scholarly journals Bilateral anatomical variations of the hand extensors

2016 ◽  
Vol 15 (2) ◽  
pp. 278-282
Author(s):  
Humberto Ferreira Arquez

Background: The purpose of this paper is to describe an anatomical variation of the hand extensor on the little finger of the right hand which receives four tendons, condition unknown, as it is the first case reported so far in the literature. The human extensor tendons of hand often display an array of variations. Awareness of the anatomy and variations of the extensor tendons on the dorsum of the hand is necessary not only for the anatomist but also for surgeons when considering tendons for hand surgery, tendon rerouting or transplants. Materials and Methods: Bilateral anatomical variation in the upper limb was found during routine dissection in a 75-year-old male cadaver in the Morphology Laboratory at the University of Pamplona. The variations were recorded and photographed. Result: In the left hand the extensor digitorum there was a single tendon to the index, double tendon to the middle, triple tendon to the ring finger, a single tendon to the little finger or digiti minimi. The extensor digiti minimi has double tendon. In the right hand the extensor digitorum there was a single tendon to the index, triple tendon to the middle finger, triple tendons to the ring finger, a double tendon to the little finger. The extensor digiti minimi has double tendon. The little finger receives four tendons, 2 of extensor digitorum and 2 of extensor digiti minimi. The dorsum of the left hand and right showed juncturae tendinum type 2, between the extensors tendons in the 3rd intermetacarpal space; type 3, between the extensors tendons in the 4th inter metacarpal space. Conclusion: The presence of multiple tendons may alter the kinematics around the site of attachment to the phalanx. Knowledge of anatomical variations and normal anatomy of the extensor tendons, may be helpful while performing graft and tendon transfer operations.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.278-282

HAND ◽  
1983 ◽  
Vol os-15 (2) ◽  
pp. 221-222 ◽  
Author(s):  
J. G. Andersen ◽  
J. W. Brandsma

A patient is presented with bilateral thenar paralysis, due to poliomyelitis. On the right hand a successful abductor digiti minimi transfer was performed. On the left hand weakness of the hypothenar muscles prevented a good result. Subsequently an opponens replacement, using flexor digitorum superficialis from the ring finger, yielded a good result.


Author(s):  
Anany Levitin ◽  
Maria Levitin

1. A Wolf, a Goat, and a Cabbage A man finds himself on a riverbank with a wolf, a goat, and a head of cabbage. He needs to transport all three to the other side of the river in his boat. However, the boat has room for only the man himself and one other item (either the wolf, the goat, or the cabbage). In his absence, the wolf would eat the goat, and the goat would eat the cabbage. Show how the man can get all these “passengers” to the other side. 2. Glove Selection There are 20 gloves in a drawer: 5 pairs of black gloves, 3 pairs of brown, and 2 pairs of gray. You select the gloves in the dark and can check them only after a selection has been made. What is the smallest number of gloves you need to select to guarantee getting the following? (a) At least one matching pair (b) At least one matching pair of each color 3. Rectangle Dissection Find all values of n > 1 for which one can dissect a rectangle into n right triangles, and outline an algorithm for doing such a dissection. 4. Ferrying Soldiers A detachment of 25 soldiers must cross a wide and deep river with no bridge in sight. They notice two 12-year-old boys playing in a rowboat by the shore. The boat is so tiny, however, that it can only hold two boys or one soldier. How can the soldiers get across the river and leave the boys in joint possession of the boat? How many times does the boat pass from shore to shore in your algorithm? 5. Row and Column Exchanges Can one transform the left table in Figure 2.1 into the right table by exchanging its rows and columns? 6. Predicting a Finger Count A little girl counts from 1 to 1000 using the fingers of her left hand as follows. She starts by calling her thumb 1, the first finger 2, middle finger 3, ring finger 4, and little finger 5.


