Yıl: 2011 Cilt: 22 Sayı: 3 Sayfa Aralığı: 245 - 248 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Cleland’s and Grayson’s Ligaments: An anatomic study

Öz:
İlk olarak FRS Cleland ve J Grayson tarafından tanımlanan yüzeyel el ligamentlerinden Cleland ligamentleri phalanxlara ve parmak derisine bilateral olarak uzanırken, Grayson ligamentleri ise nörovaskuler demet üzerinde yer alırlar. Yöntem: Bu çalışmada detaylı anatomik diseksiyonla 50 formaldehit fikse el parmağı ve 20 fresh kadavra parmağı olmak üzere toplam 70 parmakta Cleland ve Grayson ligamentlerinin morfometrik ve topografik yerleşimi değerlendirilerek literatür bilgileri ile tartışıldı. Sonuçlar: Cleland ve Grayson ligamentlerinin anatomik yapısını detaylı bir şekilde ortaya konulması Dupuytren hastalığının cerrahi tedavisinde ve flap tasarımlarında önemlidir. Tartışma: Anatomi diseksiyonlarında kullanılan standart tekniklerin dışında midlateral yaklaşımın bu ligamentlerin değerlendirilmesinde daha etkin olduğu saptandı.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp Rehabilitasyon

Cleland ve Grayson ligamentleri: Anatomik çalışma

Öz:
The cutaneous ligaments of the human digits were first reported by FRS Cleland and J Grayson. During digital movements they are the delicate functional structures essential for normal skin stability. Cleland’s ligaments extend bilaterally between the phalanx and the finger dermis, and Grayson’s ligaments extend to the digital neurovascular bundles. Methods: We performed a detailed anatomical dissection in a total number of 70 fingers (50 formaldehyde fixed and 20 fresh hand fingers). The origin and the insertion of the ligaments and a new approach for the dissection of the ligaments have been discussed. Results: The usage of the midlateral exposure is better than the other classical dissection techniques. Conclusion: The knowledge of a detailed morphometry of Cleland’s and Grayson’s ligaments can be important for surgical procedures of Dupuytren’s disease and flap design.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp Rehabilitasyon
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Cleland JJ. Anat. Phys. 1878;12:526, PIXVII.
  • 2. Grayson J. Cutaneous ligaments of the digits. J Anat. 1941;75(Pt 2):164-165.
  • 3. Chrysopoulo MT, McGrouthe DA, Jeschke MG, et al. Cleland's ligaments: an anatomic study. Plast Reconstr Surg. 2002;109:566-572.
  • 4. De-Ary-Pires B, Valdez CF, Shecaira AP, et al. Cleland's and Grayson's ligaments of the hand: a morphometrical investigation. Clin Anat. 2007;20:68-76.
  • 5. Messina A, Messina JC. The direct midlateral approach with lateral enlargement of the pulley system for repair of flexor tendons in fingers. J Hand Surg [Br]. 1996;21:463-468.
  • 6. Weitbrecht J. Syndesmologia sive historia ligamentorum corporis humani, quam secundum observationes anatomicas concinnavit, et figuris ac objecta recentia adumbratio illustravit. Petropoli, ex typographia Academiae Scientiarum. Anno MDCC XLII.
  • 7. Milford LW. Retaining Ligaments of the Digits of the Hand: Gross and Microscopic Anatomic Study. Philadelphia: WB Saunders. 1968;598-599.
  • 8. Itoh K, Wakano T, Takeda T, et al. Circulatory disturbances in the throwing hand of baseball pitchers. Am J Sports Med. 1987;15:264-269.
APA sindel m, ARICAN R, ÖZCANLI H, CENGİZ M, GÜR S, KELEŞ ÇELİK N (2011). Cleland’s and Grayson’s Ligaments: An anatomic study. , 245 - 248.
Chicago sindel muzaffer,ARICAN Ramazan Yavuz,ÖZCANLI Haluk,CENGİZ Menekşe,GÜR Semih,KELEŞ ÇELİK NİGAR Cleland’s and Grayson’s Ligaments: An anatomic study. (2011): 245 - 248.
MLA sindel muzaffer,ARICAN Ramazan Yavuz,ÖZCANLI Haluk,CENGİZ Menekşe,GÜR Semih,KELEŞ ÇELİK NİGAR Cleland’s and Grayson’s Ligaments: An anatomic study. , 2011, ss.245 - 248.
AMA sindel m,ARICAN R,ÖZCANLI H,CENGİZ M,GÜR S,KELEŞ ÇELİK N Cleland’s and Grayson’s Ligaments: An anatomic study. . 2011; 245 - 248.
Vancouver sindel m,ARICAN R,ÖZCANLI H,CENGİZ M,GÜR S,KELEŞ ÇELİK N Cleland’s and Grayson’s Ligaments: An anatomic study. . 2011; 245 - 248.
IEEE sindel m,ARICAN R,ÖZCANLI H,CENGİZ M,GÜR S,KELEŞ ÇELİK N "Cleland’s and Grayson’s Ligaments: An anatomic study." , ss.245 - 248, 2011.
ISNAD sindel, muzaffer vd. "Cleland’s and Grayson’s Ligaments: An anatomic study". (2011), 245-248.
APA sindel m, ARICAN R, ÖZCANLI H, CENGİZ M, GÜR S, KELEŞ ÇELİK N (2011). Cleland’s and Grayson’s Ligaments: An anatomic study. Fizyoterapi Rehabilitasyon, 22(3), 245 - 248.
Chicago sindel muzaffer,ARICAN Ramazan Yavuz,ÖZCANLI Haluk,CENGİZ Menekşe,GÜR Semih,KELEŞ ÇELİK NİGAR Cleland’s and Grayson’s Ligaments: An anatomic study. Fizyoterapi Rehabilitasyon 22, no.3 (2011): 245 - 248.
MLA sindel muzaffer,ARICAN Ramazan Yavuz,ÖZCANLI Haluk,CENGİZ Menekşe,GÜR Semih,KELEŞ ÇELİK NİGAR Cleland’s and Grayson’s Ligaments: An anatomic study. Fizyoterapi Rehabilitasyon, vol.22, no.3, 2011, ss.245 - 248.
AMA sindel m,ARICAN R,ÖZCANLI H,CENGİZ M,GÜR S,KELEŞ ÇELİK N Cleland’s and Grayson’s Ligaments: An anatomic study. Fizyoterapi Rehabilitasyon. 2011; 22(3): 245 - 248.
Vancouver sindel m,ARICAN R,ÖZCANLI H,CENGİZ M,GÜR S,KELEŞ ÇELİK N Cleland’s and Grayson’s Ligaments: An anatomic study. Fizyoterapi Rehabilitasyon. 2011; 22(3): 245 - 248.
IEEE sindel m,ARICAN R,ÖZCANLI H,CENGİZ M,GÜR S,KELEŞ ÇELİK N "Cleland’s and Grayson’s Ligaments: An anatomic study." Fizyoterapi Rehabilitasyon, 22, ss.245 - 248, 2011.
ISNAD sindel, muzaffer vd. "Cleland’s and Grayson’s Ligaments: An anatomic study". Fizyoterapi Rehabilitasyon 22/3 (2011), 245-248.