• 대한한의학회지
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• 제26권1호
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• pp.11-17
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• 2005

This study was carried out to identify the components of the human heart meridian muscle, the regional muscle group being divided into outer, middle, and inner layers. The inner parts of the body surface were opened widely to demonstrate muscles, nerves, blood vessels and to expose the inner structure of the heart meridian muscle in the order of layers. We obtained the following results; $\cdot$ The heart meridian muscle is composed of muscles, nerves and blood vessels. $\cdot$ In human anatomy, the difference between terms is present (that is, between nerves or blood vessels which control the meridian muscle and those which pass near by). $\cdot$ The inner composition of the heart meridian muscle in the human arm is as follows: 1) Muscle H-l: latissimus dorsi muscle tendon, teres major muscle, coracobrachialis muscle H-2: biceps brachialis muscle, triceps brachialis muscle, brachialis muscle H-3: pronator teres muscle and brachialis muscle H-4: palmar carpal ligament and flexor ulnaris tendon H-5: palmar carpal ligament & flexor retinaculum, tissue between flexor carpi ulnaris tendon and flexor digitorum superficialis tendon, flexor digitorum profundus tendon H-6: palmar carpal ligament & flexor retinaculum, flexor carpi ulnaris tendon H-7: palmar carpal ligament & flexor retinaculum, tissue between flexor carpi ulnaris tendon and flexor digitorum superficial is tendon, flexor digitorum profundus tendon H-8: palmar aponeurosis, 4th lumbrical muscle, dorsal & palmar interrosseous muscle H-9: dorsal fascia, radiad of extensor digiti minimi tendon & extensor digitorum tendon 2) Blood vessel H-1: axillary artery, posterior circumflex humeral artery H-2: basilic vein, brachial artery H-3: basilic vein, inferior ulnar collateral artery, brachial artery H-4: ulnar artery H-5: ulnar artery H-6: ulnar artery H-7: ulnar artery H-8: palmar digital artery H-9: dorsal digital vein, the dorsal branch of palmar digital artery 3) Nerve H-1: medial antebrachial cutaneous nerve, median n., ulnar n., radial n., musculocutaneous n., axillary nerve H-2: median nerve, ulnar n., medial antebrachial cutaneous n., the branch of muscular cutaneous nerve H-3: median nerve, medial antebrachial cutaneous nerve H-4: medial antebrachial cutaneous nerve, ulnar nerve H-5: ulnar nerve H-6: ulnar nerve H-7: ulnar nerve H-8: superficial branch of ulnar nerve H-9: dorsal digital branch of ulnar nerve.

• Anatomy and Cell Biology
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• 제56권3호
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• pp.401-403
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• 2023

This case report describes a variation of the flexor digitorum brevis (FDB) with a separated muscle belly and tendon at the fifth toe. The narrow tendon and muscle belly for the fifth toe arose from the intermuscular septum between the FDB and abductor digiti minimi adjacent to the arising fibers of the FDB, separating from its other fibers. The tendon and muscle belly for the fifth toe became wider at the base of the metatarsal bones and narrower as it coursed toward the toes in a fusiform shape. The tendon and muscle belly for the fifth toe became thin at the midfoot and coursed just beneath the flexor digitorum longus tendon and entered the digital tendinous sheath. FDB variations including that described herein should be considered when performing various surgical procedures and evaluating the biomechanics of the foot.

• Archives of Plastic Surgery
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• 제51권1호
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• pp.118-125
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• 2024

Tamai zone 4 replantation, defined as the replantation at a level proximal to the flexor digitorum superficialis' insertion and distal to where the common digital artery branches into the proper digital artery, has poor functional results because making orthosis and rehabilitation protocols that protect the bone and the flexor and extensor tendons simultaneously difficult. Two cases of Tamai zone 4 replantation are presented: one case of an index finger replantation at the proximal phalanx and a case of ring finger replantation at the proximal interphalangeal joint. The author did not repair the flexor tendon intentionally in the primary replantation and performed two-stage flexor tendon reconstruction later. The total active motions (TAMs) at the last follow-up were 215 and 180 degrees, respectively, with the latter distal interphalangeal joint being an arthrodesis. Both cases had no extension lag in the proximal interphalangeal joint. These results were much better than those in previous reports, in which the mean TAM was 133 degrees or less. The good results appeared to be mainly due to the reasonable and clear postoperative rehabilitation protocols made by the proposed procedure. This procedure may be useful for obtaining reproducible functional results even in Tamai zone 4 replantation.

