WordNet

located or occurring between the ribs; "intercostal muscles"
muscles between the ribs; they contract during inspiration (同)intercostal_muscle, musculus_intercostalis

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(胸部の)肋間(ろっかん)の

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/12/01 14:14:44」(JST)

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1. 筋骨格系の胸痛の治療 treatment of musculoskeletal chest pain
2. 成人における筋骨格系の胸痛の主な原因 major causes of musculoskeletal chest pain in adults
3. 腹壁の解剖学 anatomy of the abdominal wall
4. Polysomnography in the evaluation of sleep-disordered breathing in adults
5. 成人における確定診断を得られていない低血圧やショックの評価および初期アプローチ evaluation of and initial approach to the adult patient with undifferentiated hypotension and shock

English Journal

Characterization of thoracic motor and sensory neurons and spinal nerve roots in canine degenerative myelopathy, a potential disease model of amyotrophic lateral sclerosis.

Morgan BR1, Coates JR, Johnson GC, Shelton GD, Katz ML.Author information 1Department of Biological Sciences, University of Missouri, Columbia, Missouri.AbstractCanine degenerative myelopathy (DM) is a progressive, adult-onset, multisystem degenerative disease with many features in common with amyotrophic lateral sclerosis (ALS). As with some forms of ALS, DM is associated with mutations in superoxide dismutase 1 (SOD1). Clinical signs include general proprioceptive ataxia and spastic upper motor neuron paresis in pelvic limbs, which progress to flaccid tetraplegia and dysphagia. The purpose of this study was to characterize DM as a potential disease model for ALS. We previously reported that intercostal muscle atrophy develops in dogs with advanced-stage DM. To determine whether other components of the thoracic motor unit (MU) also demonstrated morphological changes consistent with dysfunction, histopathologic and morphometric analyses were conducted on thoracic spinal motor neurons (MNs) and dorsal root ganglia (DRG) and in motor and sensory nerve root axons from DM-affected boxers and Pembroke Welsh corgis (PWCs). No alterations in MNs or motor root axons were observed in either breed. However, advanced-stage PWCs exhibited significant losses of sensory root axons, and numerous DRG sensory neurons displayed evidence of degeneration. These results indicate that intercostal muscle atrophy in DM is not preceded by physical loss of the motor neurons innervating these muscles, nor of their axons. Axonal loss in thoracic sensory roots and sensory neuron death suggest that sensory involvement may play an important role in DM disease progression. Further analysis of the mechanisms responsible for these morphological findings would aid in the development of therapeutic intervention for DM and some forms of ALS. © 2013 Wiley Periodicals, Inc.
Journal of neuroscience research.J Neurosci Res.2014 Apr;92(4):531-41. doi: 10.1002/jnr.23332. Epub 2013 Dec 21.
Canine degenerative myelopathy (DM) is a progressive, adult-onset, multisystem degenerative disease with many features in common with amyotrophic lateral sclerosis (ALS). As with some forms of ALS, DM is associated with mutations in superoxide dismutase 1 (SOD1). Clinical signs include general propr
PMID 24375814

Reconstruction of large facial defects using a sensate superficial circumflex iliac perforator flap based on the lateral cutaneous branches of the intercostal nerves.

Iida T1, Yoshimatsu H, Hara H, Mihara M, Koshima I.Author information 1From the Department of Plastic and Reconstructive Surgery, the University of Tokyo, Tokyo, Japan.AbstractExtensive composite facial defects present a surgical challenge because both functional and esthetic results must be considered simultaneously. Free flap transfer is a good option for extensive facial defects. However, the major concern regarding free flap reconstructions of facial defects is the bulkiness of the flaps. The use of a superficial circumflex iliac perforator (SCIP) flap, first reported in 2004, has many advantages including the availability of a thin, hairless skin paddle. In addition, the use of a sensate SCIP flap based on the lateral cutaneous branches of the intercostal nerves has recently been reported, which can potentially contribute to improved quality of life. We present 2 cases of free sensate SCIP flap reconstruction for extensive facial defects after cancer resection. The flaps were successfully transferred for coverage of the defects with acceptable functional and esthetic results. Sensate SCIP flaps provide a good option for the reconstruction of large facial defects because they are thin and hairless and offer an acceptable color match. These sensate flaps based on the branches of the intercostal nerves are easily obtainable, the donor site is in a concealed area, and primary closure is possible.
Annals of plastic surgery.Ann Plast Surg.2014 Mar;72(3):328-31. doi: 10.1097/SAP.0b013e318264fc7d.
Extensive composite facial defects present a surgical challenge because both functional and esthetic results must be considered simultaneously. Free flap transfer is a good option for extensive facial defects. However, the major concern regarding free flap reconstructions of facial defects is the bu
PMID 23615338

Surgical refinements and sensory recovery of using transverse sensate thoracodorsal artery perforator flaps to resurface ring-avulsed fingers.

