Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Sign In to gain access to subscriptions and/or personal tools.
Journal of Hand Surgery (European Volume)
This Article
Right arrow Full Text (OnlineFirst PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Hettiaratchy, S.
Right arrow Articles by Edmunds, I. A.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hettiaratchy, S.
Right arrow Articles by Edmunds, I. A.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Article

Spiralling of the neurovascular bundle in Dupuytren's disease

S. Hettiaratchy1, M. A. Tonkin, Professor2*, and I. A. Edmunds3

1 Department of Hand Surgery and Peripheral Nerve Surgery
2 University of Sydney
3 Hornsby Hand Centre

* To whom correspondence should be addressed. E-mail: mtonkin{at}surgery.usyd.edu.au.


  Abstract

Displacement of the neurovascular bundle within a digit affected by Dupuytren’s disease can occur when disease superficial to the neurovascular bundle is connected to disease deep to it. Contraction of such cords results in spiralling of the neurovascular bundle, classically when a pretendinous cord connects with the lateral digital sheet and Grayson’s ligament via the oblique cord, but also in association with an isolated digital cord. We describe six cases in which cord formation and contraction resulted in a distal spiral, which may occur in isolation or in combination with a classical proximal spiral, creating a double spiral or corkscrew neurovascular bundle.

First published on October 14, 2009
Journal of Hand Surgery (European Volume) 2009, doi:10.1177/1753193409349855
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?