• Title/Summary/Keyword: teres major

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Comparative Anatomy of the Korean Native Goat 1. Muscles of the thoracic limb (한국재래산양(韓國在來山羊)의 비교해부학적연구(比較解剖學的硏究) 1. 전지근(前肢筋)에 관하여)

  • Yoon, Suk Bong;Mun, Hi Cheol;Kim, Chang Key
    • Korean Journal of Veterinary Research
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    • v.14 no.2
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    • pp.135-150
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    • 1974
  • 한국재내산양(韓國在來山羊) 11마리의 전지근(前肢筋)을 절개하여 관찰하였던 바 다음과 같은 결과를 얻었다. 1. 한국재내산양(韓國在來山羊)의 전지(前肢)에서는 다음과 같은 근(筋)들을 관찰할 수 있었다. 승모근(僧帽筋) M. trapezus, 릉형근(菱形筋) M. rhomboideus, 완두근(腕頭筋) M. brachiocephalicus, 쇄골하근(鎖骨下筋) M. subclavius, 견갑횡구근(肩甲橫究筋) M. omotransv-ersarius, 란배근(瀾背筋) M. latissimus dorsi, 천흉근(淺胸筋) M. pectoralis guperficialis, 탐흉근(探胸筋) M. pectorlis profundus, 복거근(腹鋸筋) M. serratus ventralis, 삼각근(三角筋) M. deltoideus, 극하근(棘下筋) M. infraspinatus, 극상근(棘上筋) M. supraspinatus, 견갑하근(肩甲下筋) M. subscapularis, 대원근(大圓筋) M. teres major, 소원근(小圓筋) M. theres minor, 전완근막장근(前腕筋膜張筋) M. tensor fascia antebrachii, 삼두완근(三頭腕筋) M. triceps brachii, 주근 M. anconeus, 이두완근(二頭腕筋) M. biceps brachii, 상완근(上腕筋) M. brachialis, 조훼완근(鳥喙腕筋) M. coracobrachialis, 요완신근(橈腕伸筋) M. extensor carpi radialis, 고유제삼지신근(固有第三指伸筋) M. extensor digiti tertii proprius, 총지신근(總指伸筋) M. extensor digitorum cemmunis 고유제사지신근(固有第四指伸筋) M. extensor digiti quartii proprius, 척완신근(尺腕伸筋) M. extensor carpi ulnaris, 장모지외전근(長母指外轉筋) M. abductor pollicis longus, 척완굴근(尺腕屈筋) M. flexor carpi ulnaris, 요완굴근(橈腕屈筋) M. flexor carpi radialis, 원회내근(圓回內筋) M. pronator teres, 천지굴근(淺指屈筋) M. flexor digitorum suprficialis, 탐지굴근(探指屈筋) M. flexor digitorum profundus, 골간근(骨間筋) M. interosseus medius. 2. 천흉근(淺胸筋)과 심흉근(深胸筋)은 각각 전부(前部)와 후부(後部)로 명확히 분리(分離)되어있으며 특히 심흉근(深胸筋)의 전부(前部)와 후부(後部)는 서로 떨어져서 기시(起始)를 하고있어 그 사이에는 흉골(胸骨)이 노출되어 있었다. 3. 쇄골하근(鎖骨下筋)은 전예(全例)에서 관찰할 수 있었다. 4. 조탁흉근(鳥啄胸筋)은 소나 양에 비하여 매우 발달하였으며 특히 3예(例)에서는 더욱 발달하여 3개의 부분(部分)으로 되어있어 상완골 내측면 거의 전체를 덮고 있었다. 5. 주근, 소원근(小圓筋) 등 소동물(小動物)에서는 작은 근(筋)들이 매우 발달하였으나 장모지외전근(長母指外轉筋)은 엷고 작았다. 6. 반추류(反芻類)에서 가끔 볼 수 있는 M. extensor pollicis는 관찰할 수 없었다.

