缅甸人群中指固有伸肌的变化:对手部重建手术的启示

Saung A Kari , Pedzisai Mazengenya , Arthur Tsalani Manjatika , Tin Moe Nwe , Zaw Myo Hein
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引用次数: 0

摘要

背景使用指固有伸肌(EIP)肌腱进行肌腱移植和移植在手部损伤的治疗中很常见。据报道,EIP肌腱的解剖变异在世界各地不同人群中具有不同的患病率和表现。了解可能的变异模式在重建手术中是至关重要的。目前的研究旨在描述缅甸人群中EIP解剖变异的流行程度。方法共解剖50具尸体,其中男39具,女11具。观察每具尸体的两个上肢。记录了EIP的存在,肌腱的数量,肌肉的起源和止点以及它与指共伸肌(EDC)的关系,并报告了变化。结果在50具尸体的100个肢体中,只有1/100的肢体报告有EIP肌肉和肌腱缺失。在其余99/100个检查的肢体中,其中一个由双肌腱组成,即分别在左手背的食指和中指上分别插入EIP和伸指和中筋(EIMC)。除此之外,还有一个病例在EIP肌腱中观察到额外的肌肉腹部,这块肌肉通常被称为指短手伸肌。所有EIP变异仅在男性尸体中观察到。结论在研究的50具尸体中,3/100的肢体出现了EIP变异。针对这些变化的人群特异性研究可能有助于更好地理解手背肌肉的不同解剖模式。这可能会改善手背损伤的诊断和手术处理,以及在手术移植和移植中使用EIP肌腱。
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Variations in the extensor indicis proprius muscle in the Burmese population: implications for hand reconstructive surgery

Background

The use of extensor indicis proprius (EIP) muscle tendon for tendon grafting and transplantation in the management of hand injuries is common. Anatomical variations of the EIP tendons have been reported with variable prevalence and presentation in different populations worldwide. Knowledge of possible variation patterns is crucial in reconstructive surgery. The current study aims to describe the prevalence of anatomical variations of the EIP in the Burmese population.

Methods

A total of 50 cadavers (39 males, and 11 females) were dissected. Both upper limbs of each cadaver were observed. The presence of the EIP, the number of tendons, the origin and insertion of the muscle and its relation with the extensor digitorum communis (EDC) were recorded and variations reported.

Results

Of the 100 limbs studied in the 50 cadavers, only 1/100 limb was reported to have an absent EIP muscle and tendon. Of the remaining 99/100 limbs examined, one of them consists of a double tendon, that is, EIP and extensor indicis et medii communis (EIMC) were inserted separately onto the index finger and middle finger respectively on the dorsum of the left hand. Further to this, there is one case in which an extra muscle belly was observed in the EIP tendon, this muscle is commonly known as the extensor digitorum brevis manus muscle. All the EIP variations were observed in the male cadavers only.

Conclusion

Of the 50 cadavers studied, 3/100 limbs exhibited EIP variations in the current studied population. Population-specific studies on these variations may aid in a better understanding of the different anatomical patterns of the muscles in the dorsum of the hand. This may lead to improved diagnosis and surgical management of injuries to the dorsum of the hand and for the use of the EIP tendon in surgical grafts and transplantations.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
71
审稿时长
25 days
期刊介绍: Translational Research in Anatomy is an international peer-reviewed and open access journal that publishes high-quality original papers. Focusing on translational research, the journal aims to disseminate the knowledge that is gained in the basic science of anatomy and to apply it to the diagnosis and treatment of human pathology in order to improve individual patient well-being. Topics published in Translational Research in Anatomy include anatomy in all of its aspects, especially those that have application to other scientific disciplines including the health sciences: • gross anatomy • neuroanatomy • histology • immunohistochemistry • comparative anatomy • embryology • molecular biology • microscopic anatomy • forensics • imaging/radiology • medical education Priority will be given to studies that clearly articulate their relevance to the broader aspects of anatomy and how they can impact patient care.Strengthening the ties between morphological research and medicine will foster collaboration between anatomists and physicians. Therefore, Translational Research in Anatomy will serve as a platform for communication and understanding between the disciplines of anatomy and medicine and will aid in the dissemination of anatomical research. The journal accepts the following article types: 1. Review articles 2. Original research papers 3. New state-of-the-art methods of research in the field of anatomy including imaging, dissection methods, medical devices and quantitation 4. Education papers (teaching technologies/methods in medical education in anatomy) 5. Commentaries 6. Letters to the Editor 7. Selected conference papers 8. Case Reports
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