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Variations of the abductor pollicis longus tendon: an anatomic study

100%

El-Beshbishy R. A., Abdel-Hamid G. A.

Folia Morphologica

2013

tom 72

nr 2

This study was performed to investigate the variations, dimensions and attachment of the abductor pollicis longus (APL) tendon. Fifty upper limbs of adult cadavers were dissected in the Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. Variations of APL tendon and its way of insertion were observed; its length, width and thickness were also measured and statistically analysed. No single-tendon-APL was found in all the examined upper limbs. The APL exhibited 2–6 tendons in all the cases. Tendons of APL were classified into medial and lateral. The lateral was considered as the main APL tendon, which was inserted into the base of the first metacarpal bone. The medial tendons were regarded as accessory slips and were inserted most commonly into the base of the first metacarpal bone; 80% on its anterolateral surface vs. 20% on the lateral one. The rest of the medial slips extended to trapezium, abductor pollicis brevis, thenar fascia, capsule of first carpometacarpal joint and opponens pollicis, with a frequency of 80%, 60%, 40%, 30% and 20%, respectively. Transverse tendinous fibres were noted connecting the various slips of the APL tendons. No significant difference was recorded between the length of the main APL tendon and its accessory tendons, however, a highly significant difference was found between their thicknesses as well as their widths. Thus it is verified that the lateral tendon of APL is the main, whereas the medial tendons are accessory. The observations regarding dimensions and variations of the APL and their accessory tendons may prove useful to surgeons as a source of grafting material. (Folia Morphol 2013; 72, 2: 161–166)

Anatomical variations of the hand extensors

80%

Abdel-Hamid G. A., El-Beshbishy R. A., Abdel Aal I. H.

Folia Morphologica

2013

tom 72

nr 3

This study was performed to investigate the anatomy and variations of the human extensor tendons of the fingers and their intertendinous connections. Ninety five upper limbs of adult cadavers were dissected. The variations in the extensor tendons of the fingers, both proximal and distal to the extensor retinaculum, and their mode of insertion were observed. Also, the intertendinous connections were explored and the obtained data were analysed. The extensor pollicis longus and brevis tendons were found to be single, doubled or, rarely, absent. Their insertion could be traced to either the proximal phalanx, or through the extensor expansion to both phalanges, or rarely to the distal phalanx of thumb. The extensor indicis had a single tendon in all specimens. In the majority of specimens, extensor digitorum had no independent slip to the little finger; it gave off a single tendon to the index, double tendons to the middle finger and triple tendons to the ring finger. Extensor digiti minimi muscle often had double or triple tendons distal to the extensor retinaculum. Three types of juncturae tendinum (JT) were identified between the tendons of extensor digitorum in the 2nd, 3rd and 4th intermetacarpal spaces (IMS) of hands. Types 1 and 2 JT were seen in the three IMS. Type 3 JT was the most frequently identified of all juncturae and was always absent in the 2nd IMS. The percentages of the present data were compared with other researchers’ data. (Folia Morphol 2013; 72, 3: 249–257)

Ograniczanie wyników

2 Folia Morphologica

2 Abdel-Hamid G. A.

2 El-Beshbishy R. A.

1 Abdel Aal I. H.

2 2013

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Variations of the abductor pollicis longus tendon: an anatomic study

Anatomical variations of the hand extensors