Descripción anatómica del Abductor largo del pulgar: un estudio anatómico de variables de relevancia clínica

Vista sencilla de ítem
dc.contributor.advisorRomero Barreto, Camilo
dc.contributor.advisorMendez Ordoñez, Erika Marcela
dc.contributor.authorQuintero Ariza, Alvaro Javier
dc.contributor.orcidQuintero Ariza, Alvaro Javier [0009-0006-1997-4405]
dc.date.accessioned2024-12-13T19:52:37Z
dc.date.available2024-12-13T19:52:37Z
dc.date.issued2024-12
dc.description.abstractIntroducción: El músculo abductor largo del pulgar es un músculo del primer compartimiento extensor. Hay un creciente interés en el conocimiento de las variaciones anatómicas de este músculo. El objetivo de este estudio es describir la distribución anatómica y biométrica del músculo abductor largo del pulgar. Metodología: Estudio descriptivo anatómico de miembros superiores en cadáveres. Se realizaron disecciones determinando el origen, distribución, número e inserciones de las variantes anatómicas del músculo abductor largo del pulgar con relación a estructuras anatómicas constantes. Resultados: Se realizó la disección de 10 extremidades superiores. La presencia de tendones accesorios del abductor largo del pulgar se encontró en el 90% de los casos, encontrando más de un tendón accesorio en el 50% de los casos. Estos tendones accesorios tienen una longitud tendinosa de 87,7 mm, con un área de sección transversal similar al área del tendón propio del abductor largo del pulgar. El sitio de inserción de los tendones accesorios más frecuente es en la musculatura tenar, especialmente en el abductor corto del pulgar en el 70% de los casos. Conclusiones: La prevalencia de tendones accesorios del abductor largo del pulgar es alta en nuestro medio, lo cual tiene implicación en la planeación de procedimientos reconstructivos en mano, manejo de artrosis trapeciometacarpiana y manejo de la tenosinovitis de De Quervain.
dc.description.abstractenglishIntroduction: The abductor pollicis longus muscle is a muscle of the first extensor compartment. There is a growing interest in knowledge of the anatomical variations of this muscle. The objective of this study is to describe the anatomical and biometric distribution of the abductor pollicis longus muscle. Methodology: Anatomical descriptive study of upper limbs in cadavers. Dissections was performed determining the origin, distribution, number and insertions of the anatomical variants of the abductor pollicis longus muscle in relation to constant anatomical structures. Results: Dissection of 10 upper extremities was performed. The presence of accessory tendons of the abductor pollicis longus was found in 90% of cases, with more than one accessory tendon found in 50% of cases. These accessory tendons have a tendon length of 87.7 mm, with a cross-sectional area similar to the area of the abductor pollicis longus proper tendon. The most frequent insertion site of the accessory tendons is in the thenar muscles, especially in the abductor pollicis brevis in 70% of cases. Conclusions: The prevalence of accessory tendons of the abductor pollicis longus is high, which has implications in the planning of reconstructive procedures in the hand, management of trapeziometacarpal osteoarthritis and management of De Quervain's tenosynovitis.
dc.description.degreelevelEspecializaciónspa
dc.description.degreenameEspecialista en Cirugía de Manospa
dc.description.sponsorshipCentro Latinoamericano de Investigación y Entrenamiento en Cirugía Mínimamente Invasiva
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/13712
dc.language.isoes
dc.publisher.facultyFacultad de Medicinaspa
dc.publisher.grantorUniversidad El Bosquespa
dc.publisher.programEspecialización en Cirugía de Manospa
dc.relation.references1. Edmunds JO. Current Concepts of the Anatomy of the Thumb Trapeziometacarpal Joint. J Hand Surg Am [Internet]. 2011 Jan [cited 2024 Nov 16];36(1):170–82. Available from: https://www.jhandsurg.org/article/S0363-5023(10)01330-4/abstract