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Effects of Embedding Therapy on Frozen Shoulder : A Prospective Study

  • Jo, Na Young;Roh, Jeong Du
    • The Journal of Korean Medicine
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    • v.36 no.4
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    • pp.1-7
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    • 2015
  • Objectives: The aim of this study was to observe the effect of Embedding therapy on frozen shoulder. Methods: 57 patients with frozen shoulder were treated with Embedding therapy. It was performed once a day, once per a week. 15~20 Embedding thread were used in one time Embedding therapy. The total number of Embedding therapy was 10. Trapezius muscle including the Gyeonjeong ($GB_{21}$), Deltoid muscle including the Nosu ($SI_{10}$), Supraspinatus muscle including the Byeongpung ($SI_{12}$), Infraspinatus muscle including the Cheonjong ($SI_{11}$) and gokwon($SI_{13}$), Lavator scapular muscle including the Gyeonjunsu ($SI_{15}$), Rhomboides major muscle including the Pungmun ($BL_{12}$), Rhomboides minor muscle including the Daejeo ($BL_{11}$) and Teres major muscle including the Gyeonjeong ($SI_{19}$). VAS scale, SPADI scale and ROM were compared between before and after treatment to evaluate the effect of Embedding therapy. Results: VAS scale decreased significantly (p=0.003). SPADI Scale decreased significantly (pain (p=0.006), disability(p=0.005)). ROM angle range increased significantly(flexion (p=0.005), extension(p=0.005), abduction(p=0.003), adduction(p=0.003), external rotation (p=0.005), internalrotation(p=0.005)). 29.8% patients were very much satisfied, 62.0% patients were satisfied and 8.0% patients were answered so so about Embedding therapy. Conclusion: The Embedding therapy could be effective to improve symptoms of frozen shoulder.

Scapular Free Flap (유리 견갑 피판 이식술)

  • Chung, Duke-Whan;Han, Chung-Soo;Yim, Chang-Moo
    • Archives of Reconstructive Microsurgery
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    • v.5 no.1
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    • pp.24-34
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    • 1996
  • There are many kinds of free flaps for management of extensive soft tissue defect of extremities in orthopaedic field. Free vascularized scapular flap is one of the most useful and relatively easy to application. This flap has been utilize clinically from early eighties by many microsurgical pioneers. Authors performed 102 cases of this flap from 1984 to 1995. We have to consider about the surgical anatomy of the flap, technique of the donor harvesting procedures, vascular varieties and anatomical abnormalities and success rate and the weak points of the procedure. This flap nourished by cutaneous branches from circumflex scapular vessels emerges from the lateral aspect of the subscapular artery 2.5-5cm from its lateral origin passing through the triangular space(bounded by subscapularis, teres minor, teres major, long head of triceps). The terminal cutaneous branch runs posteriorly around the lateral border of the scapular and divided into two major branches, those transeverse horizontally and obliquely to the fascial plane of overlying skin of the scapular body. We can utilize these arteries for scapular and parascapular flap. The vascular pedicle ranged from 5 to 10 cm long depends on the dissection, usually two venae comitantes accompanied circumflex scapular artery and its major branches. The diameter of the circumflex scapular artery is more than 1mm in adult, rare vascular variation. Surgical techniques : The scapular flap can be dissected conveniently with prone or lateral decubitus position, prone position is more easier in my experience. There are two kinds of surgical approaches, most of the surgeon prefer elevation of the flap from its outer border towards its base which known easier and quicker, but I prefer elevation of the flap from its outer border because of the lowering the possibilities of damage to vasculature in the flap itself which runs just underneath the subcutaneous tissue of the flap and provide more quicker elevation of the flap with blunt finger dissection after secure pedicle dissection and confirmed the course from the base of the pedicle. There are minimal donor site morbidity with direct skin closure if the flap size is not so larger than 10cm width. This flap has versatility in the design of the flap shape and size, if we need more longer and larger one, we can use parascapular flap or both. Even more, the flap can be used with latissimus dorsi musculocutaneous flap and serratus anterior flap which have common vascular pedicle from subscapular artery, some instance can combined with osteocutaneous flap if we include the lateral border of the scapular bone or parts of the ribs with serratus anterior. The most important shortcoming of the scapular free flap is non sensating, there are no reasonable sensory nerves to the flap to anastomose with recipient site nerve. Results : Among our 102 cases, overall success rate was 89%, most of the causes of the failure was recipient site vascular problems such as damaged recipient arterial conditions, and there were two cases of vascular anomalies in our series. Patients ages from 3 years old to 62 years old. Six cases of combined flap with latissimus dorsi, 4 cases of osteocutaneous flap for bone reconstruction, 62 parascapular flap was performed - we prefer parascapular flap to scapular. Statistical analysis of the size of the flap has less meaningful because of the flap has great versatility in size. In the length of the pedicle depends on the recipient site condition, we can adjust the pedicle length. The longest vascular pedicle was 14 cm in length from the axillary artery to the enter point cutaneous tissue. In conclusion, scapular free flap is one of the most useful modalities to manage the large intractable soft tissue defect. It has almost constant vascular pedicle with rare anatomical variation, easy to dissect great versatility in size and shape, low donor morbidity, thin and hairless skin.

