عنوان به زبان ديگر :
Variation, Length and Width of Tendinous Portion of Palmaris Longus and Forearm Length and Height: Is there a link? A Cadaver Study of Adult Iranians
پديد آورندگان :
Karimi Mobarakeh M. نويسنده , Ghadi Pasha M. نويسنده , Moaghari poor M نويسنده
چكيده لاتين :
Background: Palmaris longus (PL) is a muscle with marked
variations. It is harvested as a tendon graft in many surgical
procedures in which a certain length of tendon is required. The
aims of the present study were to determine the variations of
this tendon in Iranian population and to find whether the
length of PL tendon could be estimated by measuring the forearm
length and height.
Methods: We examined 128 forearms of 64 cadavers. We
dissected out the tendons to measure their lengths and widths.
The width of the tendon was measured at its proximal end.
The forearm length and height were measured from the styloid
process of the ulna to the tip of the olecranon with the forearm
in neutral rotation. The height of cadavers were measured
from crown to the heel in supine position.
Results: The palmaris longus muscles were absent bilaterally
in 5 (7 .8%) and unilaterally in 14 (21 .8%) cadavers. The overall
prevalence of the absence of PL (unilateral or bilateral) was
29 .6% (24 forearms of 19 cadavers). The mean length and
width of the PL were 14.2 ± 6.3 mm and 12.8 ± 7.2 mm in
males and 4.00 ± 1.9 mm and 4 ± 2.1 mm in females, respectively
. The mean forearms length and cadaversי height were 29
± 1.6 ern and 172.6 ± 9.1 ern in males and 28 ± 1.2 ern and
166.5 ± 8.9 em in females , respectively . A significant corre lation
was found between the length of the tendon and forearm
in both males (P<0.001) and females (P<0.001) . In contrast,
there was not statistically significant correlation between the
forearm length and width of the tendon in either males or females
(P=0 .007 in males and females).
Conclusions: The results of this study indicate that the length of
palmaris longus tendon can be estimated based on forearm
length . This estimation might be useful for surgical intervention.