dc.relation.references2. Zancolli E. The trapeziometacarpal joint. Tenotomy of the accessory tendons in early osteoarthritis. Hand Clin [Internet]. 2001 [cited 2024 Nov 16];17(1). Available from: https://www.sciencedirect.com/science/article/abs/pii/S0749071221005989
dc.relation.references3. Edmunds JO. Traumatic Dislocations and Instability of the Trapeziometacarpal Joint of the Thumb. Hand Clin [Internet]. 2006 Aug [cited 2024 Nov 16];22(3):365–92. Available from: https://www.hand.theclinics.com/article/S0749-0712(06)00051-5/abstract
dc.relation.references4. Odella S. Anatomy of the Trapeziometacarpal Joint. In: Trapeziometacarpal Joint Osteoarthritis [Internet]. Cham: Springer International Publishing; 2018 [cited 2024 Nov 16]. p. 1–8. Available from: https://link.springer.com/book/10.1007/978-3-319-44336-2
dc.relation.references5. Bettinger PC, Linscheid RL, Berger RA, Cooney WP, An KN. An Anatomic Study of the Stabilizing Ligaments of the Trapezium and Trapeziometacarpal Joint. J Hand Surg Am [Internet]. 1999 Jan [cited 2024 Nov 16];24(4):786–98. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0363502399943575
dc.relation.references6. Cooney WP, Chao EYS. Biomechanical analysis of static forces in the thumb during hand function. Journal of Bone and Joint Surgery - Series A [Internet]. 1977 [cited 2024 Nov 16];59(1). Available from: https://www.jbjs.org/reader.php?rsuite_id=396090&source=The_Journal_of_Bone_and_Joint_Surgery/59/1/27&topics=hw#info
dc.relation.references7. Wu JZ, Sinsel EW, Zhao KD, An KN, Buczek FL. Analysis of the constraint joint loading in the thumb during pipetting. J Biomech Eng [Internet]. 2015 [cited 2024 Nov 17];137(8). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4782612/
dc.relation.references8. Brand PW, Beach RB, Thompson DE. Relative tension and potential excursion of muscles in the forearm and hand. Journal of Hand Surgery [Internet]. 1981 [cited 2024 Nov 17];6(3). Available from: https://www.sciencedirect.com/science/article/abs/pii/S036350238180072X
dc.relation.references9. Deivasigamani S, Azad A, Yang SS. The Variable Insertional Anatomy of the Abductor Pollicis Longus: Functional Relevance and Relationship to Adjacent Thumb Extensors. Hand [Internet]. 2023 [cited 2024 Nov 3];18(1). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9806545/
dc.relation.references10. Bravo E, Barco R, Bullón A. Anatomic study of the abductor pollicis longus : A source for grafting material of the hand. Clin Orthop Relat Res [Internet]. 2010 [cited 2024 Nov 17];468(5). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC2853646/
dc.relation.references11. Stein AH. Variations of the tendons of insertion of the abductor pollicis longus and the extensor pollicis brevis. Anat Rec [Internet]. 1951 [cited 2024 Nov 17];110(1). Available from: https://pubmed.ncbi.nlm.nih.gov/14838330/
dc.relation.references12. Roy A, Roy A, De C, Banerji D, Das S, Chatterjee B, et al. A Cadaveric Study of the First Dorsal Compartment of the Wrist and Its Content Tendons: Anatomical Variations in the Indian Population. J Hand Microsurg [Internet]. 2016 [cited 2024 Nov 17];04(02). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3509286/
dc.relation.references13. Lacey L, Goldstein L, Tobin C. Anatomical and clinical study of the variations in the insertions of the abductor pollices longus tendon, associated with stenosing tendovaginitis. J Bone Joint Surg Am [Internet]. 1951 [cited 2024 Nov 17];33(2):347–50. Available from: https://pubmed.ncbi.nlm.nih.gov/14824182/
dc.relation.references14. Marí-Gorreto J, San-Millán M, Carrera A, Tubbs RS, Iwanaga J, Cateura A, et al. The anatomy of the tendon of abductor pollicis longus and its morphological variations: An anatomical approach emphasizing the clinical relevance. Annals of Anatomy [Internet]. 2023 [cited 2024 Nov 3];247. Available from: https://www.sciencedirect.com/science/article/pii/S0940960223000237?via%3Dihub
dc.relation.references15. Lee ZH, Stranix JT, Anzai L, Sharma S. Surgical anatomy of the first extensor compartment: A systematic review and comparison of normal cadavers vs. De Quervain syndrome patients. Journal of Plastic, Reconstructive and Aesthetic Surgery [Internet]. 2017 [cited 2024 Nov 17];70(1). Available from: https://www.sciencedirect.com/science/article/abs/pii/S1748681516302303
