An unusual array of extensor musculature and tendons of the hand clinico-anatomical insight.
Extensor tendon injury is a frequent finding in clinical practice. During a routine dissection class of undergraduate medical students examining the extensor aspect of the right hand, they found an interesting pattern of extensor tendons. The extensor digitorum (ED) exhibited three tendons for the middle and ring fingers. The intermediate tendon of the ED was found to pass to the junctura connecting the tendons of the ring and middle fingers. Additionally the Extensor carpi ulnaris displayed two tendinus slips. The lateral slip was inserted on the base of fifth metacarpal as usual, whereas the medial slip divided into two strands- proximal and distal. Apart from the above findings in the current case specimen, there was an accessory muscle belly for the index finger and the extensor digiti minimi bifurcated into two tendinus slips which gained attachment to the dorsal digital expansion of the little finger. These accessory muscle bellies and tendons could possibly be utilized for tendon reconstructions such as repairs, tenoplasties or tendon transfers.
Department of Anatomy, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
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Dave
Department of Anatomy, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
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Gandhi
Department of Anatomy, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
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Mehta
Department of Anatomy, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
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Kumar
Department of Anatomy, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
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Arora
Department of Anatomy, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
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Suri
Department of Anatomy, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
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Rath
D063405:Anatomic Variation; D002102:Cadaver; D006225:Hand / Q000033:anatomy & histology*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000033:anatomy & histology*; D013710:Tendons / Q000033:anatomy & histology*