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Comparison of Scapular Kinematics During Active Shoulder Horizontal Adduction Between Subjects With and Without Limited Range of Motion of Shoulder Horizontal Adduction

  • Joung, Ha-na;Kim, Moon-hwan;Jeon, In-cheol;Hwang, Ui-jae;Kwon, Oh-yun
    • Physical Therapy Korea
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    • v.23 no.3
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    • pp.68-75
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    • 2016
  • Background: Shoulder horizontal adduction (HA) is performed in many activities of daily living. The limited range of motion (LROM) of HA is affected by the tightness of the posterior deltoid, infraspinatus, teres major, and posterior capsule of glenohumeral joint. The LROM of shoulder HA contributes to excessive scapular abduction. Objects: The aim of this study is to compare the scapular abduction distance and three-dimensional displacement of the scapula during shoulder horizontal adduction between subjects with and without the LROM of shoulder HA. Methods: 24 subjects (12 people in LROM group and 12 people in normal ROM group) participated. Subjects with less than $115^{\circ}$ of HA ROM were included in LROM group. Shoulder HA was performed 3 times for measuring scapular abduction distance and three-dimensional displacement of the scapula. Tape measure was used for measuring scapular abduction distance. Scapular abduction distance was normalized by dividing the scapular size. Polhemus Liberty was used for measuring the three-dimensional displacement of the scapula. Results: Normalized scapular abduction distance was significantly greater in LROM group than normal ROM group (p<.001). Three-dimensional displacement of the scapula during shoulder HA was greater in LROM group than normal ROM group (p<.05). Conclusion: LROM group had a greater scapular abduction and three-dimensional displacement of the scapula during shoulder HA compared to normal ROM group.

Sensitivity analysis of shoulder joint muscles by using the FEM model

  • Metan, Shriniwas.S.;Mohankumar, G.C.;Krishna, Prasad
    • Biomaterials and Biomechanics in Bioengineering
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    • v.3 no.2
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    • pp.115-127
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    • 2016
  • Shoulder pain, injury and discomfort are public health and economic issues world-wide. The function of these joints and the stresses developed during their movement is a major concern to the orthopedic surgeon to study precisely the injury mechanisms and thereby analyze the post-operative progress of the injury. Shoulder is one of the most critical joints in the human anatomy with maximum degrees of freedom. It mainly consists of the clavicle, scapula and humerus; the articulations linking them; and the muscles that move them. In order to understand the behavior of individual muscle during abduction arm movement, an attempt has been made to analyze the stresses developed in the shoulder muscles during abduction arm movement during the full range of motion by using the 3D FEM model. 3D scanning (ATOS III scanner) is used for the 3D shoulder joint cad model generation in CATIA V5. Muscles are added and then exported to the ANSYS APDL solver for stress analysis. Sensitivity Analysis is done for stress and strain behavior amongst different shoulder muscles; deltoid, supraspinatus, teres minor, infraspinatus, and subscapularies during adduction arm movement. During the individual deltoid muscle analysis, the von Mises stresses induced in deltoid muscle was maximum (4.2175 MPa) and in group muscle analysis it was (2.4127MPa) compared to other individual four rotor cuff muscles. The study confirmed that deltoid muscle is more sensitive muscle for the abduction arm movement during individual and group muscle analysis. The present work provides in depth information to the researchers and orthopedicians for the better understanding about the shoulder mechanism and the most stressed muscle during the abduction arm movement at different ROM. So during rehabilitation, the orthopedicians should focus on strengthening the deltoid muscles at earliest.

