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Current anatomical texts describe only two tendinous origins of the rectus femoris muscle. The authors identified one older reference in which a third head of the rectus femoris muscle was briefly described. In order to confirm the existence of this head, 48 adult cadavers (96 sides) underwent detailed dissection of the proximal attachments of the rectus femoris muscle. Of these sides 83% were found to harbour a recognised third head of the rectus femoris muscle. This additional head was found to attach deeply to the iliofemoral ligament and superficially with the tendon of the gluteus minimus muscle as it attached into the femur. This tendon attached to the anterior aspect of the greater trochanter in an inferolateral direction compared to the straight head. The mean length and width of the third head was 2 cm and 4 cm, respectively. The mean thickness was found to be 3 mm. Most commonly this third head was bilaterally absent or bilaterally present. However, 4.2% were found only on left sides and 5.2% were found only on right sides. The angle created between the reflected and third heads was approximately 60 degrees. Two sides (both left sides with one female and one male specimen) were found to have third heads that were bilaminar. These bilaminar third heads had a distinct layer attaching to the underlying iliofemoral ligament and a superficial layer blending with the gluteus minimus tendon to insert onto the greater trochanter. Although the function of such an attachment is speculative, the clinician may wish to consider this structure in the interpretation of imaging or in surgical procedures in this region, as in our study it was present on the majority of sides.
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)
Twenty adult (8 to 10 months old) male New Zealand White rabbits were divided randomly into four equal groups. After preparation of each rabbit for surgical procedure, the right deep digital flexor tendon was crushed in a standard method. Then the limb was fixed with external coaptation for 7 d. The post-operative treatment in each group included: no treatment (CN), ascorbic acid, 100 mg.kg⁻¹, i.p. (AA), α -tocopherol, 20 mg.kg⁻¹, i.m. (AT), and both vitamins simultaneously (CM) for nine consecutive days. At the 13th d after surgery each rabbit was euthanized and tissues from the crushed tendon were prepared for ultrastructural evaluation by transmission electron microscopy. The median values of collagen fibril diameter in the AT group were the highest; group AA was more than the CN and CM groups; and group CM was the least. The results obtained indicated a significant positive effect of ascorbic acid and α-tocopherol on collagen fibril structural properties and tendon healing. However, combination of both vitamins had no synergistic effect on tendon healing and even significantly decreased the effect in comparison to each individual vitamin (P<0.05).
The heart is a muscular organ supported by collagenous tissue. The collagenous tissue is condensed in certain areas to form a supporting framework, often called the fibrous skeleton. The so-called tendon of the infundibulum has previously been described as part of this skeleton, but its structure and incidence remain ill defined. The tendon was initially described as a strip of fibrous tissue running between the aortic root and the pulmonary trunk. Since information on its structure is vague, we sought to evaluate its existence in 100 formalin-fixed adult human hearts obtained from subjects ranging in age from 22 to 86 years, in 20 hearts from infants and children aged from 2 months to 6 years at the time of their death and in 10 cattle hearts. We used classical macroscopic anatomical techniques to demonstrate all the possible connections between the sinuses of the aorta and the pulmonary trunk. We then supplemented the macroscopic techniques with serial transverse histological sections taken through the vascular roots, staining the sections with the haematoxylin-eosin, van Gieson, Masson trichrome and orcein staining methods. Fascial bands surrounded by connective tissue were observed in all hearts. In 80 adult hearts and in 16 neonatal hearts we found fascial bands or strips, which connected the aortic and pulmonary roots. Only in two hearts, however, were we able to identify tendon-like structures, and histology revealed that these were formed by tightly packed collagen fibres intermingled with fat, most likely due to advanced age. Thus in those cases where a “tendon” was present it was no more than condensed fascial bands joining together the apposing sinuses of the arterial trunks. In our opinion, therefore, accounts in the literature describing the “tendon of the infundibulum” as a tendinous structure connecting the aortic and pulmonary roots do not accurately represent this anatomical structure.
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