3,139 results match your criteria Flexor Tendon Anatomy


The Accommodation of Bone Anchors Within the Distal Phalanx for Repair of Flexor Digitorum Profundus Avulsions.

J Hand Surg Am 2019 Feb 15. Epub 2019 Feb 15.

Hooper Hand Surgery Unit, St. John's Hospital, Livingston, Scotland.

Purpose: Avulsion injury of the flexor digitorum profundus (FDP) tendon has been traditionally repaired with a pull-out suture over the nail plate. Complication rates with this method and improvements in anchor design have led to the increased use of bone anchors to give a rigid all-inside repair. However, the dimensions of the distal phalanx may limit their use. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.12.012DOI Listing
February 2019

Correlation between high-frequency ultrasonography of patients with early rheumatoid arthritis and anti-CCP antibody.

Medicine (Baltimore) 2019 Feb;98(6):e14083

Department of Ultrasound Medicine, Gansu Provincial People's Hospital, Lanzhou, Gansu Province, P. R. China.

Objectives: To study the correlation between high-frequency ultrasonography of patients with early rheumatoid arthritis (RA) and anti-cyclic citrullinated peptide (CCP) antibody.

Methods: Two wrists, 1st to 5th metacarpal phalangeal (MCP) and 1st to 5th proximal interphalangeal (PIP) joints of 53 early RA patients treated from October 2015 to October 2017 and 30 healthy subjects were examined by high-frequency ultrasonography. The thicknesses of synovial membrane, sheaths of 1st to 5th extensor tendons, flexor tendons and ulnar wrist extensor tendons were measured. Read More

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http://dx.doi.org/10.1097/MD.0000000000014083DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380833PMC
February 2019
4 Reads

Anatomic lectures on structures at risk prior to cadaveric courses reduce injury to the superficial peroneal nerve, the commonest complication in ankle arthroscopy.

Knee Surg Sports Traumatol Arthrosc 2019 Feb 7. Epub 2019 Feb 7.

Human Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, University of Barcelona, Barcelona, Spain.

Purpose: To assess the effectiveness of cadaveric ankle arthroscopy courses in reducing iatrogenic injuries.

Methods: A total of 60 novice surgeons enrolled in a basic cadaveric ankle arthroscopy course were divided into two groups. Group A (n = 32) was lectured on portal placement and use of the arthroscope, whereas group B (n = 28) was in addition lectured on specific portal-related complications. Read More

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http://link.springer.com/10.1007/s00167-019-05373-x
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http://dx.doi.org/10.1007/s00167-019-05373-xDOI Listing
February 2019
6 Reads

Anomalous Courses of the Palmar Cutaneous Branch of the Median Nerve in Relation to the Flexor Carpi Radialis Tendon for ORIF of Distal Radius Fractures.

Hand (N Y) 2019 Jan 31:1558944718825137. Epub 2019 Jan 31.

1 New York University, New York, NY, USA.

Background: The purpose of this study was to prospectively document the incidence of variations in the course of palmar cutaneous branch of the median nerve (PCBMN) that may increase the risk of injury to the nerve during the flexor carpi radialis (FCR) approach. We hypothesize that the incidence of anomalous branching of the PCBMN around the FCR sheath will be approximately 5%.

Methods: All cases that met inclusion criteria between November 2013 and March 2018 were included. Read More

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http://dx.doi.org/10.1177/1558944718825137DOI Listing
January 2019
2 Reads

Terrible triad injuries of the elbow.

Emerg Radiol 2019 Jan 28. Epub 2019 Jan 28.

Department of Radiology, University of Washington, 4245 Roosevelt Way NE, Box 354755, Seattle, WA, 98105, USA.

Terrible triad injury of the elbow is a complex injury that is classically defined as elbow dislocation along with fractures of the coronoid process of the ulna and the radial head. The injury is usually associated with typical soft-tissue disruptions (with common involvement of the lateral collateral ligament complex, elbow joint capsule, as well as the common extensor and flexor-pronator tendons) that are best understood in the context of injury mechanism as well as the role and relevance of the various elbow stabilizers. The goals of this article are to review the pertinent anatomy, mechanism of injury, classification and imaging of terrible triad injuries of the elbow with brief descriptions of treatment, and complications of this complex injury. Read More

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http://dx.doi.org/10.1007/s10140-019-01676-1DOI Listing
January 2019
2 Reads

Innervation Pattern of Lumbrical Muscles of the Foot in Human Fetuses.