Study of course and termination of brachial artery by dissection and computed tomography angiography methods with clinical importance

  • Hemamalini Shetty;Vikram Patil;Najma Mobin;Manjunatha Hanasoge Narayana Gowda;Vinutha Shanubhognahalli Puttamallappa;Ravishankar Mathada Vamadevaiah;Pushpalatha Kunjappagounder
    • Anatomy and Cell Biology
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    • v.55 no.3
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    • pp.284-293
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    • 2022
  • The Brachial artery is a continuation of the axillary artery, from the inferior border of the tendon of teres major to the neck of the radius, terminating into radial and ulnar arteries just a cm distal to the elbow joint. Unlike veins, variations in the arteries are comparatively less common. Anatomical variations of the brachial artery occur in almost 20% of the cases and are commonly found during routine dissection or clinical practice. To observe the variations in the course and termination of brachial artery by dissection and computed tomography (CT) angiography methods. The present study was conducted on 40 upper limbs each in the department of Anatomy & Radiology of JSS Medical College and Hospital, Mysuru. The brachial artery was traced from origin to termination and variations were noted and photographed. Patients who were undergoing CT angiography of the upper limbs in JSS Hospital were included in the study. Variations noted and compared with the dissection method. In the present study, normal patterns of the brachial arterial course and termination were observed in 31 specimens. The remaining 9 specimens showed variant course and termination in the brachial artery like an unusually tortuous superficial brachial artery, superficial brachio-ulnar artery and brachio-radial artery. CT angiography showed 6 variations and a tortuous brachial artery. A detailed description of the vascular pattern of upper limbs especially variations in their origin and termination is of extreme importance in clinical practice. The knowledge of these variations is important for catheterization, graft harvesting, arteriovenous fistula creation, shunt application and astrup examination.

Conservation Management Methods and Vascular Plants of Major Sites in Changwon-si (창원시 주요지역의 식물상 및 보전관리방안)

  • Oh, Hyun-Kyung;Kang, Hyun-Mi;Choi, Song-Hyun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.15 no.4
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    • pp.23-40
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    • 2012
  • The vascular plants of major sites in Changwon-si were listed 456 taxa (9.3% of all 4,881 taxa of vascular plants); 112 families, 293 genera, 371 species, 2 subspecies, 66 varieties and 17 forms. The vascular plants of Changwon-cheon were listed 133 taxa, Junam reservoir were listed 90 taxa, Seongju-sa were listed 293 taxa, and Yungji park were listed 164 taxa. Divided into 456 taxa; woody plants were 160 taxa (35.1%) and herbaceous plants were 296 taxa (64.9%). Furthermore, therophytes (Th) were 111 taxa (24.3%), hemicryptophytes (H) were 75 taxa (16.4%), megaphanerophytes (MM) were 63 taxa (13.8%) showed high proportional ratio in life form. Based on the list of rare plants by the Korea Forest Service and Korea National Arboretum, 10 taxa (1.8% of all 571 taxa of rare plants); Aristolochia contorta (LC), Euryale ferox (VU), Melothrua japonica (LC), Utricularia pilosa (CR), Hydrocharis dubia (LC), Carex idzuroei (DD), Acorus calamus var. angustatus (LC), etc. Based on the list of endemic plants by the Korea National Arboretum, 10 taxa (3.0% of all 328 taxa of endemic plants); Salix pseudolasiogyne, Philadelphus incanus, Indigofera koreana, Lespedeza ${\times}$ maritima, Stewartia pseudocamellia, Weigela subsessilis, Carex okamotoi, etc. Based on the list of specific plants by floral region were total 43 taxa (4.0% of all 1,071 taxa of specific plants); 4 taxa (Euryale ferox, Hydrocharis dubia, Carex idzuroei, etc.) in class IV, 9 taxa (Ilex crenata, Acer palmatum, Stewartia pseudocamellia, Melothria japonica, Fatsia japonica, etc.) in class III, 3 taxa (Caltha palustris var. membranacea, Nymphoides indica, etc.) in class II, 26 taxa (Cyrtomium fortunei, Chloranthus japonicus, Quercus variabilis, Ulmus parvifolia, Aphananthe aspera, etc.) in class I. Based on the list of naturalized plants, 48 taxa (Rumex crispus, Chenopodium album var. album, Amaranthus patulus, Phytolacca american, Brassica juncea var. integrifolia, Potentilla paradoxa, Robinia pseudoacacia, Euphorbia maculata, Oenothera odorata, Cuscuta pentagona, Veronica persica, Plantago lanceolata, Diodia teres, Helianthus tuberosus, Dactylis glomerata, etc.), naturalization rate was 10.5% of all 456 taxa of vascular plants and urbanization index was 15.0% of all 321 taxa of naturalized plants. Ecosystem disturbing wild plants were 3 taxa (Rumex acetocella, Solanum carolinense, Ambrosia artemisiifolia).

