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Prevalence of the absence of palmaris longus muscle assessed by a new examination test (Hiz-Ediz Test) in the population residing in the area of Van, Turkey

Year 2011, Volume: 2 Issue: 3, 254 - 259, 01.09.2011
https://doi.org/10.5799/ahinjs.01.2011.03.0050

Abstract

Objectives: The primary goal of this trial was to show the compatibility between a new test technique (Hiz-Ediz test) for detection of palmaris longus muscle (PLM) agenesis, which we recently developed, and the former tests, the Schaeffer and Mishra's second tests. Materials and methods: One thousand cases were enrolled in this trial. Schaeffer's test, Mishra's second test and Hiz-Ediz tests were applied to all cases. Examinations were performed to determine differences between genders and both hands. Consistency between all three tests was investigated. Results: In the Hiz-Ediz test, PLM agenesis was determined in 15.1%. No significant difference was found between the rates of unilateral and bilateral tendon agenesis determined by three tests (p>0.05). When the consistency of the three tests was evaluated using the kappa test, full consistency was determined between Mishra's second and the Hiz-Ediz test; however, full consistency was not determined between the Schaffer's and the other two tests. But, no statistical difference was found between the three tests. Conclusion: Our results indicate that the prevalence of PLM agenesis is consistent with the available data. The Hiz-Ediz test can be applied easily and safely to determine and to visualize the PLM agenesis, when compared to the Mishra's second test and the Schaeffer's test.

References

  • Standring S. Gray’s anatomy, 39th edn. Elsevier Churchill Livingstone, Edinburg, 2005: 876-7.
  • Koo CC, Roberts AH. The palmaris longus tendon. Anoth- er variation in its anatomy. J Hand Surg Br 1997; 22(1): 138-9.
  • SchlaXy B, Lister G. Median nerve compression secondary to biWd reversed palmaris longus. J Hand Surg Am 1987; 12(3): 371-3.
  • Sebastin SJ, Lim AY, Bee WH, Wong TC, Methil BV. Does the absence of the palmaris longus aVect grip and pinch strength. J Hand Surg Br 2005; 30(4): 406-8.
  • Wehbe MA. Tendon graft donor sites. J Hand Surg Am 1992; 17(6): 1130-2.
  • Kleinert HE, Pulvertaft RG, Smith DJ. Flexor tendon graft- ing in the hand. In: Jupiter JB (ed) Flynn’s hand surgery. Williams & Wilkins, Baltimore, 1991: 285.
  • Saldana MJ. Primary extensor tendon grafts in zones 5 to 7. In: Blair WE (ed) Techniques in hand surgery. Williams & Wilkins, Baltimore, 1996: 587.
  • Smith P. Injury. In: Smith P (ed) Lister’s the hand--diagnosis and indications. Churchill Livingstone, London, 2002: 11.
  • Ceyhan O, Mavt A. Distribution of agenesis of palmaris lon- gus muscle in 12 to 18 years old age groups. Indian J Med Sci 1997: 51(5): 156-60.
  • Kose O, Adanir O, Cirpar M, Kurklu M, Komurcu M. The prevalence of absence of the palmaris longus: a study in Turkish population. Arch Orthop Trauma Surg 2009; 129(5): 609-11
  • Schaeffer TJ. On the variations of the palmaris longus mus- cle. Anat Rec 1909; 3: 275-8.
  • Zeybek A, Gurunluoglu R, Cavdar S, Bayramicli M. A clinical reminder: A palmaris longus muscle variation. Ann Plast Surg 1998; 41: 224-5.
  • Mishra S. Alternative tests in demonstrating the presence of the palmaris longus. Indian J Plastic Surg 2001; 34: 12.
  • Pushpakumar SB, Hanson RP, Carroll S. The ‘two finger’ sign. Clinical examination of palmaris longus (PL) tendon. Br J Plast Surg 2004; 57: 184-5.
  • Bhattacharya V, Raveendra Reddy G. The palmaris longus tendon-rationality of the finger manoeuvres. Br J Plast Surg 2005; 58: 419-21.
  • Mahajan AL. The ‘fingers fan out’ sign: Stick out your pal- maris longus even better Br J Plast Surg 2005; 58: 278-9.
  • Oudit D, Crawford L, Juma A, Howcroft A. The ‘‘four- finger’’sign: To demonstrate the palmaris longus tendon. Plast Reconstr Surg 2005; 116: 691-2.
  • Gangata H. The Clinical surface anatomy anomalies of the palmaris longus muscle in the Black African population of Zimbabwe and a proposed new testing technique. Clinical Anatomy 2009; 22(2): 230-5.
  • Ahn DS, Yoon ES, Koo SH, Park SH. A prospective study of the anatomic variations of the median nerve in the carpal tunnel in Asians. Ann Plast Surg 2000; 44(3): 282-7.
  • George R. Co-incidence of palmaris longus and plantaris muscles. Anat Rec 1953; 116(5): 521-3.
  • Reimann AF, Daseler EH, Anson BJ, Beaton LE. The pal- maris longus muscle and tendon. A study of 1600 extremi- ties. Anat Rec 1944; 89(4): 495-505.
  • Thompson JW, McBatts J, Danforth CH. Hereditary and ra- cial variations in the musculus palmaris longus. Am J Phys Anthropol 1921; 4(3): 205-18.
  • Thompson NW, Mockford BJ, Cran GW. Absence of the palmaris longus muscle: a population study. Ulster Med J 2001; 70(1): 22-4.
  • Troha F, Baibak GJ, Kelleher JC. Frequency of the palmaris longus tendon in North American Caucasians. Ann Plast Surg 1990; 25(4): 477-8.
  • Vanderhooft E. The frequency of and relationship between the palmaris longus and plantaris tendons. Am J Orthop 1996; 25(1): 38-41.
  • Ito MM, Aoki M, Kida MY, Ishii S, Kumaki K, Tanaka S. Length and width of the tendinous portion of the palmaris longus: a cadaver study of adult Japanese. J Hand Surg Am 2001; 26(4): 706-10.
  • Kapoor SK, Tiwari A, Kumar A, Bhatia R, Tantuway V, Kapoor S. Clinical relevance of palmaris longus agenesis: common anatomical aberration. Anat Sci Int 2008; 83(1): 45-8.
  • Roohi SA, Choon-Sian L, Shalimar A, Tan GH, Naicker AS. A study on the absence of palmaris longus in a multira- cial population. Malays Orthop J 2007; 1(1): 26-8.
  • Sebastin SJ, Puhaindran ME, Lim AY, Lim IJ, Bee WH. The prevalence of absence of the palmaris longus—a study in a Chinese population and a review of the literature. J Hand Surg Br 2005; 30(5): 525-7.
  • Sebastin SJ, Lim AY. Clinical assessment of absence of the palmaris longus and its association with other anatomical anomalies, a Chinese population study. Ann Acad Med Sin- gap 2006; 35(4): 249-53.
  • Erić M, Krivokuća D, Savović S, Leksan I, Vucinić N. Prev- alence of the palmaris longus through clinical evaluation. Surg Radiol Anat 2010; 32(4): 357-61.
  • Fahrer M, Tubiana R. Palmaris longus, anteductor of the thumb. Hand 1976; 8(3): 287-9.

