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 (British and European Volume)
This Article
Right arrow Full Text (PDF)
Right arrow References
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 HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by WALBEEHM, E. T.
Right arrow Articles by McGROUTHER, D. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by WALBEEHM, E. T.
Right arrow Articles by McGROUTHER, D. 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?

Articles

An Anatomical study of the mechanical Interactions of Flexor Digitorum Superficialis and profundus and the Flexor Tendon Sheath in Zone 2

E. T. WALBEEHM
D. A. McGROUTHER

From the Department of Plastic and Reconstructive Surgery, Rayne Institute, University College of London and Middlesex Medical Schools, London, UK

Correspondence: Erik Walbeehm, Department of Plastic and Reconstructive Surgery, UHR Dijkzigt/Sophia, Dr Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.

The mechanical interactions of tendon loading and motion between FDS and FDP tendons and the distal edge of the A2-pulley (DEA2) were investigated in cadaveric hands.

The FDP tendon showed a two-stranded contrarotational spiral of tendon fibres, their course parallel to the FDS fibres. On loading, the FDP tendon changed cross-sectional shape and the two slips of FDS moved closer together, applying lateral force on the FDP tendon.

The formula DEA2-MCP/proximal phalanx length was calculated as 0.64 ± 0.052 mm/mm. Excursions of bifurca and chiasma were measured relative to the DEA2. In full extension the bifurca was well proximal to the DEA2, the chiasma always distal. In flexion, the chiasma approximated to DEA2 level. Therefore, an additional anteroposterior force should exist at DEA2 level between FDS and the DEA2 on the FDP-tendon. The changes in tendon shape and the lateral- and anteroposterior forces produce a "compressional" mechanism on FDP by FDS which may alter frictional resistance. This mechanism is compared with the Chiropteran tendon locking mechanism.

Journal of Hand Surgery (British and European Volume), Vol. 20, No. 3, 269-280 (1995)
DOI: 10.1016/S0266-7681(05)80077-4
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?


This article has been cited by other articles:


Home page
 J Hand Surg Eur VolHome page
J. B. KIM, T. DE WIT, S. E. R. HOVIUS, D. A. MCGROUTHER, and E. T. WALBEEHM
What is the Significance of Tendon Suture Purchase?
J Hand Surg Eur Vol., August 1, 2009; 34(4): 497 - 502.
[Abstract] [Full Text] [PDF]

Home page
 J Hand Surg Eur VolHome page
E. T. WALBEEHM, T. DE WIT, S. E. R. HOVIUS, and D. A. MCGROUTHER
Influence of Core Suture Geometry on Tendon Deformation and Gap Formation in Porcine Flexor Tendons
J Hand Surg Eur Vol., April 1, 2009; 34(2): 190 - 195.
[Abstract] [Full Text] [PDF]