• Applied Microscopy
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• 제26권2호
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• pp.157-175
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• 1996

The development of flexor digital tendon of the hand was studied by electron microscopy in human fetuses ranging from 9 mm to 260 mm crown rump length. The primordium of tendons was first identified as discrete collection of mesenchymal cells at 25 mm fetus. Synovial sheath formation had commenced by 40 mm fetus and was complete by 70 mm fetus. Cell junction or adhesion sites at all ages were noted between the tendon cells. When dilatation of the synovial cavity occurred, two types of synovial cells were observed. A-type cells had numerous vesicles and large vacuoles. In contrast, B-type cells were characterized by abundant rough endoplasmic reticulum and well-developed Golgi complex. By $150mm{\sim}260mm$ fetuses, a mojority of the synovial cells were type B. The most remarkable difference between the synovial cells of full-term fetus and adult was the larger amount of collagen fibers in the latter. The vascular buds were first observed between the individual fibril bundles in the interfascicular space at 150 mm fetus. At 25 mm fetus, collagen fibrils were first noted within narrow cytoplasmic recesses which were continued with the extracellular space. Collagen fibrils were filled in almost entire extracellular space at 150 mm fetus. Besides collagen fibrils in the extracellular space small elastic fibers were also identified and followed in their development.

• 한국임상수의학회지
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• 제33권1호
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• pp.1-5
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• 2016

말에서 Digital flexor tendon sheath (DFTS)의 감염성 건초염은 치명적인 질병이다. 본 연구에서는 관절경을 이용한 말 DFTS의 감염성 건초염 치료 결과를 보고하고자 한다. DFTS에 급성 감염성 건초염이 발생한 13마리의 더 러브렛 말에 관절경 수술을 실시하였다. 수술시간은 56-148분(평균 85.6분, 중간값 84.0분)이였다. 활액검사에서 평균 백혈구수, 평균 중성구 비율, 평균 총단백질 수치는, 각각 $42.9{\times}103cells/{\mu}l$ (range, $7.2-109.5cells/{\mu}l$), 89.5% (range, 68-97%), 4.0 g/dl (range, 2.5-5.2 g/dl)이였다. 활액의 세포배양 검사를 실시한 11두중 2두에서 세균의 증식이 관찰되었다. 모든 말들은 부작용 없이 회복되어 원래의 목적으로 사용되었다. 말 DFTS의 급성 감염성 건초염에서 관절경 수술은 유용할 것으로 생각된다.

• 한국임상수의학회지
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• 제25권2호
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• pp.90-95
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• 2008

One fresh equine cadaver (two forelimbs) and five non-lamed thoroughbreds (ten sound forelimbs) were examined ultrasonographically through 5.0 MHz linear array transducer with a stand-off pad in palmar pastern region. The normal transverse ultrasonographic images of the superficial digital flexor tendon (SDFT), deep digital flexor tendon (DDFT), straight sesamoidean ligament (SSL), oblique sesamoidean ligament (OSL), and medium scutum could be identified at the region. The mean $\pm$ SD (min.$\sim$max. $mm^2$) of SDFT cross-sectional areas at P1A, P1B, P1C in the region were $110.00{\pm}5.38$ ($100{\sim}128$), $100.00{\pm}5.02$ ($90{\sim}111$), $114.00{\pm}3.33$ ($104{\sim}124$), respectively. The mean $\pm$ SD (min.$\sim$max. $mm^2$) of DDFT cross-sectional areas at each phalanx (P1A, P1B, P1C, P2A, P2B) were $136.00{\pm}4.83$ ($125{\sim}147$), $94.00{\pm}5.43$ ($85{\sim}108$), $99.00{\pm}4.87$ ($90{\sim}111$), $115.00{\pm}3.67$ ($108{\sim}124$), $135.00{\pm}3.65$ ($125{\sim}145$), respectively. The mean ratio of SDFT of P1B to DDFT was 0.74, 1.06, 1.01, 0.87, 0.74 at P1A, P1B, P1C, P2A, P2B, respectively.

• Archives of Plastic Surgery
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• 제37권6호
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• pp.795-800
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• 2010

Purpose: According to various medical publications, it is believed that epinephrine should not be injected in fingers. However numerous articles show the successful use of local anesthetic with epinephrine in the digits. Epinephrine-mixed lidocaine solution enables to maintain a bloodless field for operation and provides long duration of local anesthesia when patient was wide awake. Methods: From May 2009 to December 2009, ten patients underwent flexor tendon reconstruction with local anesthesia using epinephrine. No tourniquet was necessary. Before operation, all patients were injected with local anesthetics using 1% lidocaine 20 mL and 0.1% epinephrine 0.1 mL. Results: There was no case of digital necrosis nor gangrene in the epinephrine injection. All 10 patients actively could move the finger through a full range of motion. All procedures were performed without sedation nor tourniquet and we could obtain a good vision of operative field and patients were comfortable. The patient make his or her fingers move through a full range of active motion before the skin is closed. Phentolamine was not required to reverse the vasoconstriction in any patients. Conclusion: The assertation that epinephrine should not be injected into the fingers is clearly no longer valid. The epinephrine injection allowed the authors to adjust flexor tendon surgery without risks associated with general anesthesia. It also enables to ensure longer anesthetic duration and bloodless operative field, and prevent post operative complications. In case of flexor tendon surgery, the use of epinephrine injection is recommended because of the advantages of local anesthesia.

