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A Variation of Flexor Carpi Ulnaris Muscle: A Case Report

Year 2018, Volume: 2 Issue: 2, 57 - 59, 01.06.2018
https://doi.org/10.30621/jbachs.2018.320

Abstract

Purpose: Flexor carpi ulnaris muscle FCUM is one of the muscles of the superficial flexor group which is located most medially in the forearm. This study aimed to emphasize the importance of variations of the FCUM in clinical diagnosis and surgical procedures.Methods: While performing routine gross anatomy dissection of an adult male formaldehyde fixed cadaver in laboratory of Anatomy Department, we observed a unilateral variation of FCUM in the left upper extremity.Results: FCUM was originated with one common tendon and separated into two bellies at the distal half of forearm, and extended with two tendons. The connecting tendons were inserted to pisiform, hamate bones, and proximal of the fifth metacarpal bones.Conclusion: The detection of FCUM variations is significantly important not only in the treatment of pressure related symptoms which they cause but also in reconstructive and orthopedic surgery

References

  • Ang GG, Rozen WM, Vally F, Eizenberg N, Grinsell D. Anomalies of the flexor carpi ulnaris: clinical case report and cadaveric study. Clin Anat 2010;23:427–430. [CrossRef]
  • Georgiev GP, Jelev L, Ovtscharoff WA. Unusual combination of muscular and arterial variations in the upper extremity: a case report of a variant palmaris longus and an additional tendinous portion of the flexor carpi ulnaris together with a persistent median artery. Anatomy 2009;3:58–61.
  • O’Hara JJ, Stone JH. Ulnar neuropathy at the wrist associated with aberrant flexor carpi ulnaris insertion. J Hand Surg Am 1988;13:370– 372.
  • Alvin M, Alan N, Leone J, Fredieu JR. A unilateral accessory flexor carpi ulnaris muscle observed during cadaveric dissection. Clin Anat 2011;24:971–973. [CrossRef]
  • Standring S. Elbow, Chapter 51. In: Standring S, editor. Gray’s Anatomy, 39th ed., London, England: Churchill Livingstone Elsevier; 2005. p.877.
  • Lim AY, Kumar VP, Hua J, Pereira BP, Pho RW. The neuromuscular compartments of the flexor carpi ulnaris. Plast Reconstr Surg 1999;103:1046–1051.
  • Meals RA. The use of a flexor carpi ulnaris muscle flap in the treatment of an infected nonunion of the proximal ulna. A case report. Clin Orthop Relat Res 1989;(240):168–172.
  • Culbertson JH, Mutimer K. The reverse lateral upper arm flap for elbow coverage. Ann Plast Surg 1987;18:62–68.
  • Raddatz DA, Hoffman GS, Franck WA. Septic bursitis: presentation, treatment and prognosis. J Rheumatol 1987;14:1160–1163.
  • Lim AY, Kumar VP, Pereira BP, Hua J. Independent function in a tendon transfer of the split flexor carpi ulnaris. Plast Reconstr Surg 1999;104:1739–1741.
  • Lingaraj K, Lim AY, Puhaindran ME, Kumar PV. Case report: the split flexor carpi ulnaris as a local muscle flap. Clin Orthop Relat Res 2007;455:262–266. [CrossRef]
  • Sharpe F, Barry P, Lin SD, Stevanovic M. Anatomic study of the flexor carpi ulnaris muscle and its application to soft tissue coverage of the elbow with clinical correlation. J Shoulder Elbow Surg 2014;23:82–90. [CrossRef]
  • Bhardwaj P, Bhandari L, Sabapathy SR. Supernumerary flexor carpi ulnaris –case report and review. Hand Surg 2013;18:393–397. [CrossRef]
  • Cıftçıoğlu E, Kopuz C, Corumlu U, Demır MT. Accessory muscle in the forearm: a clinical and embryological approach, Anat Cell Biol 2011;44:160–163. [CrossRef]
  • Sawant SP, Shaikh ST, More RM. Variant flexor carpi ulnaris muscle and variant course of ulnar artery in forearm. Int J Mod Eng Res 2012;2:4108–4110.
Year 2018, Volume: 2 Issue: 2, 57 - 59, 01.06.2018
https://doi.org/10.30621/jbachs.2018.320