J Am Podiatr Med Assoc 2019 Jan 16. Epub 2019 Jan 16.

‡ Mersin University Anatomy.

Background: The main objective of this study is to describe the innervation patterns of foot lumbrical muscles and its morphological properties in human fetuses. Another objective is to define the communicating branches between medial (MPN) and lateral (LPN) plantar nerves, which play a part in innervation of those muscles.

Methods: Thirty formalin-fixed fetuses (13 males - 17 females) with a mean gestational age of 25. Read More

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http://www.japmaonline.org/doi/10.7547/17-132
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http://dx.doi.org/10.7547/17-132DOI Listing
January 2019
5 Reads

Flexor tendon repair with a polytetrafluoroethylene (PTFE) suture material.

Arch Orthop Trauma Surg 2019 Mar 4;139(3):429-434. Epub 2019 Jan 4.

Department of Plastic and Hand Surgery, University of Erlangen Medical Center, Erlangen, Germany.

Background: There is a consensus that after a flexor tendon repair an aggressive rehabilitation protocol with early active motion can improve functional outcome, provided that the combination of material and suturing technique can meet the higher biomechanic demands. Bearing this in mind we evaluated a polytetrafluoroethylene (PTFE) suture (SERAMON, Serag-Wiessner) as a possible material for flexor tendon repair.

Materials And Methods: 40 flexor tendons were harvested from fresh cadaveric upper extremities. Read More

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http://dx.doi.org/10.1007/s00402-018-03105-3DOI Listing
March 2019
3 Reads

Trigger finger secondary to a neglected flexor tendon rupture.

Medicine (Baltimore) 2019 Jan;98(1):e13980

Department of Orthopedic Surgery, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Chonbuk, Republic of Korea.

Secondary trigger finger caused by trauma to the hand, especially associated with partial flexor tendon rupture, is not a common condition. Thus, the clinical manifestations of these patients are not well-known. The aim of this study is to present secondary trigger finger caused by a neglected partial flexor tendon rupture including discussion of the mechanism and treatment. Read More

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http://dx.doi.org/10.1097/MD.0000000000013980DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344173PMC
January 2019
2 Reads

Anatomic and histological analyses of chiasma plantare and long flexor tendons of the foot on human fetuses.

Surg Radiol Anat 2019 Jan 3. Epub 2019 Jan 3.

Department of Anatomy, Faculty of Medicine, Mersin University, Mersin, Turkey.

Purpose: The aim of present study was to reveal slip transfers related to flexor hallucis longus (FHL) and flexor digitorum longus (FDL) by dissection and to investigate detailed structure of chiasma plantare composed of FHL-FDL tendons and quadratus plantae (QP), with precise composition of the long flexor tendons of lesser toes by histological sections in human fetuses.

Method: Slip transfers related to FHL and FDL tendons were identified and the related morphometric measurements were taken with dissection in 28 formalin-fixed fetuses (25-40 weeks). Composition and restoration of chiasma plantare and long flexor tendons of lesser toes were traced histological by analyzing movements of the tissues on the sequential coronal sections in five fetuses in the third trimester. Read More

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http://dx.doi.org/10.1007/s00276-018-02175-7DOI Listing
January 2019
2 Reads

Carpal tunnel syndrome caused by synovial osteochondromatosis of the finger flexor tendon: A case report.

Medicine (Baltimore) 2018 Dec;97(52):e13943

Department of Rehabilitation Medicine.

Rationale: Carpal tunnel syndrome (CTS) is the most common peripheral nerve neuropathy resulting from compression of the median nerve as it traverses the carpal tunnel. The pathophysiology of this condition is multifactorial, and majority of cases of CTS are idiopathic. We report cases of CTS caused by synovial osteochondromatosis (SOC), which has rarely been reported. Read More

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http://dx.doi.org/10.1097/MD.0000000000013943DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314781PMC
December 2018
1 Read

The anatomic location and importance of the tibialis posterior fascicular bundle at the sciatic nerve bifurcation: report of 3 cases.

J Neurosurg 2018 Dec 21:1-7. Epub 2018 Dec 21.

Departments of2Neurosurgery and.

The authors present the cases of 3 patients with severe injuries affecting the peroneal nerve combined with loss of tibialis posterior function (inversion) despite preservation of other tibial nerve function. Loss of tibialis posterior function is problematic, since transfer of the tibialis posterior tendon is arguably the best reconstructive option for foot drop, when available. Analysis of preoperative imaging studies correlated with operative findings and showed that the injuries, while predominantly to the common peroneal nerve, also affected the lateral portion of the tibial nerve/division near the sciatic nerve bifurcation. Read More

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http://dx.doi.org/10.3171/2018.8.JNS181190DOI Listing
December 2018
21 Reads

Diagnosis of A3 Pulley Injuries Using Ultrasound.