1938 ◽  
Vol 28 (1) ◽  
pp. 50-55
Author(s):  
Annie Zadoks Jitta

The bronze statuette shown in plates ii and iii (2), which represents an enthroned deity, has recently come to Holland from an old Italian collection and is now in private hands. It is 14 cm. high and is hollow; the back has been modelled to just below the waist; the feet are finished in the round. It is of excellent quality and very well preserved and is covered by a light green patina, here and there unfortunately affected by corrosion. The attributes in the right and the left hand are missing; the right thumb and little finger are broken off; the left arm is slightly twisted.The god, evidently Zeus or Juppiter, is represented with nude torso; a himation covers waist and legs and is arranged on the lap in a kind of loop; the feet are shod with sandals. The right hand is stretched forwards with upturned palm; the left hand is raised high, and clearly once held a long sceptre. The left leg is thrust forward, the right somewhat drawn in, and the head is turned slightly to the right.


1993 ◽  
Vol 77 (3_suppl) ◽  
pp. 1203-1212 ◽  
Author(s):  
Kazunori Shidoji

To investigate human motor programming, choice reaction times were measured on tasks for which subjects made choices between two alternative finger-tapping-movement sequences. The total-number-of-responses and the hierarchical editor models were tested. In Exp. 1 the choice was carried on the situations with the same total numbers of possible responses and different structural relations between alternative sequences. The right-hand reaction times in mirror choice (e.g., subject chose between the middle, index, and ring finger sequences of the left or right hand) were shorter than those in nonmirror choice (e.g., subject chose between the middle, index, and ring finger sequence on one hand and the middle, ring, and index finger sequence on the other hand); the total-number-of-responses model was not supported. In Exp. 2 two conditions had the same operation numbers of the hierarchical editor model. In Condition 1 subjects chose between the index finger of the right hand and the ring, index, and middle finger sequence of the left hand. In Condition 2 subjects chose between the index, ring, and middle finger sequences of the left or right hand. The reaction time in the former condition was shorter than that in the latter condition. Exp. 2 exhibited a counterexample of the hierarchical editor model that had been fairly robust in previous studies.


2018 ◽  
Vol 17 (3) ◽  
pp. 496-500
Author(s):  
Humberto Ferreira Arquez

Background: The blood supply of the hand is complex and challenging. Awareness of the anatomical variationis necessary not only for the anatomist but also for surgeons.The ulnar artery provides a major blood supply to the hand with the assistance of the radial artery in the form of the superficial palmar arch.The objective of this study was reported a rareanatomical variation of the superficial palmar arch.Materials and Methods: The anatomical variation described was found during routine dissection performed by medical students of second semester in a 75-year-old male embalbed adult cadaver in the laboratory of Morphology of the University of Pamplona.Results and Discussion: In the right hand, the superficial palmar arch only gave rise to two common palmar digital arteries. In the left hand, the arch provided common palmar digital arteries which ran into the first, third and the fourth spaces and one proper palmar digital for the little finger. The arch does not supply the second intermetacarpal space.Conclusions: Less critical knowledge of vasculature of the hand might lead iatrogenic injury during surgery, microvascular surgery for revascularization, replantation and composite tissue transfers.Bangladesh Journal of Medical Science Vol.17(3) 2018 p.496-500


1994 ◽  
Vol 19 (2) ◽  
pp. 244-247 ◽  
Author(s):  
E. HORII ◽  
T. MIURA ◽  
R. NAKAMURA

We report three cases of ulnar ray deficiency in one family. The father had a left ring finger deficit, and a hypoplastic little finger was amputated at childhood. His first baby had a deep cleft between the ring and little finger in the right hand, and his second baby had complete absence of the left ulna, only one metacarpal, and two digits were present on the hand. All three cases were unilaterally involved and they had no other skeletal abnormalities.


