背景:在物理治疗中,经典的肌肉-骨骼概念用于翻译基础和临床解剖学。通过定义从浅层到深层的解剖结构,构成了关节肌筋膜复合体,我们的目标是为临床医生提供一个全面的肌肉-骨骼概念。
方法:本研究是叙事回顾和超声观察。
结果:基于文献和超声骨架,定义了关节肌筋膜复合体。该模型阐明了关节水平的筋膜连续性,描述从皮肤到深层的解剖结构,包括浅筋膜,深筋膜,肌筋膜,包括骨骼肌纤维,和关节筋膜都通过结缔组织连接。该模型增强了对更大的ArthroMyoFascium复合体中的肌肉-骨骼概念的理解。
结论:关节肌筋膜复合体由从浅层到深层的多个解剖结构组成,即皮肤,浅筋膜,深筋膜,肌筋膜,包括肌纤维,和关节筋膜,全部连接在结缔组织基质内。该模型表明它是皮肤和骨骼之间的力传递系统。这些信息对于手动治疗师来说至关重要,包括物理治疗师,骨科医生,脊医,和按摩治疗师,因为它们都与肌肉骨骼区域内的筋膜组织一起工作。了解肌肉-骨骼概念中的筋膜可以增强临床实践,协助治疗性测试,治疗,reporting,多学科交流,这对肌肉骨骼和骨科康复至关重要。
BACKGROUND: In physiotherapy, the classic muscle-bone concept is used to translate basic and clinical anatomy. By defining the anatomical structures from superficial to deeper layers which frame the ArthroMyoFascial complex, our aim is to offer clinicians a comprehensive concept of within the muscle-bone concept.
METHODS: This study is a narrative review and ultrasound observation.
RESULTS: Based on the literature and ultrasound skeletonization, the ArthroMyoFascial complex is defined. This model clarifies fascial continuity at the joint level, describing anatomical structures from skin to deeper layers, including superficial fascia, deep fascia, myofascia including skeletal muscle fibers, and arthrofascia all connected via connective tissue linkages. This model enhances the understanding of the muscle-bone concept within the larger ArthroMyoFascial complex.
CONCLUSIONS: The ArthroMyoFascial complex consists of multiple anatomical structures from superficial to deeper layers, namely the skin, superficial fascia, deep fascia, myofascia including muscle fibers, and arthrofascia, all linked within a connective tissue matrix. This model indicates that it is a force-transmitting system between the skin and the bone. This information is crucial for manual therapists, including physiotherapists, osteopaths, chiropractors, and massage therapists, as they all work with fascial tissues within the musculoskeletal domain. Understanding fascia within the muscle-bone concept enhances clinical practice, aiding in therapeutic testing, treatment, reporting, and multidisciplinary communication, which is vital for musculoskeletal and orthopedic rehabilitation.