Sportverletz Sportschaden 2018 Dec 11;32(4):251-259. Epub 2018 Dec 11.

Department of Sportsmedicine, Department of Orthopedic and Trauma Surgery, Klinikum Bamberg, Bamberg, Germany.

Rationale And Objectives:  Pulley ruptures are the most common injuries in sport climbing. Ruptures of the A2 and A4 pulleys have been studied extensively, and ultrasound has proven to be a highly sensitive and specific tool for their diagnosis. However, the correct diagnosis of A3 pulley ruptures continues to be a challenge. Read More

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http://dx.doi.org/10.1055/a-0598-7655DOI Listing
December 2018
4 Reads

Medial elbow anatomy: A paradigm shift for UCL injury prevention and management.

Clin Anat 2019 Apr 9;32(3):379-389. Epub 2019 Jan 9.

Department of Clinical Anatomy, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.

To improve the management outcomes and diagnostic accuracy of the ulnar collateral ligament (UCL) injury, the anatomy of the medial side of the elbow joint is necessary to be understood in terms of the periarticular surroundings rather than the specific ligaments. The aim of this study was to anatomically clarify the medial side of the elbow joint in terms of the tendinous structures and joint capsule. We conducted a descriptive anatomical study of 23 embalmed cadaveric elbows. Read More

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http://dx.doi.org/10.1002/ca.23322DOI Listing
April 2019
3 Reads

[Lumbosacral radiculoplexus neuropathy with a small intramedullary lesion in posterior spinal cord: a case report].

Authors:
Motomi Arai

Rinsho Shinkeigaku 2018 Dec 29;58(12):745-749. Epub 2018 Nov 29.

Department of Neurology, Seirei Mikatahara General Hospital.

We present the unique case of a patient with lumbosacral radiculoplexus neuropathy (LRPN) and a small intramedullary lesion, probably an infarction, in the spinal cord. A previously healthy 58-year-old female developed acute severe pain involving the entire right lower limb, followed by weakness of the right lower limb a few hours later. The patient could not walk and was referred to our clinic. Read More

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http://dx.doi.org/10.5692/clinicalneurol.cn-001213DOI Listing
December 2018
2 Reads

Etiology, Evaluation, and Management Options for the Stiff Digit.

J Am Acad Orthop Surg 2018 Nov 20. Epub 2018 Nov 20.

From the Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.

The stiff digit may be a consequence of trauma or surgery to the hand and fingers and can markedly affect a patient's level of function and quality of life. Stiffness and contractures may be caused by one or a combination of factors including joint, intrinsic, extensor, and flexor tendon pathology, and the patient's individual biology. A thorough understanding of the anatomy, function, and relationship of these structures on finger joint range of motion is crucial for interpreting physical examination findings and preoperative planning. Read More

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http://Insights.ovid.com/crossref?an=00124635-900000000-9947
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http://dx.doi.org/10.5435/JAAOS-D-18-00310DOI Listing
November 2018
13 Reads

[Treatment Options for Inveterate Injuries of Deep Finger Flexors - Primary Transplantation with Tendon Graft].

Acta Chir Orthop Traumatol Cech 2018 ;85(5):370-372

Klinika plastické chirurgie 3. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha.

Injuries of the flexor finger apparatus are very common. Primarily, it is routinely treated by suture of the tendon. Isolated deep flexor injuries, when the flexion restriction only reaches the DIP joint, are sometimes overlooked by the surgeon or by the patients themselves, especially if the deep flexor is injured, after a closed rupture or cutaneous injury with a small skin wound. Read More

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February 2019
14 Reads

Magnetic resonance and radiographic imaging of a case of bilateral bipartite navicular bones in a horse.

Aust Vet J 2018 Nov;96(11):464-469

School of Veterinary Science, University of Queensland, Gatton, Queensland, Australia.

