MULTIPLE TENDONS OF THE ABDUCTOR POLLICIS LONGUS MUSCLE: A CASE REPORT

Hand Surgery ◽  
2002 ◽  
Vol 07 (02) ◽  
pp. 289-291 ◽  
Author(s):  
Mithat Akan ◽  
Kaan Gideroğlu ◽  
Baris Çakir

In the case presented below, we observed abductor pollicis longus (APL) dividing into five sections shortly after exiting the first compartment. Many variations of APL may be seen and it is essential to know these variations in the practice of hand surgery.

2007 ◽  
Vol 50 (3) ◽  
pp. 213-215 ◽  
Author(s):  
Paul Shipra ◽  
Das Srijit

Abductor pollicis longus (APL) muscle is known to exhibit different variations with respect to its attachments. Various studies have reported the splitting of the APL muscle. Comparative anatomical findings of split insertion of APL is commonly found in chimpanzees, gorillas and gibbons. In the present study, we describe an anomalous APL muscle, which originated from the posterior surface of the shaft of the radius and ulna and traversed a course deep to the extensor retinaculum. Interestingly, immediately after emerging form the deeper aspect of extensor retinaculum, the thin tendon of the APL muscle continued again as a muscular belly in relation to the dorsolateral part of the 1st metacarpal bone, to end as a tendon with its attachment to the base of the proximal phalanx. Such an unusual variation of APL with its attachment into proximal phalanx is a rare finding and may be of importance in altering the mechanics of the thumb during abduction. The clinical significance of such an anatomical variation of APL may be important during reconstructive surgeries involving thumb and also of academic interest.


2018 ◽  
Vol 1 (1) ◽  
pp. 27-30
Author(s):  
Mihaela Olaru ◽  
Cornelia Nitipir

AbstractMyxofibrosarcoma or myxoid malignant fibrous histiocytoma is one of the most common sarcomas of the limb. It is usually treated multimodally. Most frequent sites of metastasis are the bone, lung and lymph nodes. The present paper is a case report of a 65-year-old male with myxofibrosarcoma of the fibularis longus muscle, for which he first underwent surgery - tumor resection with appropriate margins. The tumor was staged pT2b cN0 cM0. Postoperative PET-CT revealed metabolically inactive pulmonary nodules. Two months after surgery, he underwent adjuvant radiotherapy, a total dose of 60 Gy and 6 courses of chemotherapy (doxorubicin and ifosfamide). Pulmonary nodules have been stationary on all subsequent imagistic studies. He is free of recurrence on long-term follow-up.


2012 ◽  
Vol 32 (5) ◽  
pp. 1448-1452
Author(s):  
Davut ÖZBAĞ ◽  
Yakup GÜMÜŞALAN ◽  
Berin TUĞTAĞ

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