dc.relation.references16. Dos Remédios C, Chapnikoff D, Wavreille G, Chantelot C, Migaud H, Fontaine C. The abductor pollicis longus: Relation between innervation, muscle bellies and number of tendinous slips. Surgical and Radiologic Anatomy [Internet]. 2005 [cited 2024 Nov 17];27(3). Available from: https://link.springer.com/article/10.1007/s00276-004-0286-3
dc.relation.references17. Sebastin SJ, Puhaindran ME, Lim AYT, Lim IJ, Bee WH. The prevalence of absence of the palmaris longus - A study in a Chinese population and a review of the literature. Journal of Hand Surgery [Internet]. 2005 [cited 2024 Nov 17];30(5). Available from: https://www.sciencedirect.com/science/article/abs/pii/S0266768105001725
dc.relation.references18. Pellegrini VD. The ABJS 2005 Nicolas Andry Award: Osteoarthritis and injury at the base of the human thumb - Survival of the fittest? [Internet]. Vol. 438, Clinical Orthopaedics and Related Research. 2005 [cited 2024 Nov 17]. Available from: https://journals.lww.com/clinorthop/abstract/2005/09000/the_abjs_2005_nicolas_andry_award__osteoarthritis.43.aspx
dc.relation.references19. Pellegrini VD, Olcott CW, Hollenberg G. Contact patterns in the trapeziometacarpal joint: The role of the palmar beak ligament. Journal of Hand Surgery [Internet]. 1993 [cited 2024 Nov 17];18(2). Available from: https://www.sciencedirect.com/science/article/pii/0363502393903546
dc.relation.references20. Morton AM, Moore DC, Ladd AL, Weiss APC, Molino J, Crisco JJ. Dorsal Subluxation of the First Metacarpal During Thumb Flexion is an Indicator of Carpometacarpal Osteoarthritis Progression. Clin Orthop Relat Res [Internet]. 2023 [cited 2024 Nov 17];481(6). Available from: https://journals.lww.com/clinorthop/abstract/2023/06000/dorsal_subluxation_of_the_first_metacarpal_during.27.aspx
dc.relation.references21. Tomaino MM. Treatment of Eaton stage I trapeziometacarpal disease: Ligament reconstruction or thumb metacarpal extension osteotomy? [Internet]. Vol. 17, Hand Clinics. 2001 [cited 2024 Nov 17]. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0749071221002407
dc.relation.references22. Ebelin M, Hérisson O. Zancolli’s procedure: technique and indications [Internet]. Vol. 40, Hand Surgery and Rehabilitation. 2021 [cited 2024 Nov 17]. Available from: https://www.sciencedirect.com/science/article/abs/pii/S2468122920302516#:~:text=Zancolli’s%20technique%20is%20performed%20under,the%20natural%20wrist%20flexion%20fold.
dc.relation.references23. Robinson D, Aghasi M, Halperin N. Abductor pollicis longus tendon arthroplasty of the trapezio-metacarpal joint: Surgical technique and results. Journal of Hand Surgery [Internet]. 1991 [cited 2024 Aug 24];16(3). Available from: https://pubmed.ncbi.nlm.nih.gov/1861036/
dc.relation.references24. Mathoulin C, Moreel P, Costa R, Wilson SM. Abductor pollicis longus “hammock” ligamentoplasty for treatment of first carpometacarpal arthritis. Journal of Hand Surgery: European Volume [Internet]. 2008 [cited 2024 Nov 17];33(3). Available from: https://journals.sagepub.com/doi/abs/10.1177/1753193408087073?journalCode=jhsc
dc.relation.references25. Dawood O, Mustafa L, Shuber E, Hagiga A, Hagiga A, Monteoliva NC, et al. Trapeziectomy with Abductor Pollicis Longus Tendon Interposition Arthroplasty for First Carpometacarpal Joint Osteoarthritis: A Systematic Review. World J Plast Surg [Internet]. 2022 Jul 1 [cited 2024 Aug 24];11(2):3–17. Available from: https://pubmed.ncbi.nlm.nih.gov/36117891/
dc.relation.references26. Avisar E, Elvey M, Wasrbrout Z, Aghasi M. Long-term follow-up of trapeziectomy with abductor pollicislongus tendon interposition arthroplasty for osteoarthritis of the thumb carpometacarpal joint. J Orthop [Internet]. 2013 [cited 2024 Aug 24];10(2). Available from: https://pubmed.ncbi.nlm.nih.gov/24403751/