Case Report: We describe the radiographic and magnetic resonance imaging findings associated with a case of bilateral forelimb bipartite navicular disease in a 7-year-old Warmblood gelding used for eventing. In addition to the radiographically evident partitioned navicular bones, magnetic resonance imaging (MRI) also detected other concurrent abnormalities occurring within the foot that have not been described before in other cases of navicular bone partition. MRI not only revealed soft tissue lesions of the podotrochlear apparatus, but also allowed for more detailed characterisation of the recently diagnosed osseous navicular bone pathology. Read More

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http://dx.doi.org/10.1111/avj.12760DOI Listing
November 2018
2 Reads

Functional myology of the thoracic limb in Pampas fox (Lycalopex gymnocercus): a descriptive and comparative analysis.

J Anat 2018 Dec 14;233(6):783-806. Epub 2018 Oct 14.

Laboratory of Wild Animals Teaching and Research (LAPAS), Federal University of Uberlândia (UFU), Uberlândia, MG, Brazil.

The characteristics of the muscles of the thoracic limb were evaluated in 22 specimens of Lycalopex gymnocercus. Descriptive and comparative analyses showed similarity with other canids in terms of topography and tendon insertions. Differences with the domestic dog were observed in the pectoralis profundus, triceps brachii and interflexorii muscles. Read More

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http://dx.doi.org/10.1111/joa.12892DOI Listing
December 2018

Clinical Examination of the Extensor Pollicis Brevis: Anatomical Study and Description of a Novel Clinical Sign.

J Hand Surg Asian Pac Vol 2018 Sep;23(3):330-335

§ Hand Surgery Unit, St Vincent's Public Hospital, Fitzroy, VIC, Australia.

Background: The Extensor Pollicis Brevis (EPB) is an extrinsic thumb muscle whose main function is extension of the first metacarpophalangeal joint (MCPJ). It is subject to significant anatomical variation and may be absent, vestigial or have an anomalous distal attachment. Clinical examination of EPB is notoriously difficult and no reliable test has yet been described. Read More

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https://www.worldscientific.com/doi/abs/10.1142/S24248355185
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http://dx.doi.org/10.1142/S2424835518500315DOI Listing
September 2018
2 Reads

A rare variation of intrinsic and extrinsic hand muscles represented by a bi-ventered first lumbrical extending into the carpal tunnel combined with bilateral fifth superficial flexor digitorum tendon regression.

Morphologie 2018 Dec 25;102(339):294-301. Epub 2018 Sep 25.

Institute of Anatomy, Paracelsus Medical University, Nuremberg and Salzburg, General Hospital Nuremberg, Prof. Ernst Nathan street. 1, 90419 Nuremberg, Germany. Electronic address:

A rare unilateral variation of the first left lumbrical muscle was discovered in a female Caucasian cadaver dissected during a first year anatomy course at the Paracelsus Medical University - Nuremberg, Germany. The muscle possessed two venters with the first originating near the medial epicondyle of the humerus together with the intramuscular tendon of the superficial flexor digitorum tendon, and the second presenting as a regular first lumbrical muscle with radial palmar origin from first tendon of the deep flexor digitorum muscle. Both muscle bellies were connected by a 1. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12860115183018
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http://dx.doi.org/10.1016/j.morpho.2018.09.001DOI Listing
December 2018
4 Reads

A novel experimental design for the measurement of metacarpal bone loading and deformation and fingertip force.

PeerJ 2018 11;6:e5480. Epub 2018 Sep 11.

Animal Postcranial Evolution Lab, Skeletal Biology Research Centre, School of Anthropology and Conservation, University of Kent, Canterbury, UK.

Background: Musculoskeletal and finite element modelling are often used to predict joint loading and bone strength within the human hand, but there is a lack of in vitro evidence of the force and strain experienced by hand bones.

Methods: This study presents a novel experimental setup that allows the positioning of a cadaveric digit in a variety of postures with the measurement of force and strain experienced by the third metacarpal. The setup allows for the measurement of fingertip force as well. Read More

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http://dx.doi.org/10.7717/peerj.5480DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138040PMC
September 2018
1 Read

Sympathetic Innervation and Adrenergic Receptors in Equine Deep Digital Flexor Tendinopathy: Preliminary Results.

J Comp Pathol 2018 Aug 18;163:33-37. Epub 2018 Aug 18.

Sport Horses Studies Centre, Department of Veterinary Medicine, University of Perugia, Via San Costanzo 4, Perugia, Italy.

