lumbar fascia의 anatomy에 관한 논문. 흉요근막의 구조에 관한 간단한 논문

[문형철]

만성요통은 lumbar fasciae의 dysfunction때문에 발생한다. 정말 그렇다.

그렇다면 그 해부학적 구조를 정확하게 이해할 필요가 있다.

흉요 섬유막문제로 통증이 발생했을때 확인하는 방법은? 

흉요 섬유막문제로 통증이 발생했을때 치료하는 방법은? 

이렇게 질문을 던지고 보니 쉽구나!!

panic bird...

Anatomy and biomechanics of the vertebral aponeurosis part.pdf

Abstract 

There is significant paucity in the literature regarding vertebral aponeurosis. We were able to Wnd only a few descriptions of this specific fascia in the extant medical literature. To elucidate further the anatomy of this structure, forty adult human cadavers were dissected. Both quantitation and anatomical observations were made of the vertebral aponeurosis. The vertebral aponeurosis was identified in 100% of specimens. This fascia was identified as a thin Wbrous layer consisting of longitudinal and transverse connective tissue fibers blended together deep to the latissimus dorsi muscle. It attached medially to the spinous processes of the of the thoracic vertebrae; laterally to the angles of ribs; inferiorly to the fascia covering the serratus posterior inferior muscle (superficial lamina of the posterior layer of thoracolumbar fascia); superiorly it ran deep to the serratus posterior superior and splenius capitis muscles to blend with the deep fascia of the neck. 

At the level of the serratus posterior inferior muscle, the vertebral aponeurosis fused to form a continuous layer descending toward the sacrotuberous ligament covering the erector spinae muscle. Morphometrically, the mean length of the vertebral aponeurosis was 38 cm and the mean width was 24 cm. The mean thickness was three mm. There was no significant difference between left and right sides, gender or age with regard to vertebral aponeurosis length, width, or thickness(P > 0.05). During manual tension of the vertebral aponeurosis, the tensile force necessary for failure had a mean of 38.7 N. In all specimens, the vertebral aponeurosis was capable of holding sutures placed through its substance. We hope that these data will be of use for descriptive purposes and may potentially add to our understanding of the biomechanics involved in movements of the back. As back pain is perhaps the most common reason patients visit their physicians, additional knowledge of this anatomical region is important.