Anatomical variations of the abductor pollicis longus: a pilot study.

abductor pollicis longus abductor pollicis longus tendon anatomical variations tendon graft

Journal

Folia morphologica
ISSN: 1644-3284
Titre abrégé: Folia Morphol (Warsz)
Pays: Poland
ID NLM: 0374620

Informations de publication

Date de publication:
2020
Historique:
received: 12 10 2019
accepted: 03 11 2019
revised: 02 11 2019
pubmed: 6 12 2019
medline: 16 10 2021
entrez: 6 12 2019
Statut: ppublish

Résumé

The abductor pollicis longus (APL) originates from the lateral part of the dorsal surface of the body of the ulna below the insertion of the anconeus muscle, from the interosseous membrane, and from the middle third of the dorsal surface of the body of the radius. However, the number of its accessory bands and their insertion vary considerably. Fifty upper limbs (2 paired, 31 male, 19 female) were obtained from adult Caucasian cadavers, and fixed in 10% formalin solution before examination. The APL muscle was present in all specimens. The muscles were divided into three main categories, with type II and III being dived into subtypes. Type I was characterised by a single distal attachment, with the tendon inserting to the base of the I metacarpal bone. Type II was characterised by a bifurcated distal attachment, with the main tendon inserting to the base of the first metacarpal bone; this type was divided into three subtypes (a-c). Type III was characterised by the main tendons inserting to the base of the first metacarpal bone, while the accessory band was characterised by mergers (fusion) with other tendons. This type was divided into two subtypes (a, b). The abductor pollicis longus is characterised by high morphological variability.

Sections du résumé

BACKGROUND BACKGROUND
The abductor pollicis longus (APL) originates from the lateral part of the dorsal surface of the body of the ulna below the insertion of the anconeus muscle, from the interosseous membrane, and from the middle third of the dorsal surface of the body of the radius. However, the number of its accessory bands and their insertion vary considerably.
MATERIALS AND METHODS METHODS
Fifty upper limbs (2 paired, 31 male, 19 female) were obtained from adult Caucasian cadavers, and fixed in 10% formalin solution before examination.
RESULTS RESULTS
The APL muscle was present in all specimens. The muscles were divided into three main categories, with type II and III being dived into subtypes. Type I was characterised by a single distal attachment, with the tendon inserting to the base of the I metacarpal bone. Type II was characterised by a bifurcated distal attachment, with the main tendon inserting to the base of the first metacarpal bone; this type was divided into three subtypes (a-c). Type III was characterised by the main tendons inserting to the base of the first metacarpal bone, while the accessory band was characterised by mergers (fusion) with other tendons. This type was divided into two subtypes (a, b).
CONCLUSIONS CONCLUSIONS
The abductor pollicis longus is characterised by high morphological variability.

Identifiants

pubmed: 31802470
pii: VM/OJS/J/66121
doi: 10.5603/FM.a2019.0134
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

817-822

Auteurs

P Karauda (P)

Uniwersytet Medyczny w Łodzi, Kościuszki 4, 90-419 Łódź, Poland. piotrkaraudamail@gmail.com.

Ł Olewnik (Ł)

Uniwersytet Medyczny w Łodzi, Kościuszki 4, 90-419 Łódź, Poland.

M Podgórski (M)

Polish Mother's Memorial Institute Research.

M Polguj (M)

Uniwersytet Medyczny w Łodzi, Kościuszki 4, 90-419 Łódź, Poland.

K Ruzik (K)

Uniwersytet Medyczny w Łodzi, Kościuszki 4, 90-419 Łódź, Poland.

M Topol (M)

Uniwersytet Medyczny w Łodzi, Kościuszki 4, 90-419 Łódź, Poland.

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Classifications MeSH