WORLD JOURNAL OF PLASTIC SURGERY
مجله جهانی جراحی پلاستیک
WJPS
Medical Sciences
http://wjps.ir
1
admin
2228-7914
2252-0724
8
10.61186/wjps
14
8888
13
en
jalali
1399
6
1
gregorian
2020
9
1
9
3
online
1
fulltext
en
Location of the Cut Flexor Tendons in the Palm Using Surface Anatomy: A Simple Guide for Minimal Incision Surgery
تخصصي
Special
مقالات اصيل
Original Article
BACKGROUND<br>
Hand Zone 2 flexor injuries are among the most important tendon lesions and its prognosis is poorer than the other hand zones. Limited incisions prevent multiple skin flaps. The present study aimed to determine the location of palmar flexor tendons using surface anatomical markers to provide a simple and easy guide for hand surgeons assisting them in minimal incisions.<br>
METHODS<br>
Patients with hand injuries in Zone 2 were taken to the operating room for surgery. The skin and subcutaneous tissue over the flexor tendons sheath were incised. After finding the flexor tendons in the palm, their exact position was located with a blue needle (23G) over the palm crease and marked relative to the finger borders.<br>
RESULTS<br>
Thirty-eight patients with the mean age of 27±3.6 years were operated. Totally, 57 fingers and 38 palms were dissected. The flexor tendons were located under the proximal and distal palm creases between two parallel lines extended from finger borders and mid-axial axis of the fingers. The average distance from finger print to distal palmar crease was 25, 32 and 24 mm for little, ring and long finger, respectively and 32 mm from index finger print to mid palmar crease.<br>
CONCLUSION<br>
The precise position of flexor tendons can be easily determined in the palm according to surface anatomical markers and plan for limited incisions.
Flexor tendon, Tendon injury, Surface anatomy, Palm, Surgery
321
325
http://wjps.ir/browse.php?a_code=A-10-499-1&slc_lang=en&sid=1
Afshin
Fathi
afathi@sina.tums.ac.ir
10031947532846009376
10031947532846009376
Yes
Department of Plastic and Reconstructive Surgery, Tehran University of Medical Sciences, Tehran, Iran