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Flexor digitorum profundus tendon anatomy in the forearm

Teoman Doğan, Arel Gereli, İsmail Ağır, Ufuk Nalbantoğlu.


Abstract
Objectives: Observe the structure of the flexor digitorum profundus (FDP) tendon macroscopically in cadaver forearms from the muscle-tendon junction to the carpal tunnel.
Methods: We used 11 forearms belonging to cadavers and fixed with formaldehyde. The forearms numbered 1, 2, 8, 9, 10, 11 were the left and right arms of the same cadavers. Those numbered 3, 4, 5, 6, 7 belonged to different cadavers. Dissections were made by using the atraumatic surgical technique. The tendons were studied to identify the structure and number of the fibers forming them.
Results: The presence of a large common tendon was found in 10 of the 11 forearms. In 4 of these, the common tendon included the tendons of all four fingers. While the common tendon included 3 fingers in four forearms, it only included tendons belonging to 2 fingers in two forearms. It was not possible in one forearm to separate the common tendon into its fibers. In another forearm, tendons belonging to each digit were separate and independent starting at the muscle-tendon junction to the attachment points.
Conclusion: The majority of the cadaver forearms used in the study displayed a single large FDP tendon in the zone between the muscle-tendon joint to the carpal tunnel entry prior to being distributed into each index. This anatomical feature should be considered in choosing materials and surgical technique for Zone V FDP tendon injuries, as well as in planning the rehabilitation process.

Key words: Anatomy, flexor digitorum profundus tendon, forearm

 

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REFERENCES
1. Brand PW, Hollister A. Mechanics of individual muscles at individualjoints. Clinical mechanics of the hand. 2nd ed. St. Louis:Mosby Year Book; 1992. p. 254-352.
2. Moore KL. Clinically oriented anatomy. 3rd ed. Baltimore:Williams and Wilkins; 1992. p. 566.
3. Williams PL, Warwick R, Dyson M, Bannister LH. Graysanatomy. Myology. 37th ed. London: Churchill Livingstone;1989; p. 545-660.
4. Chase RA. Examination of the hand and revelant anatomy. In:McCarthy JG editor. Plastic surgery. Vol 7. Philadelphia: WBSaunders Company; 1990. p. 4247-84.
5. Lister GD. Flexor tendon. In: McCarthy JG editor. Plastic surgery.Vol 7. Philadelphia: WB Saunders Company; 1990. p.4517-64.
6. Boyer MI. Flexor tendon injury. Green DP, Hotchkiss RN,Pederson WC, Scott WW, editors. Green’s operative hand surgery.Vol 1. 5th ed. Philadelphia: Churchill Livingstone; 2005. p.220-1.
7. Putz R, Pabst R. Sobotta insan anatomisi atlas›. 4. Türkçe bask›(Ar›nc› K, çev. editörü). Cilt 1. ‹stanbul, Beta Bas›m Yay›m;1994; s. 198-9.
8. Hollinshead WH.Anatomy for surgeons. The wrist and hand.Vol 2. 3rd ed. New York: Hober Medical Division; 1969. p. 408-10.
9. Rank BK, Wakafield AR, Hueston JT. Surgical anatomy of thehand. Surgery of repair as applied to hand surgery. 4th ed.Edinburgh: Churchill Livingstone; 1973. p. 15-59.
10. Leijnse JN, Walbeehm ET, Sonneveld GJ, Hovius SE, KauerJM. Connections between the tendons of the musculus flexordigitorum profundus involving the synovial sheaths in the carpaltunnel. Acta Anat (Basel) 1997;160:112-22. [DOI via Crossref]   
11. Bogumill GP. Functional anatomy of the flexor tendon system ofthe hand. Hand Surg 2002;7:33-46. [DOI via Crossref]    [Pubmed]   
12. Noaman HH. Management and functional outcomes of combinedinjuries of flexor tendons, nerves, and vessels at the wrist.Microsurgery 2007;27:536-43. [DOI via Crossref]    [Pubmed]   
13. Iconomou TG, Zuker RM, Michelow BJ. Management of majorpenetrating glass injuries to the upper extremities in children andadolescents. Microsurgery 1993;14:91-6. [DOI via Crossref]    [Pubmed]   
14. Leijnse JN. Anatomical factors predisposing to focal dystonia inthe musician’s hand – principles, theoretical examples, clinicalsignificance. J Biomech 1997;30:659-69. [DOI via Crossref]   
15. Leijnse JN. Measuring force transfers in the deep flexors of themusician’s hand: theoretical analysis, clinical examples. JBiomech 1997;30:873-82. [DOI via Crossref]   
16. Tubiana R. Traumatic lesions of flexor tendons of fingers andthumb. In: Tubiana R, editor. The hand. Vol 3, 1st ed.Philadelphia: WB Saunders Company; 1988. p. 167-79.
17. Blair FW. Flexor tendon repair in zone 3-5. Techniques in handsurgery. Philadelphia: Williams Wilkins; 1996. p. 147-56.
18. Pechlaner S, Hussl H, Kerschbaumer F. Flexor tendon injuries.Atlas of hand surgery. New York: Thieme; 2000. p. 223-61.

How to Cite this Article
Pubmed Style

Dogan T, Gereli A, Agir I, Nalbantoglu U. Flexor digitorum profundus tendon anatomy in the forearm. Hand Microsurg. 2012; 1(1): 25-29. doi:10.2399/emd.12.43153


Web Style

Dogan T, Gereli A, Agir I, Nalbantoglu U. Flexor digitorum profundus tendon anatomy in the forearm. http://handmicrosurgeryjournal.com/?mno=163305 [Access: October 22, 2018]. doi:10.2399/emd.12.43153


AMA (American Medical Association) Style

Dogan T, Gereli A, Agir I, Nalbantoglu U. Flexor digitorum profundus tendon anatomy in the forearm. Hand Microsurg. 2012; 1(1): 25-29. doi:10.2399/emd.12.43153


Vancouver/ICMJE Style

Dogan T, Gereli A, Agir I, Nalbantoglu U. Flexor digitorum profundus tendon anatomy in the forearm. Hand Microsurg. (2012), [cited October 22, 2018]; 1(1): 25-29. doi:10.2399/emd.12.43153


Harvard Style

Dogan, T., Gereli, A., Agir, I. & Nalbantoglu, U. (2012) Flexor digitorum profundus tendon anatomy in the forearm. Hand Microsurg, 1 (1), 25-29. doi:10.2399/emd.12.43153


Turabian Style

Dogan, Teoman, Arel Gereli, Ismail Agir, and Ufuk Nalbantoglu. 2012. Flexor digitorum profundus tendon anatomy in the forearm. Hand and Microsurgery, 1 (1), 25-29. doi:10.2399/emd.12.43153


Chicago Style

Dogan, Teoman, Arel Gereli, Ismail Agir, and Ufuk Nalbantoglu. “Flexor digitorum profundus tendon anatomy in the forearm.” Hand and Microsurgery 1 (2012), 25-29. doi:10.2399/emd.12.43153


MLA (The Modern Language Association) Style

Dogan, Teoman, Arel Gereli, Ismail Agir, and Ufuk Nalbantoglu. “Flexor digitorum profundus tendon anatomy in the forearm.” Hand and Microsurgery 1.1 (2012), 25-29. Print. doi:10.2399/emd.12.43153


APA (American Psychological Association) Style

Dogan, T., Gereli, A., Agir, I. & Nalbantoglu, U. (2012) Flexor digitorum profundus tendon anatomy in the forearm. Hand and Microsurgery, 1 (1), 25-29. doi:10.2399/emd.12.43153