Palmaris longus is a highly variable muscle of the forearm. Knowledge of its variability is of importance to plastic surgeons, hand surgeons and radiologists. During our routine dissection classes for undergraduate medical students, a peculiar palmaris longus muscle was noted in the left upper limb of an adult male cadaver. The muscle had a fleshy belly in the middle and two tendons: a proximal and distal. The distal tendon of palmaris longus gave origin to a variant fleshy slip of muscle which was inserted partly to the pisiform bone and partly merged with the hypothenar muscles. The ulnar nerve and artery passed deep to this variant fleshy slip. The ulnar artery was tortuous both proximal and distal to this slip. The distal loop of the ulnar artery was very superficial and was in the median position. Both the palmaris longus and the variant fleshy slip were innervated by median nerve.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.5115/acb.24.060 | DOI Listing |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663523 | PMC |
Arch Bone Jt Surg
January 2024
Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore.
Prague Med Rep
November 2024
Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India.
Several muscle variations have been observed in flexor aspect of forearm which can hamper normal functioning of hand or may remain silent. One such unreported variation has been described in this report. An accessory muscle in the left forearm was found involving flexor carpi ulnaris (FCU) and palmaris longus (PL).
View Article and Find Full Text PDFCureus
October 2024
Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, USA.
We report this case of a rock climber who sustained a right ring-finger grade-III A2 pulley rupture. After failed nonoperative management, the patient underwent pulley reconstruction with ipsilateral palmaris longus autograft using a double-loop technique. The immediate postoperative course was uncomplicated, and the patient returned to painless rock climbing six months after the index procedure.
View Article and Find Full Text PDFArthroscopy
December 2024
Thomas Jefferson University Hospital and Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, U.S.A.
Since Dr. Frank Jobe performed the initial surgery on Tommy John in 1974, the ulnar collateral ligament (UCL) reconstruction (UCLR), colloquially "Tommy John Surgery," described in 1986 has evolved as the gold standard treatment for UCL tears. The crux of technique modifications involve flexor pronator mass (FPM) management, ulnar nerve transposition (UNT), graft selection, or graft-fixation options.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!