The aim of this study was to delineate the pattern of sympathetic innervation in the suprasesamoidean region of the deep digital flexor tendon (DDFT) in horses with tendinopathy by immunohistochemical labelling for tyrosine hydroxylase (TH) and α-1 adrenergic receptor (α1-AR). Twelve forelimbs were obtained from 10 horses with DDFT tendinopathy and six feet obtained from six horses were used as healthy controls. Post-mortem radiographic, ultrasonographic and gross examinations were performed on the suprasesamoidean area of the DDFT to assess the presence of tendinopathy. Read More

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http://dx.doi.org/10.1016/j.jcpa.2018.07.005DOI Listing
August 2018
1 Read

The Flexor Pollicis Longus Tendon Does Not Lie Parallel to the Thumb Metacarpal.

Hand (N Y) 2019 Jan 12;14(1):86-90. Epub 2018 Sep 12.

1 Massachusetts General Hospital, Boston, USA.

Background: Repair of the flexor pollicis longus (FPL) tendon by tendon retriever can be challenging because of uncertainty of the optimal direction. This study aims to describe the FPL tendon path in the thenar eminence.

Methods: In 18 hands of 9 cadavers, the angle of the FPL tendon was, after dissection, measured in relation to the axis formed between the metacarpophalangeal (MCP) joint of the thumb and the dorsal carpometacarpal joint (MC1-axis) and the axis formed between the second MCP joint and the distal edge of the trapezium (MC2-axis). Read More

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http://dx.doi.org/10.1177/1558944718798852DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346359PMC
January 2019
2 Reads

Effects of eccentric training with different training frequencies on blood circulation, collagen fiber orientation, and mechanical properties of human Achilles tendons in vivo.

Eur J Appl Physiol 2018 Dec 10;118(12):2617-2626. Epub 2018 Sep 10.

Department of Life Science (Sports Sciences), The University of Tokyo, Komaba 3-8-1, Meguro-ku, Tokyo, 153-8902, Japan.

Purpose: The purpose of the present study was to compare the effects of eccentric training with different training frequencies on the blood circulation, collagen orientation, and mechanical properties of the human Achilles tendon in vivo.

Methods: Ten healthy males completed 12 weeks of a unilateral eccentric training program {(15 repetitions with knee straight and 15 repetitions with knee slightly bent) × 6 sets in a single session} for the plantar flexor muscles. They performed training three times per week on one side (3TW) and six times per week on the other side (6TW). Read More

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http://dx.doi.org/10.1007/s00421-018-3985-xDOI Listing
December 2018

Grayson Ligament: A Revised Description of its Anatomy and Function.

J Hand Surg Am 2018 Aug 28. Epub 2018 Aug 28.

Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Groningen, Groningen, The Netherlands.

Purpose: Grayson ligament has been described as a common pathway for digital contracture in Dupuytren disease. Its anatomical descriptions in the literature are, however, inconsistent.

Methods: We have performed a microsurgical dissection study in 20 fresh-frozen and thawed digits to revisit the anatomy of Grayson ligaments. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.07.002DOI Listing
August 2018
15 Reads

Biomechanical evaluation of two methods of fixation of a flexor hallucis longus tendon graft.

Bone Joint J 2018 09;100-B(9):1175-1181

Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria.

Aims: The traditional transosseus flexor hallucis longus (FHL) tendon transfer for patients with Achilles tendinopathy requires two incisions to harvest a long tendon graft. The use of a bio-tenodesis screw enables a short graft to be used and is less invasive, but lacks supporting evidence about its biomechanical behaviour. We aimed, in this study, to compare the strength of the traditional transosseus tendon-to-tendon fixation with tendon-to-bone fixation using a tenodesis screw, in cyclical loading and ultimate load testing. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.100
Publisher Site
http://dx.doi.org/10.1302/0301-620X.100B9.BJJ-2018-0100.R2DOI Listing
September 2018
19 Reads

Horses with solar foot penetration, deep digital flexor tendon injury, and absence of concurrent synovial sepsis can have a positive outcome.

Vet Radiol Ultrasound 2018 Nov 29;59(6):697-704. Epub 2018 Aug 29.

Easter Bush Veterinary Centre, Dick Vet Equine Hospital, University of Edinburgh, Midlothian, UK.

Solar foot penetration is one of the causes of deep digital flexor tendon injuries in horses, however, limited information is available on the prognosis for return to soundness in the absence of synovial sepsis. Objectives of this retrospective observational study were to describe low-field magnetic resonance imaging (MRI) findings and long-term outcome for a group of horses with this combination of clinical problems. Horses were included if low-field standing MRI of the foot was performed following puncture wounds, injury of the deep digital flexor tendon was diagnosed, and sepsis was confirmed to be absent in all adjacent synovial structures (distal interphalangeal joint, navicular bursa, and digital flexor tendon sheath). Read More

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http://doi.wiley.com/10.1111/vru.12681
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http://dx.doi.org/10.1111/vru.12681DOI Listing
November 2018
15 Reads

MR imaging-anatomical correlation of the metatarsophalangeal joint of the hallux: Ligaments, tendons, and muscles.

