Relativity of the Conventional Hand Tendon Zones and the Actual Glide Zones of Tendon Injury and Repair: A Need for Concept Reappraisal
| العنوان: | Relativity of the Conventional Hand Tendon Zones and the Actual Glide Zones of Tendon Injury and Repair: A Need for Concept Reappraisal |
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| المؤلفون: | Valdas Macionis |
| المصدر: | The Journal of Hand Surgery (Asian-Pacific Volume). 25:388-392 |
| بيانات النشر: | World Scientific Pub Co Pte Lt, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | musculoskeletal diseases, business.product_category, Documentation, 030230 surgery, Wrist, Pulley, Tendons, Palmar aponeurosis, 03 medical and health sciences, 0302 clinical medicine, Tendon Injuries, Finger Injuries, medicine, Humans, Full extension, 030222 orthopedics, business.industry, Injury and repair, General Medicine, Anatomy, musculoskeletal system, Tendon, medicine.anatomical_structure, Distal tendon, Tendon zone, Anatomic Landmarks, business |
| الوصف: | The conventional hand tendon zones and subzones do not reflect the actual lengths covered by the involved locus of the tendon during full digital and wrist motion, which warrant reappraisal of the tendon zone concept. Because of the tendon excursions many lacerations should be regarded as multiple zone injuries. Furthermore, the length-spans of glide of the distal tendon stump and of the tendon junction (i.e. the glide zones of tendon injury and repair, respectively) are mostly not of the same length because, due to pulley release and bulkiness of the tenorrhaphy, the glide zone of tendon repair is shorter than that of tendon injury. Therefore, it would be practical to notate the glide zones of the lacerated tendon by indicating the anatomic position of the distal tendon stump and tendon junction in full extension and flexion. This data can be provided separately or along with the conventional tendon zones, e.g. II (A4–C2) or II–III (A2–PA), where A, C, and PA stand for the annular, cruciform, and palmar aponeurosis pulleys, respectively. The conventional tendon zone classification could be improved with a tendon glide zone concept. Documentation of the actual excursions of the distal tendon stump and of the tenorrhaphy interface would prevent misinterpretation of the actual level of tendon injury and repair. |
| تدمد: | 2424-8363 2424-8355 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bafbc2ede531511b7b553e337c656512 https://doi.org/10.1142/s2424835520970024 |
| رقم الأكسشن: | edsair.doi.dedup.....bafbc2ede531511b7b553e337c656512 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 24248363 24248355 |
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