Yeni bir muayene tekniği ile (Hız-Ediz Test) palmaris longus kası yokluğunun Van, Türkiye yöresinde ikamet eden popülasyondaki prevelansı

Year 2011, Volume: 2 Issue: 3, 254 - 259, 01.09.2011
https://doi.org/10.5799/ahinjs.01.2011.03.0050

Abstract

Amaç: Bu çalışmanın ana amacı Palmaris Longus Kası (PLK) agenezinin tespiti için yeni geliştirdiğimiz bir test tekniği ile (Hız-Ediz test), önceki testler arasındaki (Schaeffer ve Mishra ikinci testleri) arasındaki uyumluluğu göstermek idi. Gereç ve yöntem: Bu çalışmaya 1000 olgu alındı. Tüm olgulara Schaeffer testi, Mishra ikinci testi ve Hız-Ediz testi uygulandı. Cinsiyetler ve her iki el arasındaki farklar tespit edilmeye çalışıldı. Her üç test arasındaki tutarlılık araştırıldı. Bulgular: Hız-Ediz testinde, PLK agenezi olguların %15.1'inde tespit edildi. Üç test tarafından tespit edilen unilateral ve bilateral tendon agenezi oranları açısından testler arasında herhangi bir fark yoktu (p>0.05). Her üç testin tutarlılığı kappa test ile değerlendirildiğinde Mishra ikinci test ve Hız-Ediz test arasında tam tutarlılık tespit edildi; bununla birlikte Schaeffer ve diğer iki test arasında tam tutarlılık tespit edilmedi. Ancak, üç test arasında istatistiksel bir fark bulunmadı. Sonuç: PLK agenezi prevelansının textbook bilgileri ile uyumlu olduğunu göstermektedir. Hız-Ediz testi, Mishra ve Schaeffer ikinci testleri ile kıyaslandığında PLK agenezisini görmede ve tespit etmede kolay ve güvenilir olarak uygulanabilir.