Lin CT1, Chen LW.Author information 1From the *Division of Plastic and Reconstructive Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; and †National Yang-Ming University School of Medicine, Taipei, Taiwan.AbstractTo improve the use of thoracodorsal artery perforator flaps in resurfacing ring-avulsed fingers, the relations between the thoracodorsal artery perforators and intercostal nerves were investigated. The surgical refinements, clinical results, and sensory recovery of flaps were presented. Eleven patients with ring-avulsed fingers were reviewed. Separated and conjoint relations were found. Eleven flaps were harvested with 3 refinements. First is the transverse flap design. Second is operating color Doppler sonography to identify the relations. Third is using the conjoint relation to facilitate adequate flap thinning. Four patients had separated relation, and 7 patients had conjoint relation. Only 1 patient showed flap tip necrosis. Two patients with separated relation needed flap debulking. Ten patients acquired protective to normal tactile sensation, and 9 patients gained fair to normal discriminative sensation. The free transverse sensate thoracodorsal artery perforator flaps can be an option in the reconstruction of ring-avulsed fingers.
Annals of plastic surgery.Ann Plast Surg.2014 Mar;72(3):299-306. doi: 10.1097/SAP.0b013e31825c0a4a.
To improve the use of thoracodorsal artery perforator flaps in resurfacing ring-avulsed fingers, the relations between the thoracodorsal artery perforators and intercostal nerves were investigated. The surgical refinements, clinical results, and sensory recovery of flaps were presented. Eleven patie
PMID 23542835

The course of the intercostobrachial nerve in the axillary region and as it is related to transaxillary breast augmentation.

Hwang K1, Huan F, Hwang SW, Kim SH, Han SH.Author information 1From the *Department of Plastic Surgery and †Center for Advanced Medical Education by BK21 project, Inha University School of Medicine, Incheon, Korea; and ‡Department of Anatomy and § Institute for Applied Anatomy, Catholic University of Korea, Seoul, South Korea.AbstractPURPOSE: The aim of this study was to precisely determine the course of the intercostobrachial nerve (ICBN) in the axillary region and as it is related to bony landmarks, and all of this might be of use for transaxillary breast augmentation.
Annals of plastic surgery.Ann Plast Surg.2014 Mar;72(3):337-9. doi: 10.1097/SAP.0b013e31825c07ba.
PURPOSE: The aim of this study was to precisely determine the course of the intercostobrachial nerve (ICBN) in the axillary region and as it is related to bony landmarks, and all of this might be of use for transaxillary breast augmentation.METHODS: Thirty hemithoraxes of 15 fresh cadavers of Korean
PMID 23364676

Japanese Journal

Chest tube insertion is one important factor leading to intercostal nerve impairment in thoracic surgery

Miyazaki Takuro,Sakai Tetsuya,Yamasaki Naoya,Tsuchiya Tomoshi,Matsumoto Keitaro,Tagawa Tsutomu,Hatachi Go,Tomoshige Koichi,Mine Mariko,Nagayasu Takeshi
General Thoracic and Cardiovascular Surgery 62(1), 58-63, 2014-01
… Objectives: Chest tube insertion seems to be one important factor leading to intercostal nerve impairment. … The purpose of this prospective study was to objectively evaluate intercostal nerve damage using current perception threshold testing in association with chest tube insertion. … Intercostal nerve function was assessed with a series of 2000-Hz (Aβ fiber), 250-Hz (Aδ fiber), and 5-Hz (C fiber) stimuli using current perception threshold testing (Neurometer CPT/C ®). …
NAID 120005372473

A case of retroesophageal right subclavian artery, with special reference to the second intercostal artery, retroesophageal right vertebral artery, and thoracic duct

Okamoto Keishi,Wakebe Tetsuaki,Saiki Kazunobu,Tsurumoto Toshiyuki
Anatomical Science International 88(4), 234-238, 2013-09
… We paid attention to the intersegmental arteries and above all, the second intercostal artery. … However, in the case of a retroesophageal right vertebral artery, there might be the possibility of intercostal arteries developing into the vertebral artery, and we discuss such points here. …
NAID 120005367567

胸腔鏡で確定診断に至った壁側胸膜再発腎細胞癌の1例

山口学,三浦弘之,中嶋英治,高橋秀暢,池田徳彦
気管支学 : 日本気管支研究会雑誌 35(2), 215-219, 2013-03-25
背景.腎細胞癌の胸部領域への転移形式は肺内転移や気管支内転移が多く,胸膜転移は稀である.胸壁腫瘍を呈し肺内転移を伴わない腎細胞癌の壁側胸膜転移に対して,全身麻酔下胸腔鏡下胸膜生検で確定診断に至った症例について報告する.症例. 75歳男性.全身倦怠感を主訴に当院を受診した.胸部X線で右胸水を認め,胸部CTでは右胸水及び右胸膜腫瘍を認めた. 1週間後胸水の増量とともに呼吸困難が出現し,入院となった.胸 …
NAID 110009597498

有茎肋間筋弁により修復し得た食道癌術中の気管膜様部損傷の1例

大畑賀央,横井香平
気管支学 : 日本気管支研究会雑誌 35(2), 210-214, 2013-03-25
背景.食道手術における気道損傷は稀な合併症の一つである.今回,食道癌術中に発生した気管膜様部損傷に対し,有茎肋間筋弁を用いて修復し得た症例を経験したので報告する.症例. 63歳,女性.胸部食道癌術中に気管膜様部損傷を来したため,直接縫合を試みたが縫合部位が裂け換気不全に陥った.そのため開胸肋間とは別の第6肋間で有茎肋間筋弁を作製し,損傷部位を被覆.縫合閉鎖した.術後経過は良好で. 2週後の気管支鏡 …
NAID 110009597497