Abstract

References

  • Ang GG, Rozen WM, Vally F, Eizenberg N, Grinsell D. Anomalies of the flexor carpi ulnaris: clinical case report and cadaveric study. Clin Anat 2010;23:427–430. [CrossRef]
  • Georgiev GP, Jelev L, Ovtscharoff WA. Unusual combination of muscular and arterial variations in the upper extremity: a case report of a variant palmaris longus and an additional tendinous portion of the flexor carpi ulnaris together with a persistent median artery. Anatomy 2009;3:58–61.
  • O’Hara JJ, Stone JH. Ulnar neuropathy at the wrist associated with aberrant flexor carpi ulnaris insertion. J Hand Surg Am 1988;13:370– 372.
  • Alvin M, Alan N, Leone J, Fredieu JR. A unilateral accessory flexor carpi ulnaris muscle observed during cadaveric dissection. Clin Anat 2011;24:971–973. [CrossRef]
  • Standring S. Elbow, Chapter 51. In: Standring S, editor. Gray’s Anatomy, 39th ed., London, England: Churchill Livingstone Elsevier; 2005. p.877.
  • Lim AY, Kumar VP, Hua J, Pereira BP, Pho RW. The neuromuscular compartments of the flexor carpi ulnaris. Plast Reconstr Surg 1999;103:1046–1051.
  • Meals RA. The use of a flexor carpi ulnaris muscle flap in the treatment of an infected nonunion of the proximal ulna. A case report. Clin Orthop Relat Res 1989;(240):168–172.
  • Culbertson JH, Mutimer K. The reverse lateral upper arm flap for elbow coverage. Ann Plast Surg 1987;18:62–68.
  • Raddatz DA, Hoffman GS, Franck WA. Septic bursitis: presentation, treatment and prognosis. J Rheumatol 1987;14:1160–1163.
  • Lim AY, Kumar VP, Pereira BP, Hua J. Independent function in a tendon transfer of the split flexor carpi ulnaris. Plast Reconstr Surg 1999;104:1739–1741.
  • Lingaraj K, Lim AY, Puhaindran ME, Kumar PV. Case report: the split flexor carpi ulnaris as a local muscle flap. Clin Orthop Relat Res 2007;455:262–266. [CrossRef]
  • Sharpe F, Barry P, Lin SD, Stevanovic M. Anatomic study of the flexor carpi ulnaris muscle and its application to soft tissue coverage of the elbow with clinical correlation. J Shoulder Elbow Surg 2014;23:82–90. [CrossRef]
  • Bhardwaj P, Bhandari L, Sabapathy SR. Supernumerary flexor carpi ulnaris –case report and review. Hand Surg 2013;18:393–397. [CrossRef]
  • Cıftçıoğlu E, Kopuz C, Corumlu U, Demır MT. Accessory muscle in the forearm: a clinical and embryological approach, Anat Cell Biol 2011;44:160–163. [CrossRef]
  • Sawant SP, Shaikh ST, More RM. Variant flexor carpi ulnaris muscle and variant course of ulnar artery in forearm. Int J Mod Eng Res 2012;2:4108–4110.
There are 15 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Gökşin Nilüfer Yonguç This is me

Sibel Cirpan This is me

Salih Sayhan This is me

Canan Eyüboğlu This is me

Mustafa Güvençer This is me

Publication Date June 1, 2018
Published in Issue Year 2018 Volume: 2 Issue: 2

Cite

APA Yonguç, G. N., Cirpan, S., Sayhan, S., Eyüboğlu, C., et al. (2018). A Variation of Flexor Carpi Ulnaris Muscle: A Case Report. Journal of Basic and Clinical Health Sciences, 2(2), 57-59. https://doi.org/10.30621/jbachs.2018.320
AMA Yonguç GN, Cirpan S, Sayhan S, Eyüboğlu C, Güvençer M. A Variation of Flexor Carpi Ulnaris Muscle: A Case Report. JBACHS. June 2018;2(2):57-59. doi:10.30621/jbachs.2018.320
Chicago Yonguç, Gökşin Nilüfer, Sibel Cirpan, Salih Sayhan, Canan Eyüboğlu, and Mustafa Güvençer. “A Variation of Flexor Carpi Ulnaris Muscle: A Case Report”. Journal of Basic and Clinical Health Sciences 2, no. 2 (June 2018): 57-59. https://doi.org/10.30621/jbachs.2018.320.
EndNote Yonguç GN, Cirpan S, Sayhan S, Eyüboğlu C, Güvençer M (June 1, 2018) A Variation of Flexor Carpi Ulnaris Muscle: A Case Report. Journal of Basic and Clinical Health Sciences 2 2 57–59.
IEEE G. N. Yonguç, S. Cirpan, S. Sayhan, C. Eyüboğlu, and M. Güvençer, “A Variation of Flexor Carpi Ulnaris Muscle: A Case Report”, JBACHS, vol. 2, no. 2, pp. 57–59, 2018, doi: 10.30621/jbachs.2018.320.
ISNAD Yonguç, Gökşin Nilüfer et al. “A Variation of Flexor Carpi Ulnaris Muscle: A Case Report”. Journal of Basic and Clinical Health Sciences 2/2 (June 2018), 57-59. https://doi.org/10.30621/jbachs.2018.320.
JAMA Yonguç GN, Cirpan S, Sayhan S, Eyüboğlu C, Güvençer M. A Variation of Flexor Carpi Ulnaris Muscle: A Case Report. JBACHS. 2018;2:57–59.
MLA Yonguç, Gökşin Nilüfer et al. “A Variation of Flexor Carpi Ulnaris Muscle: A Case Report”. Journal of Basic and Clinical Health Sciences, vol. 2, no. 2, 2018, pp. 57-59, doi:10.30621/jbachs.2018.320.
Vancouver Yonguç GN, Cirpan S, Sayhan S, Eyüboğlu C, Güvençer M. A Variation of Flexor Carpi Ulnaris Muscle: A Case Report. JBACHS. 2018;2(2):57-9.