References

  • Standring S. Gray’s anatomy, 39th edn. Elsevier Churchill Livingstone, Edinburg, 2005: 876-7.
  • Koo CC, Roberts AH. The palmaris longus tendon. Anoth- er variation in its anatomy. J Hand Surg Br 1997; 22(1): 138-9.
  • SchlaXy B, Lister G. Median nerve compression secondary to biWd reversed palmaris longus. J Hand Surg Am 1987; 12(3): 371-3.
  • Sebastin SJ, Lim AY, Bee WH, Wong TC, Methil BV. Does the absence of the palmaris longus aVect grip and pinch strength. J Hand Surg Br 2005; 30(4): 406-8.
  • Wehbe MA. Tendon graft donor sites. J Hand Surg Am 1992; 17(6): 1130-2.
  • Kleinert HE, Pulvertaft RG, Smith DJ. Flexor tendon graft- ing in the hand. In: Jupiter JB (ed) Flynn’s hand surgery. Williams & Wilkins, Baltimore, 1991: 285.
  • Saldana MJ. Primary extensor tendon grafts in zones 5 to 7. In: Blair WE (ed) Techniques in hand surgery. Williams & Wilkins, Baltimore, 1996: 587.
  • Smith P. Injury. In: Smith P (ed) Lister’s the hand--diagnosis and indications. Churchill Livingstone, London, 2002: 11.
  • Ceyhan O, Mavt A. Distribution of agenesis of palmaris lon- gus muscle in 12 to 18 years old age groups. Indian J Med Sci 1997: 51(5): 156-60.
  • Kose O, Adanir O, Cirpar M, Kurklu M, Komurcu M. The prevalence of absence of the palmaris longus: a study in Turkish population. Arch Orthop Trauma Surg 2009; 129(5): 609-11
  • Schaeffer TJ. On the variations of the palmaris longus mus- cle. Anat Rec 1909; 3: 275-8.
  • Zeybek A, Gurunluoglu R, Cavdar S, Bayramicli M. A clinical reminder: A palmaris longus muscle variation. Ann Plast Surg 1998; 41: 224-5.
  • Mishra S. Alternative tests in demonstrating the presence of the palmaris longus. Indian J Plastic Surg 2001; 34: 12.
  • Pushpakumar SB, Hanson RP, Carroll S. The ‘two finger’ sign. Clinical examination of palmaris longus (PL) tendon. Br J Plast Surg 2004; 57: 184-5.
  • Bhattacharya V, Raveendra Reddy G. The palmaris longus tendon-rationality of the finger manoeuvres. Br J Plast Surg 2005; 58: 419-21.
  • Mahajan AL. The ‘fingers fan out’ sign: Stick out your pal- maris longus even better Br J Plast Surg 2005; 58: 278-9.
  • Oudit D, Crawford L, Juma A, Howcroft A. The ‘‘four- finger’’sign: To demonstrate the palmaris longus tendon. Plast Reconstr Surg 2005; 116: 691-2.
  • Gangata H. The Clinical surface anatomy anomalies of the palmaris longus muscle in the Black African population of Zimbabwe and a proposed new testing technique. Clinical Anatomy 2009; 22(2): 230-5.
  • Ahn DS, Yoon ES, Koo SH, Park SH. A prospective study of the anatomic variations of the median nerve in the carpal tunnel in Asians. Ann Plast Surg 2000; 44(3): 282-7.
  • George R. Co-incidence of palmaris longus and plantaris muscles. Anat Rec 1953; 116(5): 521-3.
  • Reimann AF, Daseler EH, Anson BJ, Beaton LE. The pal- maris longus muscle and tendon. A study of 1600 extremi- ties. Anat Rec 1944; 89(4): 495-505.
  • Thompson JW, McBatts J, Danforth CH. Hereditary and ra- cial variations in the musculus palmaris longus. Am J Phys Anthropol 1921; 4(3): 205-18.
  • Thompson NW, Mockford BJ, Cran GW. Absence of the palmaris longus muscle: a population study. Ulster Med J 2001; 70(1): 22-4.
  • Troha F, Baibak GJ, Kelleher JC. Frequency of the palmaris longus tendon in North American Caucasians. Ann Plast Surg 1990; 25(4): 477-8.
  • Vanderhooft E. The frequency of and relationship between the palmaris longus and plantaris tendons. Am J Orthop 1996; 25(1): 38-41.
  • Ito MM, Aoki M, Kida MY, Ishii S, Kumaki K, Tanaka S. Length and width of the tendinous portion of the palmaris longus: a cadaver study of adult Japanese. J Hand Surg Am 2001; 26(4): 706-10.
  • Kapoor SK, Tiwari A, Kumar A, Bhatia R, Tantuway V, Kapoor S. Clinical relevance of palmaris longus agenesis: common anatomical aberration. Anat Sci Int 2008; 83(1): 45-8.
  • Roohi SA, Choon-Sian L, Shalimar A, Tan GH, Naicker AS. A study on the absence of palmaris longus in a multira- cial population. Malays Orthop J 2007; 1(1): 26-8.
  • Sebastin SJ, Puhaindran ME, Lim AY, Lim IJ, Bee WH. The prevalence of absence of the palmaris longus—a study in a Chinese population and a review of the literature. J Hand Surg Br 2005; 30(5): 525-7.
  • Sebastin SJ, Lim AY. Clinical assessment of absence of the palmaris longus and its association with other anatomical anomalies, a Chinese population study. Ann Acad Med Sin- gap 2006; 35(4): 249-53.
  • Erić M, Krivokuća D, Savović S, Leksan I, Vucinić N. Prev- alence of the palmaris longus through clinical evaluation. Surg Radiol Anat 2010; 32(4): 357-61.
  • Fahrer M, Tubiana R. Palmaris longus, anteductor of the thumb. Hand 1976; 8(3): 287-9.
There are 32 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Özcan Hiz This is me