Eur J Radiol 2018 Sep 5;106:14-19. Epub 2018 Jul 5.

Department of Radiology, UZ Brussel, Brussels, Belgium.

Objective: To perform an MR imaging-anatomical correlation to elucidate the anatomy of muscles, tendons, and ligaments about the hallux as seen on MR imaging.

Materials And Methods: Four fresh and 4 embalmed cadaver specimens were used for this study. The embalmed specimens and one fresh specimen were dissected by three investigators. Read More

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http://dx.doi.org/10.1016/j.ejrad.2018.07.003DOI Listing
September 2018
4 Reads

Endoscopic Flexor Hallucis Longus Transfer for Chronic Noninsertional Achilles Tendon Rupture.

Foot Ankle Int 2018 Dec 19;39(12):1464-1472. Epub 2018 Aug 19.

1 Human Anatomy and Embriology Unit, University of Barcelona, Barcelona, Spain.

Background:: Operative management of chronic Achilles tendon ruptures is challenging, and numerous techniques have been described. Risk of infection and wound breakdown have been described after open techniques, and minimally invasive methods have been proposed to avoid them. The aim of this study was to describe the clinical and radiological results obtained after endoscopic flexor hallucis longus (FHL) tendon transfer in patients with chronic Achilles tendon rupture. Read More

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http://dx.doi.org/10.1177/1071100718793172DOI Listing
December 2018
7 Reads

Flexor carpi radialis brevis: a rare accessory muscle presenting as an intersection syndrome of the wrist.

Skeletal Radiol 2019 Mar 10;48(3):457-460. Epub 2018 Aug 10.

Department of Radiology, University of California San Diego, 408 Dickinson Street, Mail code 8226, San Diego, CA, 92103, USA.

The flexor carpi radialis brevis (FCRB) is a rare accessory muscle of the forearm and wrist. It is typically asymptomatic, but has been discovered either incidentally during cadaveric studies or at the time of surgery in patients with distal forearm injury. Rarely, the FCRB muscle is associated with pain. Read More

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http://link.springer.com/10.1007/s00256-018-3034-1
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http://dx.doi.org/10.1007/s00256-018-3034-1DOI Listing
March 2019
16 Reads

The median nerve penetrating through the radial head of the flexor digitorum superficialis muscle: Case report.

Folia Med Cracov 2018 ;58(1):107-111

Department of Anatomy, Jagiellonian University Medical College, Kopernika 12, Kraków, Poland.

The forearm is a body region of numerous anatomical variations. Due to its favorable anatomy flexor digitorum superficialis muscle (FDS) is commonly used in tendon transfer surgeries. In this study a unique combination of abnormalities was found in a single forearm: the flexor digitorum superficialis muscle penetrated by the median nerve, one of the flexor digitorum superficialis tendons early division and absence of the palmaris longus muscle. Read More

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January 2018
1 Read

Morphological, radiographic and computed tomographic evaluation of the metatarsophalangeal joint of the one-humped camel.

Anat Histol Embryol 2018 Dec 6;47(6):537-543. Epub 2018 Aug 6.

Anatomy and Embryology Department, Faculty of Veterinary Medicine, Sadat-City University, Sadat City, Egypt.

The camel digits have a complex structure with tendons, joints and ligaments. The objective of the study was to determine the anatomical features of the metatarsophalangeal joint and its puncture site in dromedary camel using anatomical dissection, radiography, computed tomography (CT) bone and soft tissue window scans and 3D reconstruction render volume of CT. The study used six adult camels of both sexes (three males and three females), aged 9-15 years (Mean ± SD equal 11. Read More

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http://dx.doi.org/10.1111/ahe.12394DOI Listing
December 2018
6 Reads

Morphological variability of the palmaris longus muscle in human fetuses.

Surg Radiol Anat 2018 Nov 18;40(11):1283-1291. Epub 2018 Jul 18.

Department of Normal and Clinical Anatomy, Interfaculty Chair of Anatomy and Histology, Medical University of Lodz, ul. Narutowicza 60, 90-136, Lodz, Poland.

