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  1. Home /
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  3. Vol 46 No 4 (2015) /
  4. Case Report

Flexor Digitorum Superficialis and Flexor Digitorum Profundus with separated sheaths

  • Abstract
  • Keywords
  • References

Abstract

Case description:

A 25 years old man presented with a laceration on radial side of proximal phalanx of 4th finger (zone II flexor) which was due to cut with glass.

Clinical findings:

The sheaths of Tendons of flexor digitorum sperficialis and profundus were not the same and each tendon had a separate sheath.

Treatment and outcome:

The tendons were reconstructed by modified Kessler sutures, after 15 months the patient had a 30 degrees of extension lag even after physiotherapy courses.

Clinical relevance:

This is the first reported of such normal variation in human hand tendon anatomy.

Authors

  • Seyed Mokhtar Esmaeilnejd Ganji Department of orthopedic surgery, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, Iran
  • Behnam Baghianimoghadam Department of orthopedic surgery, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, Iran

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Keywords

  • Flexor digitorum superficialis
  • flexor digitorum profundus
  • hand
  • tendon

References

Snell RS. Clinical Anatomy by Regions. Ninth. North American Edition: LWW; 2011.

Standring S. Gray's Anatomy. 40th. Churchill: Livingstone; 2008.

Doyle JR. Anatomy of the flexor tendon sheath and pulley system: a current review. Pt 2J Hand Surg Am. 1989;14(2):349–351.

Strauch B, de Moura W. Digital flexor tendon sheath: an anatomic study. Pt 1J Hand Surg Am. 1985;10(6):785–789.

Amis AA, Jones MM. The interior of the flexor tendon sheath of the finger. The functional significance of its structure. J Bone Joint Surg Br. 1988;70(4):583–587.

Doyle JR. Palmar and digital flexor tendon pulleys. Clin Orthop Relat Res. 2001;(383):84–96.

Scott-Conner CEH, Dawson DL. Operative anatomy. Philadelphia: Lippincott Williams & Wilkins; 2009.

Chan TK, Ho CO, Lee WK, Fung YK, Law YF, Tsang CY. Functional outcome of the hand following flexor tendon repair at the 'no man's land'. J Orthop Surg (Hong Kong) 2006;14(2):178–183.

Winspur I, Wynn PCB. The Musician's Hand. London: CRC Press; 1998.

Sustaita D, Pouydebat E, Manzano A, Abdala V, Hertel F, Herrel A. Getting a grip on tetrapod grasping: form, function, and evolution. Biol Rev. 2013;88:380–405.

Tocheri MW, Orr CM, Jacofsky MC, Marzke MW. The evolutionary history of the hominin hand since the last common ancestor of Pan and Homo. J Anat. 2008;212:544–562.

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Published
2015-12-30
Submitted
2014-10-31
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How to Cite
Esmaeilnejd Ganji, S. M., & Baghianimoghadam, B. (2015). Flexor Digitorum Superficialis and Flexor Digitorum Profundus with separated sheaths. Colombia Médica, 46(4), 199-201. https://doi.org/10.25100/cm.v46i4.1753
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Vol 46 No 4 (2015)
Section
Case Report

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