Levent Ediz This is me

Mehmet Fethi Ceylan This is me

Emrullah Gezici This is me

Elif Gülcü This is me

Metin Erden This is me

Publication Date September 1, 2011
Published in Issue Year 2011 Volume: 2 Issue: 3

Cite

APA Hiz, Ö., Ediz, L., Ceylan, M. F., Gezici, E., et al. (2011). Yeni bir muayene tekniği ile (Hız-Ediz Test) palmaris longus kası yokluğunun Van, Türkiye yöresinde ikamet eden popülasyondaki prevelansı. Journal of Clinical and Experimental Investigations, 2(3), 254-259. https://doi.org/10.5799/ahinjs.01.2011.03.0050
AMA Hiz Ö, Ediz L, Ceylan MF, Gezici E, Gülcü E, Erden M. Yeni bir muayene tekniği ile (Hız-Ediz Test) palmaris longus kası yokluğunun Van, Türkiye yöresinde ikamet eden popülasyondaki prevelansı. J Clin Exp Invest. September 2011;2(3):254-259. doi:10.5799/ahinjs.01.2011.03.0050
Chicago Hiz, Özcan, Levent Ediz, Mehmet Fethi Ceylan, Emrullah Gezici, Elif Gülcü, and Metin Erden. “Yeni Bir Muayene tekniği Ile (Hız-Ediz Test) Palmaris Longus Kası yokluğunun Van, Türkiye yöresinde Ikamet Eden popülasyondaki Prevelansı”. Journal of Clinical and Experimental Investigations 2, no. 3 (September 2011): 254-59. https://doi.org/10.5799/ahinjs.01.2011.03.0050.
EndNote Hiz Ö, Ediz L, Ceylan MF, Gezici E, Gülcü E, Erden M (September 1, 2011) Yeni bir muayene tekniği ile (Hız-Ediz Test) palmaris longus kası yokluğunun Van, Türkiye yöresinde ikamet eden popülasyondaki prevelansı. Journal of Clinical and Experimental Investigations 2 3 254–259.
IEEE Ö. Hiz, L. Ediz, M. F. Ceylan, E. Gezici, E. Gülcü, and M. Erden, “Yeni bir muayene tekniği ile (Hız-Ediz Test) palmaris longus kası yokluğunun Van, Türkiye yöresinde ikamet eden popülasyondaki prevelansı”, J Clin Exp Invest, vol. 2, no. 3, pp. 254–259, 2011, doi: 10.5799/ahinjs.01.2011.03.0050.
ISNAD Hiz, Özcan et al. “Yeni Bir Muayene tekniği Ile (Hız-Ediz Test) Palmaris Longus Kası yokluğunun Van, Türkiye yöresinde Ikamet Eden popülasyondaki Prevelansı”. Journal of Clinical and Experimental Investigations 2/3 (September 2011), 254-259. https://doi.org/10.5799/ahinjs.01.2011.03.0050.
JAMA Hiz Ö, Ediz L, Ceylan MF, Gezici E, Gülcü E, Erden M. Yeni bir muayene tekniği ile (Hız-Ediz Test) palmaris longus kası yokluğunun Van, Türkiye yöresinde ikamet eden popülasyondaki prevelansı. J Clin Exp Invest. 2011;2:254–259.
MLA Hiz, Özcan et al. “Yeni Bir Muayene tekniği Ile (Hız-Ediz Test) Palmaris Longus Kası yokluğunun Van, Türkiye yöresinde Ikamet Eden popülasyondaki Prevelansı”. Journal of Clinical and Experimental Investigations, vol. 2, no. 3, 2011, pp. 254-9, doi:10.5799/ahinjs.01.2011.03.0050.
Vancouver Hiz Ö, Ediz L, Ceylan MF, Gezici E, Gülcü E, Erden M. Yeni bir muayene tekniği ile (Hız-Ediz Test) palmaris longus kası yokluğunun Van, Türkiye yöresinde ikamet eden popülasyondaki prevelansı. J Clin Exp Invest. 2011;2(3):254-9.