2021 ◽  
Vol 20 (1) ◽  
pp. 154-158
Author(s):  
Rakhi Issrani ◽  
Fahad Aljohani ◽  
Namdeo Prabhu ◽  
Mohammad Khursheed Alam

Background: The ratio between 2nd and 4th digit length is termed as hormonal fingerprintand is used as an indirect marker in many medical diseases.Dental studies pertaining to theimportance of hormonal fingerprint on oral health are very sparse. Aim and objectives: Tostudy the correlation of dental caries and malocclusion with hormonal fingerprints. Materialsand Methods: A total of 100 children of age group 7-15 years and both genders were randomlyselected and included in the present study. The hormonal fingerprint (2D:4D ratio) wasdone bymeasuring the length ratio of the index and ring finger with the help of digital vernier caliper.Caries assessment wascarried out using standard mouth mirrors and Community PeriodontalIndex probes. WHO assessment form (1997) was followed for assessment of dentitionstatus and treatment need.Occlusal characteristics evaluated were molar relation, anteriorand posterior crossbite, open bite, deep bite and lower anterior crowding. The subjects weredivided into high 2D:4D, equal 2D:4D digit ratio and low 2D:4D. All the measurements weredone by two investigators. The data collected were tabulated and statistically analyzed usingChi-square and ANOVA test. Results: Out of 100 children, 34% were males and 66% werefemales. Most of the participants were 7-8 years old (12 males and 15 females). Majority of theparticipants (87% for the right hand and 80% for left hand) had low 2D:4D ratio, only 6% forright and 11% for the left hand had high 2D:4D ratio and the remaining had equal 2D:4D ratio.Statistically insignificantcorrelation between 2D:4D ratio and deft/DMFT score and occlusalstatus of an individualwere found. Conclusion:The insignificant results of 2D:4D ratio with allthe parameters assessed validates that hormonal fingerprints could not be employed as an earlypredictor of caries and malocclusion in an individual. Bangladesh Journal of Medical Science Vol.20(1) 2021 p.154-158


1986 ◽  
Vol 30 (7) ◽  
pp. 667-671
Author(s):  
Sheik N. Irarhan

This study examined 3 types of pinch strength and handgrip strength among children between the ages of 5.3 and 7.9 years. Maximal strength of four pulp pinches, the chuck pinch and the lateral pinch were measured as well as maximal handgrip strength. Data analysis showed that the chuck and lateral pinched were the strongest while the pulp pinch with the little finger was the weakest. The pulp pincnes with the index and with the middle finger were stronger than that with the ring finger. Males were slightly stronger than females, the difference being only 13%. The right hand pinches were not significantly stronger than left hand pinches, the difference being only 5%. The major hand of subjects with dominant left hand was only 84% as strong as the major hand of subjects with dominant right hand. Pinch strength increased with age by 50% for a 2.6 year difference.


1946 ◽  
Vol 11 (1) ◽  
pp. 2-2

In the article “Infant Speech Sounds and Intelligence” by Orvis C. Irwin and Han Piao Chen, in the December 1945 issue of the Journal, the paragraph which begins at the bottom of the left hand column on page 295 should have been placed immediately below the first paragraph at the top of the right hand column on page 296. To the authors we express our sincere apologies.


VASA ◽  
2011 ◽  
Vol 40 (5) ◽  
pp. 404-407
Author(s):  
Maras ◽  
Tzormpatzoglou ◽  
Papas ◽  
Papanas ◽  
Kotsikoris ◽  
...  

Foetal-type posterior circle of Willis is a common anatomical variation with a variable degree of vessel asymmetry. In patients with this abnormality, carotid endarterectomy (CEA) may create cerebral hypo-perfusion intraoperatively, and this may be underestimated under general anaesthesia. There is currently no evidence that anatomical variations in the circle of Willis represent an independent risk factor for stroke. Moreover, there is a paucity of data on treating patients with such anatomical variations and co-existing ICA stenosis. We present a case of CEA under local anaesthesia (LA) in a 52-year-old female patient with symptomatic stenosis of the right ICA and coexistent foetal-type posterior circle of Willis. There were no post-operative complications and she was discharged free from symptoms. She was seen again 3 months later and was free from complications. This case higlights that LA should be strongly considered to enable better intra-operative neurological monitoring in the event of foetal-type posterior circle of Willis.


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