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

Yıl 2011, , 254 - 259, 01.09.2011

Özcan Hiz Levent Ediz Mehmet Fethi Ceylan Emrullah Gezici Elif Gülcü Metin Erden

https://doi.org/10.5799/ahinjs.01.2011.03.0050

Cited By: 4

Öz

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.

Anahtar Kelimeler

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

Öz

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.

Anahtar Kelimeler

Palmaris longus kası, tendon, agenezi, değerlendirme, Türkiye, Hız-Ediz test

Kaynakça

• 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.