Purpose: The palmaris longus (PL) muscle is characterized by high-morphological variability. It is clinically important as it is routinely harvested for the reconstruction of other tendons. The study characterizes the morphology of the PL in human fetuses and creates a new classification based on its variations that would relate to the spectrum of morphological variability in adults. Read More

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http://link.springer.com/10.1007/s00276-018-2069-2
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http://dx.doi.org/10.1007/s00276-018-2069-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208680PMC
November 2018
15 Reads

Variant Distal Ulnar Nerve Loop: A Previously Undescribed Anatomical Finding.

Cureus 2018 May 10;10(5):e2604. Epub 2018 May 10.

Neurosurgery, Seattle Science Foundation, Seattle, USA.

A previously undescribed variant ulnar nerve loop was discovered during the routine anatomic forearm and hand dissection of an adult female. The major finding was that of a large loop traveling around the distal tendon of the flexor carpi ulnaris. The variation presented here appears to be unique. Read More

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http://dx.doi.org/10.7759/cureus.2604DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039214PMC

Complications of Treatment for Dupuytren Disease.

Hand Clin 2018 08 8;34(3):387-394. Epub 2018 Jun 8.

Hand Surgery Service, Department of Orthopaedics, Yawkey Center, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA. Electronic address:

Dupuytren contracture is a progressive disease involving collagen within the palmar fascia. When the contracture progresses to meet specific parameters, intervention is considered and includes collagenase injection, percutaneous or open fasciotomy, or palmar fasciectomy. Complications after treatment include contracture recurrence, digital nerve injury or postoperative neurapraxia, flexor tendon injury/rupture, delayed wound healing or skin necrosis, dysvascular digit/arterial injury, hematoma, and infection. Read More

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http://dx.doi.org/10.1016/j.hcl.2018.03.007DOI Listing
August 2018
3 Reads

Morphometric study of pulleys of the thumb.

Anat Cell Biol 2018 Jun 27;51(2):71-78. Epub 2018 Jun 27.

Department of Anatomy, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.

Pulleys are thickened regions in flexor tendons sheaths of the digits. They are essential and act as fulcrum for the flexion and extension of the digits. The arrangement and number of pulley system differs greatly between the thumb and other digits. Read More

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http://dx.doi.org/10.5115/acb.2018.51.2.71DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026824PMC
June 2018
23 Reads

Introduction of a new repair technique in bony avulsion of the FDP tendon: A biomechanical study.

Sci Rep 2018 Jul 2;8(1):9906. Epub 2018 Jul 2.

Department for Orthopaedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria.

The purpose of this study was to determine the biomechanical characteristics of an innovative surgical technique based on a tension banding principle using a suture anchor in the repair of bony avulsions of the flexor digitorum profundus tendon. After injury simulation in 45 fresh frozen distal phalanges from human cadavers, repair was performed with minifragment screws, interosseous sutures and the innovative technique (15 per group). All repairs were loaded for a total of 500 cycles. Read More

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http://www.nature.com/articles/s41598-018-28250-y
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http://dx.doi.org/10.1038/s41598-018-28250-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028643PMC
July 2018
11 Reads

The Plantaris Muscle Tendon and Its Relationship with the Achilles Tendinopathy.

Biomed Res Int 2018 31;2018:9623579. Epub 2018 May 31.

Department of Normal and Clinical Anatomy, Medical University of Lodz, Poland.

Purpose: Although the plantaris muscle (PM) is vestigial in humans, it has a significant clinical role in procedures such as grafting. However, recent reports suggest its potential involvement in the tendinopathy of the midportion of the Achilles tendon. The aim of the study is therefore to evaluate morphological variation of the PM with regard to its potential conflict with the Achilles tendon. Read More

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http://dx.doi.org/10.1155/2018/9623579DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6000875PMC
January 2019
2 Reads

Reconstruction of Neglected Flexor Hallucis Longus Tendon Rupture: A Case Report.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1256-1258. Epub 2018 Jun 21.

Professor, Department of Anatomy and Surgical Anatomy, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Isolated rupture of the flexor hallucis longus tendon is an unusual injury. We present the case of a neglected flexor hallucis longus tendon closed traumatic rupture at the plantar aspect of the first phalangeal head of the great toe in a middle-age male. The injury occurred while he was dancing. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.03.041DOI Listing
February 2019
3 Reads

Finite-element-based 3D computer modeling for personalized treatment planning in clubfoot deformity: Case report with technique description.

Medicine (Baltimore) 2018 Jun;97(24):e11021

Laboratory of Advanced Research in Multimodality Imaging, University of Medicine and Pharmacy.

