medigraphic.com
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

2008, Number 1

<< Back Next >>

Rev Invest Clin 2008; 60 (1)

The arterial blood supply for the synovial tendon sheaths of the hand

de la Garza Ó, Lierse W, Ma de los Ángeles-García , Elizondo R, Guzmán S

Language: English
References: 16
Page: 31-36
PDF size: 277.39 Kb.


ABSTRACT

The blood supply for the synovial tendon sheaths of the hand was carefully investigated. We show that the origin of those arteries, supplying the synovial tendon-sheaths of the Mm. flexor pollicis longus, flexor digitorum superficialis and profundus, lies in the Canalis carpi. We also describe that the branches of the Aa. digitales palmares propriae arise independently. We emphasize that the terminal branches of the A. interossea posterior and the Rete carpi dorsalis form an arterial network on the synovial tendon sheaths of the Dorsum manus. The synovial membranes of the proximal joints of the fingers receive an ample blood supply from the Rami ascendentes of the Aa. metacarpeae palmares and the Aa. digitales palmares propriae (Aa. recurrentes).


REFERENCES

  1. Gajisin S, Bednarkiewicz M, Zbrodowski A. Blood supply of the digital sheath. Chir Main 1998; 17(2): 147-53.

  2. Karlsson S, Niechajev IA. Arterial anatomy of the upper extremity. Acta Radiol (Stockh) 1982; 23: 115-21.

  3. Dubreuil-Chambardel L. Traité des variations du systeme artériel. Paris: Masson et Cie; 1926.

  4. Coleman SC, Anson B. Arterial patterns in the hand based upon a study of 650 specimens. Surg Gynec Obstet 1961; 113: 409.

  5. Lippert H. Variabilitat der Hand und FuBarterien. Handchir. Mikrochir Plastchir 1984; 16: 254-8.

  6. Kenesi C, Deroide JP. A propos de la synoviale de la articulation métacarpophalangienne: application chirurgicale a la synovectomie par voie dorsale. Arch Anat Path 1971; 19: 409-14.

  7. Lundborg G, Myrhage R. The vascularization and structure of the human digital tendon sheath as related to flexor tendon function. An angiographic and histological study. Scand J Plast Reconstr Surg 1977; 11(3): 195-203.

  8. Zhang ZZ, Zhong SZ, Sun B, Ho GT. Blood supply of the flexor digital tendon in the hand and its clinical significance. Surg Radiol Anat 1990; 12(2): 113-7.

  9. Zbrodowski A, Gajisin S, Grodecki J. The anatomy of the digitopalmar arches. J Bone Joint Surg Br 1981; 63-B(1): 108-13.

  10. Smith JW. Blood supply of tendons. Am J Surg 1965; 109: 272-6.

  11. Leffert RO, Weiss C, Athanasoulis CA. The vincula. J Bone Jt Surg 1974; 56-A: 1191-7.

  12. Poisel S, Gaber O. Zur makroskopischen Blutversorgung der Sehnen der Mm. flexores digitorum superficialis et profundus in der Palma manus. Handchirurgie 1985; 17: 314-9.

  13. Brockis JG. The blood supply of the flexor and extensor tendons of the fingers in mano. J Bone Jt Surg 1953; 35: 131-8.

  14. Zbrodowski A, Gajisin S, Grodecki J. Mesotendons of digital flexor muscles and their vasculature. The Hand 1981; 13: 231-8.

  15. Zbrodowski A, Gajisin S, Grodecki J. Vascularization and anatomical model of the mesotendons of the extensor digitorum and extensor indicis muscles. J Anat 1980; 130: 697-705.

  16. Kuhlmann N. Contribution à l’étude de la vascularisation du dos de la main. Son intérèt pratique. Ann Chir 1978; 32: 587-91.




2020     |     www.medigraphic.com