提供了可能的研究途径来处理手部手术中一些尚未解决的问题或优化结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Black holes in hand anatomy: exploring research areas in hand surgery.

The term 'black holes' has been applied to anatomical areas needing further study. The historical account On Growth and Form (D'AW Thompson, Cambridge University Press, 1917) applies mathematical principles to explain how physical forces influence the morphology of bone, tendon, ligament and fascia. The trabecular structure of bone is maintained by force loading, providing a map of strain concentrations to better understand fracture fixation and bone healing. The flexor tendon is classified in zones of sheath pathology, but the site of tendon injury depends on the posture at the moment of injury. Ligaments are multistranded structures and in maintaining joint stability throughout motion different fibrous strands must share load by ligament buckling. The fascial description of Guimberteau visualizes the human body as consisting of microvacuoles, quantifiable from the physical Laws of Plateau. Human morphology can be understood through mathematics. These 'black holes' offer possible research avenues to manage some of the unsolved problems in hand surgery or to optimize outcomes.

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