Assessment of Benthic Environment based on Macrobenthic Community Analysis in Jinhae Bay, Korea (진해만 대형 저서동물군집 분석을 통한 저서환경 평가)

  • Lim, Kyeong-Hun;Shin, Hyun-Chool;Yoon, Seong-Myeong;Koh, Chul-Hwan
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.12 no.1
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    • pp.9-23
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    • 2007
  • To investigate the degree of pollution using the species composition of benthic community and environments, the present study was conducted in Jinhae Bay, May of 1998. In Jinhae Bay, benthic macrofaunal community was investigated on the base of the samples from 67 stations. The main facies of the surface sediment was silty clay and clay. The total species number and the mean density of macrobenthic animals were 255 species and 984 $ind./m^2$, respectively. There were 90 species and 773 $ind./m^2$ of polychaetes as the most major faunal group in Jinhae Bay. At the region between the eastern mouth of Jinhae Bay and Gadeok Is., the species number and density were higher, while lower at the western area of Jinhae Bay. The most dominant benthic macrofauna in Jinhae Bay was the polychaetes, Lumbrineris longifolia(16.9%), and followed by polychaetes Tharyx sp.(6.7%), Clone teres(4.7%), Glycinde sp.(4.2%), bivalves Theora fragilis(4.0%), crustaceans Corophium sp.(4.0%) and so on. The most of the predominant species appeared mainly on the region between the eastern mouth of Jinhae Bay and Gadeok Is. Cluster analysis based on the macrobenthic faunal composition showed that Jinhae Bay could be divided into three station groups: The western Jinhae Bay(Station group A), the mouth of Jinhae Bay(Station groupe B), and offshore area between Gadeok Is. and Geoje Is.(Station group C). The mouth of Jinhae Bay had the highest mean species number and the mean density, and its important species was Lumbrineris longifolia. The offshore area between Gadeok Is. and Geoje Is. had medium mean species number and the mean density. The western Jinhae Bay had the lowest mean species number and the mean density. The distribution of BPI and BC values, used to assess benthic pollution, showed similar patterns. According to the classification proposed by Borja et al.(2000), the stations of the western inner-bay were heavily polluted sites, the stations between mouth of the bay and the offshore area were slightly polluted sites, and the stations of the other area were meanly polluted sites. Benthic community healthiness of the western Jinhae Bay was classified to 'Transitional to pollution' by BC values. The degree of pollution in Jinhae Bay may have extended gradually from the western Jinhae Bay to the mouth of the bay.

Survey of Fungal Diseases on Barley, Wheat, and Oats at Tillering to Stem Extension Stages in Southern Regions of Korea during 2020-2021 (2020-2021년 한국 남부 지역 보리, 밀, 귀리의 분얼 및 신장기에 발생한 곰팡이 병 조사)

  • Min-Hye Jeong;Eu Ddeum Choi;Seol-Hwa Jang;Sunmin An;Miju Jo;Seoyeon Kim;Sang-Min Kim;Sook-Young Park
    • Research in Plant Disease
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    • v.30 no.3
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    • pp.207-218
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    • 2024
  • Cereal, including barley, wheat, and oats, is a major winter food crop in Korea. Despite recent changes in agricultural environments in response to climate change, fungal diseases that could affect cereal productivity remain poorly understood. In this study, we investigated the incidence of diseases in barley, wheat, and oats in the southern part of Korea. We collected fungal pathogens from seven locations where cereals were grown. In March-April of 2020 and 2021, a total of 92 fungal isolates were collected, mainly from the stem base or leaves of cereal crops during the tillering and stem extension stages of cereals in Korea. The collected isolates were identified based on morphological and molecular biological characteristics. The dominant species was Ceratobasidium cereale (42.4%), followed by Pyrenophora teres (21.7%), P. avenae (10.9%), Alternaria alternata (6.5%), and Epicoccum tobaicum (6.5%). In addition, P. tritici-repentis (3.3%), Cladosporium sp. (3.3%), Fusarium sp. (3.3%), and Nigrospora sp. (2.2%) were also collected as minority groups. Our results will provide information on fungal pathogens that occur during the growing season of cereals in Korea, particularly during the tillering and stem extension stages. In addition, the isolates collected from this study can serve as a valuable resource for conducting simulations on climate change, focusing on temperature and humidity.

