{"id":72,"date":"2026-03-15T19:29:14","date_gmt":"2026-03-15T18:29:14","guid":{"rendered":"https:\/\/biomechanikaruky.cz\/?page_id=72"},"modified":"2026-03-28T20:41:24","modified_gmt":"2026-03-28T19:41:24","slug":"kunc-vojtech-volar-approaches-to-the-distal-radius","status":"publish","type":"page","link":"https:\/\/biomechanikaruky.cz\/en\/kunc-vojtech-volar-approaches-to-the-distal-radius\/","title":{"rendered":"Kunc Vojtech, Volar approaches to the distal radius"},"content":{"rendered":"

Kunc V. – Vol\u00e1rn\u00ed p\u0159\u00edstupy ke kosti v\u0159etenn\u00ed\u00a0<\/h4>\n\n\n\n

Kunc V. Volar approaches to the distal radius. Rozh Chir 2025<\/a><\/p>\n\n\n\n

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Tato pr\u00e1ce se zab\u00fdv\u00e1 vol\u00e1rn\u00edmi, tedy p\u0159edn\u00edmi chirurgick\u00fdmi p\u0159\u00edstupy k dist\u00e1ln\u00ed \u010d\u00e1sti v\u0159etenn\u00ed kosti, kter\u00e9 se nej\u010dast\u011bji vyu\u017e\u00edvaj\u00ed p\u0159i opera\u010dn\u00ed l\u00e9\u010db\u011b zlomenin z\u00e1p\u011bst\u00ed. P\u0159esto\u017ee je tento p\u0159\u00edstup v ka\u017edodenn\u00ed praxi velmi b\u011b\u017en\u00fd, jeho konkr\u00e9tn\u00ed proveden\u00ed se mezi jednotliv\u00fdmi pracovi\u0161ti i autory v\u00fdznamn\u011b li\u0161\u00ed.<\/p>\n<\/div>\n\n\n\n

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Variabilita sval\u016f p\u0159i p\u0159\u00edstupu ke zlomenin\u00e1m dist\u00e1ln\u00edho radia (Ilustrace: Barbora Vo\u0161mikov\u00e1)<\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n

Studie shrnuje historick\u00fd v\u00fdvoj takzvan\u00e9ho modifikovan\u00e9ho Henryho p\u0159\u00edstupu, popisuje jeho nej\u010dast\u011bj\u0161\u00ed technick\u00e9 varianty a upozor\u0148uje na hlavn\u00ed odborn\u00e9 ot\u00e1zky, kter\u00e9 jsou v t\u00e9to oblasti st\u00e1le diskutov\u00e1ny. Pat\u0159\u00ed mezi n\u011b nap\u0159\u00edklad rozsah uvoln\u011bn\u00ed jednotliv\u00fdch struktur, zp\u016fsob pr\u00e1ce se svalem m. pronator quadratus<\/em>, mo\u017enosti roz\u0161\u00ed\u0159en\u00ed p\u0159\u00edstupu nebo sou\u010dasn\u00e9 uvoln\u011bn\u00ed karp\u00e1ln\u00edho tunelu.<\/p>\n\n\n\n

Sou\u010d\u00e1st\u00ed pr\u00e1ce je tak\u00e9 p\u0159ehled anatomick\u00fdch variac\u00ed<\/a>, se kter\u00fdmi se m\u016f\u017ee chirurg b\u011bhem v\u00fdkonu setkat. Tyto odchylky nejsou v\u011bt\u0161inou \u010dast\u00e9, mohou v\u0161ak ovlivnit orientaci v opera\u010dn\u00edm poli i bezpe\u010dn\u00e9 zaveden\u00ed implant\u00e1tu.<\/p>\n\n\n\n

Za nejv\u00fdznamn\u011bj\u0161\u00ed pova\u017eujeme dva praktick\u00e9 z\u00e1v\u011bry. Prvn\u00edm je nutnost p\u0159esn\u00e9 znalosti vztah\u016f v oblasti \u00faponu svalu brachioradialis a okoln\u00edch \u0161lachov\u00fdch a vazivov\u00fdch struktur. Druh\u00fdm je d\u016fraz na v\u010dasn\u00e9 rozpozn\u00e1n\u00ed zn\u00e1mek \u00fatlaku st\u0159edov\u00e9ho nervu v karp\u00e1ln\u00edm tunelu, kter\u00fd m\u016f\u017ee zlomeniny dist\u00e1ln\u00edho radia doprov\u00e1zet a n\u011bkdy vy\u017eaduje sou\u010dasn\u00e9 chirurgick\u00e9 \u0159e\u0161en\u00ed.<\/p>\n\n\n\n

Pr\u00e1ce ukazuje, \u017ee i u zd\u00e1nliv\u011b standardn\u00edho opera\u010dn\u00edho p\u0159\u00edstupu hraje detailn\u00ed znalost anatomie z\u00e1sadn\u00ed roli. Pr\u00e1v\u011b spojen\u00ed anatomick\u00e9ho pozn\u00e1n\u00ed s klinickou prax\u00ed je kl\u00ed\u010dov\u00e9 pro bezpe\u010dn\u011bj\u0161\u00ed a p\u0159esn\u011bj\u0161\u00ed chirurgickou l\u00e9\u010dbu.<\/p>","protected":false},"excerpt":{"rendered":"

Kunc V. – Vol\u00e1rn\u00ed p\u0159\u00edstupy ke kosti v\u0159etenn\u00ed\u00a0 Kunc V. Volar approaches to the distal radius. Rozh Chir 2025 Tato pr\u00e1ce se zab\u00fdv\u00e1 vol\u00e1rn\u00edmi, tedy p\u0159edn\u00edmi chirurgick\u00fdmi p\u0159\u00edstupy k dist\u00e1ln\u00ed \u010d\u00e1sti v\u0159etenn\u00ed kosti, kter\u00e9 se nej\u010dast\u011bji vyu\u017e\u00edvaj\u00ed p\u0159i opera\u010dn\u00ed l\u00e9\u010db\u011b zlomenin z\u00e1p\u011bst\u00ed. P\u0159esto\u017ee je tento p\u0159\u00edstup v ka\u017edodenn\u00ed praxi velmi b\u011b\u017en\u00fd, jeho konkr\u00e9tn\u00ed proveden\u00ed se […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"class_list":["post-72","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/biomechanikaruky.cz\/en\/wp-json\/wp\/v2\/pages\/72","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/biomechanikaruky.cz\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/biomechanikaruky.cz\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/biomechanikaruky.cz\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/biomechanikaruky.cz\/en\/wp-json\/wp\/v2\/comments?post=72"}],"version-history":[{"count":4,"href":"https:\/\/biomechanikaruky.cz\/en\/wp-json\/wp\/v2\/pages\/72\/revisions"}],"predecessor-version":[{"id":256,"href":"https:\/\/biomechanikaruky.cz\/en\/wp-json\/wp\/v2\/pages\/72\/revisions\/256"}],"wp:attachment":[{"href":"https:\/\/biomechanikaruky.cz\/en\/wp-json\/wp\/v2\/media?parent=72"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}