Applied anatomy of the musculus flexor carpi ulnaris and its clinical application

Autor: Zhi‐Ming Yang, Huaichen Liu, Yong‐Xian Wang
Rok vydání: 1988
Předmět:
Zdroj: Clinical Anatomy. 1:171-178
ISSN: 1098-2353
0897-3806
DOI: 10.1002/ca.980010303
Popis: The blood vessels and nerves supplying 50 specimens of musculi flexor carpi ulnaris (FCU) in 25 Chinese male adult cadavers were investigated. The majority of the muscles were supplied by four to six blood vessels and by two branches of the ulnar nerve. The diameters of the second to fourth arteries were larger than 0.9 mm, which would allow them to be anastomosed to recipient vessels. As the arteries to the muscle were derived directly and/or indirectly from the ulnar artery, they could therefore be used as the arterial pedicles. The nerves were broad enough (1.18–1.05 mm) to act as nerve pedicles. These findings suggest that the FCU might be suitable for use as a free transplantation flap. Since the vessels and nerves to the FCU enter the muscle in its superior half, transposition in the reversed position is also possible. Eight patients have been treated by reversed transplantation of the FCU to restore lost function of the elbow joint. Follow-up studies showed uniformly good results.
Databáze: OpenAIRE