Anatomical study on The Arm Greater Yang Small Intestine Meridian Muscle in Human (수태양소장경근(手太陽小腸經筋)의 해부학적(解剖學的) 연구(硏究))

  • Park, Kyoung-Sik
    • Journal of Pharmacopuncture
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    • v.7 no.2
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    • pp.57-64
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    • 2004
  • This study was carried to identify the component of Small Intestine Meridian Muscle in human, dividing the regional muscle group into outer, middle, and inner layer. the inner part of body surface were opened widely to demonstrate muscles, nerve, blood vessels and the others, displaying the inner structure of Small Intestine Meridian Muscle. We obtained the results as follows; 1. Small Intestine Meridian Muscle is composed of the muscle, nerve and blood vessels. 2. In human anatomy, it is present the difference between a term of nerve or blood vessels which control the muscle of Meridian Muscle and those which pass near by Meridian Muscle. 3. The inner composition of meridian muscle in human arm is as follows ; 1) Muscle ; Abd. digiti minimi muscle(SI-2, 3, 4), pisometacarpal lig.(SI-4), ext. retinaculum. ext. carpi ulnaris m. tendon.(SI-5, 6), ulnar collateral lig.(SI-5), ext. digiti minimi m. tendon(SI-6), ext. carpi ulnaris(SI-7), triceps brachii(SI-9), teres major(SI-9), deltoid(SI-10), infraspinatus(SI-10, 11), trapezius(Sl-12, 13, 14, 15), supraspinatus(SI-12, 13), lesser rhomboid(SI-14), erector spinae(SI-14, 15), levator scapular(SI-15), sternocleidomastoid(SI-16, 17), splenius capitis(SI-16), semispinalis capitis(SI-16), digasuicus(SI-17), zygomaticus major(Il-18), masseter(SI-18), auriculoris anterior(SI-19) 2) Nerve ; Dorsal branch of ulnar nerve(SI-1, 2, 3, 4, 5, 6), br. of mod. antebrachial cutaneous n.(SI-6, 7), br. of post. antebrachial cutaneous n.(SI-6,7), br. of radial n.(SI-7), ulnar n.(SI-8), br. of axillary n.(SI-9), radial n.(SI-9), subscapular n. br.(SI-9), cutaneous n. br. from C7, 8(SI-10, 14), suprascapular n.(SI-10, 11, 12, 13), intercostal n. br. from T2(SI-11), lat. supraclavicular n. br.(SI-12), intercostal n. br. from C8, T1(SI-12), accessory n. br.(SI-12, 13, 14, 15, 16, 17), intercostal n. br. from T1,2(SI-13), dorsal scapular n.(SI-14, 15), cutaneous n. br. from C6, C7(SI-15), transverse cervical n.(SI-16), lesser occipital n. & great auricular n. from cervical plexus(SI-16), cervical n. from C2,3(SI-16), fascial n. br.(SI-17), great auricular n. br.(SI-17), cervical n. br. from C2(SI-17), vagus n.(SI-17),hypoglossal n.(SI-17), glossopharyngeal n.(SI-17), sympathetic trunk(SI-17), zygomatic br. of fascial n.(SI-18), maxillary n. br.(SI-18), auriculotemporal n.(SI-19), temporal br. of fascial n.(SI-19) 3) Blood vessels ; Dorsal digital vein.(SI-1), dorsal br. of proper palmar digital artery(SI-1), br. of dorsal metacarpal a. & v.(SI-2, 3, 4), dorsal carpal br. of ulnar a.(SI-4, 5), post. interosseous a. br.(SI-6,7), post. ulnar recurrent a.(SI-8), circuirflex scapular a.(SI-9, 11) , post. circumflex humeral a. br.(SI-10), suprascapular a.(SI-10, 11, 12, 13), first intercostal a. br.(SI-12, 14), transverse cervical a. br.(SI-12,13,14,15), second intercostal a. br.(SI-13), dorsal scapular a. br.(SI-13, 14, 15), ext. jugular v.(SI-16, 17), occipital a. br.(SI-16), Ext. jugular v. br.(SI-17), post. auricular a.(SI-17), int. jugular v.(SI-17), int. carotid a.(SI-17), transverse fascial a. & v.(SI-18),maxillary a. br.(SI-18), superficial temporal a. & v.(SI-19).