Dermatome and fasciatome

Dermatome and fasciatome
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DOI:
10.1002/ca.23408
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发表时间:
2019-10-01
期刊:
影响因子:
2.4
通讯作者:
De Caro, Raffaele
De Caro, Raffaele
中科院分区:
医学4区
文献类型:
--
作者:
Stecco, Carla;Pirri, Carmelo;De Caro, Raffaele

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根据新的发现,对深筋膜丰富的神经支配及其解剖组织的了解增加,表明有必要重新评估皮肤刀的地图。作者提出了皮肤病和筋膜病的区别,他们的方法是基于神经根刺激的文献,并比较皮肤病和肌病地图。前者代表由单个脊神经的所有皮支供应的由皮肤、皮下组织和浅筋膜组成的组织部分;后者包括由同一神经根供应的、按强调主要运动方向的力线组织的深筋膜部分。皮肤刀对耳感很重要,而筋膜刀对本体感觉很重要。如果它们被改变,皮肤刀根据筋膜解剖的组织结构清楚地显示局限性疼痛和筋膜刀照射痛。克莱恩。阿纳特。2019年896-902:32。(C)2019年威利期刊公司。
Increased knowledge of the rich innervation of the deep fascia and its anatomical organization indicates the need to reevaluate maps of the dermatome according to the new findings. The authors present a distinction between dermatome and fasciatome, basing their approach to the literature on nerve root stimulation and comparing dermatomeric and myomeric maps. The former represents the portion of tissue composed of skin, hypodermis, and superficial fascia supplied by all the cutaneous branches of an individual spinal nerve; the latter includes the portion of deep fascia supplied by the same nerve root and organized according to force lines to emphasize the main directions of movement. The dermatome is important for esteroception, whereas the fasciatome is important for proprioception. If they are altered, the dermatome shows clearly localized pain and the fasciatome irradiating pain according to the organization of the fascial anatomy. Clin. Anat. 32:896-902, 2019. (c) 2019 Wiley Periodicals, Inc.