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Bilateral morphological variation of abductor pollicis longus and extensor pollicis brevis tendons: a cadaveric case report with clinical perspective

Concurrent morphological variations of abductor pollicis longus (APL) and extensor pollicis brevis (EPB) are seldom reported in literature. Extra slips of APL and EPB are clinically significant as they are used to reconstruct the ruptured tendons in the hand. Herein, we report bilateral morphologica...

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Main Authors: Srinivasa RS,, Varna Taranikanti,, Mohammed AM,
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2017
Online Access:http://journalarticle.ukm.my/12272/1/11._srivinasa_et_al.pdf
http://journalarticle.ukm.my/12272/
http://jsurgacad.com/toc/7/1
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spelling my-ukm.journal.122722018-11-02T21:43:51Z http://journalarticle.ukm.my/12272/ Bilateral morphological variation of abductor pollicis longus and extensor pollicis brevis tendons: a cadaveric case report with clinical perspective Srinivasa RS, Varna Taranikanti, Mohammed AM, Concurrent morphological variations of abductor pollicis longus (APL) and extensor pollicis brevis (EPB) are seldom reported in literature. Extra slips of APL and EPB are clinically significant as they are used to reconstruct the ruptured tendons in the hand. Herein, we report bilateral morphological variations of APB and EPB in a male cadaver. On each side of forearm, APL was divided into two tendinous slips within the first compartment of extensor retinaculum. One of these slips inserted on to the radial side of base of first metacarpal bone close to the insertion of EPB, and the other slip inserted on to both abductor pollicis brevis and opponens pollicis. EPB divided into two tendons slips deep to the extensor retinaculum. These slips were found to be inserted on to the dorsal surface of the base of proximal phalanx while the other inserted on to the radial aspect of the base of first metacarpal bone, close to the insertion of APL tendon. These additional slips are frequently associated with first carpo-metacarpal subluxation and de Quervain’s syndrome and may be responsible for the clinical manifestations of these diseases. In addition, knowledge of the morphological variations of APL and EPB can aid orthopaedic and plastic surgeons in performing successful tendon transplants. Pusat Perubatan Universiti Kebangsaan Malaysia 2017 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/12272/1/11._srivinasa_et_al.pdf Srinivasa RS, and Varna Taranikanti, and Mohammed AM, (2017) Bilateral morphological variation of abductor pollicis longus and extensor pollicis brevis tendons: a cadaveric case report with clinical perspective. Journal of Surgical Academia, 7 (1). pp. 55-58. ISSN 2231-7481 http://jsurgacad.com/toc/7/1
institution Universiti Kebangsaan Malaysia
building Perpustakaan Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Concurrent morphological variations of abductor pollicis longus (APL) and extensor pollicis brevis (EPB) are seldom reported in literature. Extra slips of APL and EPB are clinically significant as they are used to reconstruct the ruptured tendons in the hand. Herein, we report bilateral morphological variations of APB and EPB in a male cadaver. On each side of forearm, APL was divided into two tendinous slips within the first compartment of extensor retinaculum. One of these slips inserted on to the radial side of base of first metacarpal bone close to the insertion of EPB, and the other slip inserted on to both abductor pollicis brevis and opponens pollicis. EPB divided into two tendons slips deep to the extensor retinaculum. These slips were found to be inserted on to the dorsal surface of the base of proximal phalanx while the other inserted on to the radial aspect of the base of first metacarpal bone, close to the insertion of APL tendon. These additional slips are frequently associated with first carpo-metacarpal subluxation and de Quervain’s syndrome and may be responsible for the clinical manifestations of these diseases. In addition, knowledge of the morphological variations of APL and EPB can aid orthopaedic and plastic surgeons in performing successful tendon transplants.
format Article
author Srinivasa RS,
Varna Taranikanti,
Mohammed AM,
spellingShingle Srinivasa RS,
Varna Taranikanti,
Mohammed AM,
Bilateral morphological variation of abductor pollicis longus and extensor pollicis brevis tendons: a cadaveric case report with clinical perspective
author_facet Srinivasa RS,
Varna Taranikanti,
Mohammed AM,
author_sort Srinivasa RS,
title Bilateral morphological variation of abductor pollicis longus and extensor pollicis brevis tendons: a cadaveric case report with clinical perspective
title_short Bilateral morphological variation of abductor pollicis longus and extensor pollicis brevis tendons: a cadaveric case report with clinical perspective
title_full Bilateral morphological variation of abductor pollicis longus and extensor pollicis brevis tendons: a cadaveric case report with clinical perspective
title_fullStr Bilateral morphological variation of abductor pollicis longus and extensor pollicis brevis tendons: a cadaveric case report with clinical perspective
title_full_unstemmed Bilateral morphological variation of abductor pollicis longus and extensor pollicis brevis tendons: a cadaveric case report with clinical perspective
title_sort bilateral morphological variation of abductor pollicis longus and extensor pollicis brevis tendons: a cadaveric case report with clinical perspective
publisher Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate 2017
url http://journalarticle.ukm.my/12272/1/11._srivinasa_et_al.pdf
http://journalarticle.ukm.my/12272/
http://jsurgacad.com/toc/7/1
_version_ 1643738741428191232
score 13.211869

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