dc.relation.references27. Stauffer A, Schwarz Y, Uranyi M, Schachinger F, Girsch W, Ganger R, et al. Outcomes after thumb carpometacarpal joint stabilization with an abductor pollicis longus tendon strip for the treatment of chronic instability. Arch Orthop Trauma Surg [Internet]. 2020 [cited 2024 Aug 25];140(2). Available from: https://pubmed.ncbi.nlm.nih.gov/31691837/
dc.relation.references28. Jongen IC, Nieuwdorp NJ, Hundepool CA, Van Gelder FS, Schutter AM, Zuidam JM. Ligament reconstruction in thumb carpometacarpal joint instability: A systematic review [Internet]. Vol. 39, JPRAS Open. 2024 [cited 2024 Aug 25]. Available from: https://pubmed.ncbi.nlm.nih.gov/38323100/
dc.relation.references29. Bullón A, Bravo E, Zarbahsh S, Barco R. Reconstruction after chronic extensor pollicis longus ruptures: A new technique. Clin Orthop Relat Res [Internet]. 2007 [cited 2024 Aug 25];462. Available from: https://pubmed.ncbi.nlm.nih.gov/17483733/
dc.relation.references30. Elgafy H, Ebraheim NA, Rezcallah AT, Yeasting RA. Posterior interosseous nerve terminal branches. Clin Orthop Relat Res [Internet]. 2000 [cited 2024 Aug 25];376. Available from: https://pubmed.ncbi.nlm.nih.gov/10906882/
dc.relation.references31. Elgafy H, Ebraheim NA, Yeasting RA. The anatomy of the posterior interosseous nerve as a graft. Journal of Hand Surgery. 2000;25(5).
dc.relation.references32. Berger AJ, Meals RA. Management of osteoarthrosis of the thumb joints [Internet]. Vol. 40, Journal of Hand Surgery. 2015 [cited 2024 Nov 17]. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0363502314017018
dc.relation.references33. Colonna S, Borghi C. Rhizarthrosis Part I: A Literature Review. Cureus [Internet]. 2024 [cited 2024 Nov 17];1(16):e52932. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10893956/
dc.relation.references34. Sodha S, Ring D, Zurakowski D, Jupiter JB. Prevalence of osteoarthrosis of the trapeziometacarpal joint. Journal of Bone and Joint Surgery [Internet]. 2005 [cited 2024 Nov 17];87(12 I). Available from: https://pubmed.ncbi.nlm.nih.gov/16322609/
dc.relation.references35. Becker SJE, Ring D. Epidemiology of trapeziometacarpal arthrosis [Internet]. Vol. 40, Journal of Hand Surgery. 2015 [cited 2024 Nov 17]. Available from: https://www.jhandsurg.org/article/S0363-5023(15)00567-5/fulltext
dc.relation.references36. Tewari J, Mishra PR, Tripathy SK. Anatomical variation of abductor pollicis longus in Indian population A cadaveric study. Indian J Orthop [Internet]. 2015 [cited 2024 Nov 3];49(5). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4598547/
dc.relation.references37. El-Beshbishy RA, Abdel-Hamid GA. Variations of the abductor pollicis longus tendon: An anatomic study. Folia Morphologica (Poland) [Internet]. 2013 [cited 2024 Nov 3];72(2). Available from: https://pubmed.ncbi.nlm.nih.gov/23740505/
dc.rights.accessrightsinfo:eu-repo/semantics/closedAccess
dc.rights.accessrightshttp://purl.org/coar/access_right/c_14cb
dc.rights.localAcceso cerradospa
dc.subjectAbductor largo del pulgar
dc.subjectAnatomía
dc.subjectInervación
dc.subjectPulgar
dc.subject.keywordsAbductor pollicis longus
dc.subject.keywordsAnatomy
dc.subject.keywordsInnervation
dc.subject.keywordsThumb
dc.subject.nlmWE 830
dc.titleDescripción anatómica del Abductor largo del pulgar: un estudio anatómico de variables de relevancia clínica
dc.title.translatedAnatomical description of the Abductor pollicis longus: a study of clinically relevant variables
dc.type.coarhttps://purl.org/coar/resource_type/c_7a1f
dc.type.coarversionhttps://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driverinfo:eu-repo/semantics/bachelorThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesis/Trabajo de grado - Monografía - Especializaciónspa

Archivos

Bloque original
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
Trabajo de grado.pdf
Tamaño:
2.77 MB
Formato:
Adobe Portable Document Format
Descargar
Bloque de licencias
Mostrando 1 - 2 de 2
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
1.95 KB
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar
No hay miniatura disponible
Nombre:
Carta de autorizacion.pdf
Tamaño:
345.98 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar

Colecciones

Especialización en Cirugía de Mano