屈指肌腱的血液供应及其临床意义

BLOOD SUPPLY OF THE FLEXOR DIGITORUM TENDON AND ITS CLINICAL SIGNIFICANCE

An applied anatomical study on the blood supply of the flexor tendon was conducted in the upper extremities of fresh cadaver by means of arterial injection, transparence, maerodissection and histological preparation. The flexor digital tendon can be divided into two parts: non-synovial membrane part and synovial membrane part. The intrinsic vaseularization of non-synovial membrane part of the tendon which was wrapped in paratenon was major in the form of the longitudinal vascular bundles, while the transverse anastomotie branches were short and sparse. The vascularity of this part was simple and uniformly distributed. The intrinsic vascularity of the synovial part possessed distinct characteristics of segmentality and partiality. In the synovial sheath, the blood vessels distributed only onto the dorsal aspect, while the velar 1/3 to 1/2 of the tendon was devoid of vessels. The profundus and superfieialis tendons formed an avascular zone at the proximal interphalangeal and metacarpophalangeal joint separately. It was considered that the difference of the vascularization of tendon might be related to the mechanical force to which the tendon was subjected. The nutrition of tendon was discussed and the selection of tendon graft in the operation was suggested.