Rationale: In clubfoot deformity, planning of corrective treatment requires a complex understanding of the foot anatomy, as well as of the geometry and distribution of altered mechanical forces acting at the level of the deformed foot. At the same time, treatment success depends largely on the selection of the most appropriate shape and angles of the customized orthesis developed for foot correction. Therefore, a complex assessment of the intensity and distribution of the mechanical forces at this site is mandatory prior to initiation of any corrective therapy. Read More

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http://Insights.ovid.com/crossref?an=00005792-201806150-0002
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http://dx.doi.org/10.1097/MD.0000000000011021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6024088PMC
June 2018
16 Reads

[Effectiveness of wrist tube inside and outside releasing for treating median nerve double entrapment at wrist].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Oct;31(10):1236-1239

Department of Hand Surgery, the Second Hospital of Tangshan, Tangshan Hebei, 063000, P.R.China.

Objective: To investigate the effectiveness of wrist tube inside and outside releasing for treating median nerve double entrapment at wrist.

Methods: Thirty-one patients of median nerve double entrapment at wrist were treated between April 2011 and May 2014. There were 8 males and 23 females with an age of 33-69 years (mean, 56. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201704125
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http://dx.doi.org/10.7507/1002-1892.201704125DOI Listing
October 2017
12 Reads

Dorsal Longitudinal T-Myelotomy (Bischof II Technique): A Useful, Antiquated Procedure for the Treatment of Intractable Spastic Paraplegia.

World Neurosurg 2018 Aug 16;116:e476-e484. Epub 2018 May 16.

Department of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Objective: Dorsal longitudinal T-myelotomy is a long-established operation to treat severe spastic paraplegia. The present study aimed to report this surgical technique and investigate the efficacy of T-myelotomy for spasticity relief.

Methods: All cases undergoing T-myelotomy for treatment of intractable spastic paraplegia during 2009-2017 were included. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.05.008DOI Listing
August 2018
1 Read

Muscle and tendon morphology alterations in children and adolescents with mild forms of spastic cerebral palsy.

BMC Pediatr 2018 05 9;18(1):156. Epub 2018 May 9.

Department of Paediatric Surgery, Medical University of Graz, Auenbruggerplatz 34, 8036, Graz, Austria.

Background: Early detection of changes at the muscular level before a contracture develops is important to gain knowledge about the development of deformities in individuals with spasticity. However, little information is available about muscle morphology in children with spastic diplegic cerebral palsy (CP) without contracture or equinus gait. Therefore, the aim of this study was to compare the gastrocnemius medialis (GM) and Achilles tendon architecture of children and adolescents with spastic CP without contracture or equinus gait to that of typically developing (TD) children. Read More

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http://dx.doi.org/10.1186/s12887-018-1129-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5941654PMC
May 2018
2 Reads

Morphological patterns of the pretendinous cord in Dupuytren's disease: a predictor of clinical outcome?

J Plast Surg Hand Surg 2018 Aug 9;52(4):240-244. Epub 2018 May 9.

a Department of Radiology , Sahlgrenska University Hospital , Mölndal , Sweden.

The morphology of the pretendinous cord in Dupuytren's disease is poorly described in vivo and especially with respect to recurrence after treatment. This prospective study was designed to describe the morphology of Dupuytren's cords by ultrasound and to identify possible correlation between the ultrasonographic characteristics of these cords and the clinical outcomes two years after treatment. Thirty-nine patients with a contracture of at least 20° in the metacarpophalangeal (MCP) joint, who were scheduled for local treatment by either injectable collagenase clostridium histolyticum (CCH) or percutaneous needle fasciotomy (PNF), were examined by ultrasound. Read More

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http://dx.doi.org/10.1080/2000656X.2018.1470521DOI Listing
August 2018
6 Reads

Multiple Giant Cell Tumor of Tendon Sheath Involving Both Flexor and Extensor Tendons in a Single Digit: A Case Report and Review of the Literatures.

J Hand Surg Asian Pac Vol 2018 Jun;23(2):282-285

* Department of Orthopedic Surgery, Seoul Medical Center, Seoul, Korea.

Giant cell tumor of the tendon sheath (GCTTS) is a common neoplasm of the hand. This tumor is usually solitary. Multi focal origin of the tumor is considered unusual and very few cases of multiple GCTTS have been reported. Read More

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http://dx.doi.org/10.1142/S2424835518720189DOI Listing
June 2018
9 Reads