• Korean Journal of Acupuncture
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• 제22권1호
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• pp.67-74
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• 2005

Objectives : This study was carried to identify the component of the Pericardium Meridian Muscle in human. Methods : The regional muscle group was divided into outer, middle, and inner layer. The inner part of body surface were opened widely to demonstrate muscles, nerve, blood vessels and to expose the inner structure of the Pericardium Meridian Muscle in the order of layers. Results We obtained the results as follows; He Perfcardium Meridian Muscle composed of the muscles, nerves and blood vessels. In human anatomy, it is present the difference between terms (that is, nerves or blood vessels which control the muscle of the Pericardium Meridian Muscle and those which pass near by the Pericardium Meridian Muscle). The inner composition of the Pericardium Meridian Muscle in human is as follows ; 1) Muscle P-1 : pectoralis major and minor muscles, intercostalis muscle(m.) P-2 : space between biceps brachialis m. heads. P-3 : tendon of biceps brachialis and brachialis m. P-4 : space between flexor carpi radialis m. and palmaris longus m. tendon(tend.), flexor digitorum superficialis m., flexor digitorum profundus m. P-5 : space between flexor carpi radialis m. tend. and palmaris longus m. tend., flexor digitorum superficialis m., flexor digitorum profundus m. tend. P-6 : space between flexor carpi radialis m. tend. and palmaris longus m. tend., flexor digitorum profundus m. tend., pronator quadratus m. H-7 : palmar carpal ligament, flexor retinaculum, radiad of flexor digitorum superficialis m. tend., ulnad of flexor pollicis longus tend. radiad of flexor digitorum profundus m. tend. H-8 : palmar carpal ligament, space between flexor digitorum superficialis m. tends., adductor follicis n., palmar interosseous m. H-9 : radiad of extensor tend. insertion. 2) Blood vessel P-1 : lateral cutaneous branch of 4th. intercostal artery, pectoral br. of Ihoracoacrornial art., 4th. intercostal artery(art) P-3 : intermediate basilic vein(v.), brachial art. P4 : intermediate antebrachial v., anterior interosseous art. P-5 : intermediate antebrarhial v., anterior interosseous art. P-6 : intermediate antebrachial v., anterior interosseous art. P-7 : intermediate antebrachial v., palmar carpal br. of radial art., anterior interosseous art. P-8 : superficial palmar arterial arch, palmar metacarpal art. P-9 : dorsal br. of palmar digital art. 3) Nerve P-1 : lateral cutaneous branch of 4th. intercostal nerve, medial pectoral nerve, 4th. intercostal nerve(n.) P-2 : lateral antebrachial cutaneous n. P-3 : medial antebrachial cutaneous n., median n. musrulocutaneous n. P-4 : medial antebrachial cutaneous n., anterior interosseous n. median n. P-5 : median n., anterior interosseous n. P-6 : median n., anterior interosseous n. P-7 : palmar br. of median n., median n., anterior interosseous n. P-8 : palmar br. of median n., palmar digital br. of median n., br. of median n., deep br. of ulnar n. P-9 : dorsal br. of palmar digital branch of median n. Conclusions : This study shows some differences from already established study on meridian Muscle.

• 한국임상수의학회지
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• 제35권3호
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• pp.88-92
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• 2018

Osteochondroma (OC) is a cartilage-capped exostosis. In horses, OC commonly develops on the caudal distal metaphysis of the radius (CDMR). The purpose of study was to describe the outcomes of arthroscopy for the treatment of OC on CDMR. Diagnosis was based on clinical signs (lameness and distention of carpal sheath), radiography (location and size of OC), and ultrasonography (location of OC, torn deep digital flexor tendon, fibrin, and effusion of carpal sheath). Arthroscopy was performed on 68 Thoroughbred horses with OC on CDMR. Sixty of the 68 cases showed deep digital flexor tendinitis as a result of sharp protuberances of the OC. All horses survived, and 62 of the 68 cases returned to athletic function (racing) after arthroscopy. The present study demonstrated that arthroscopy is useful for treating OC of CDMR in horses.

• 대한수의학회지
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• 제39권2호
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• pp.370-375
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• 1999

Owner's attitudes for tendonectomy, the advantages of this surgical technique, and postoperative complication were investigated by telephone survey. 18 cats on whom tendoncetomy was performed with or without concurrent ovario-hysterectomy or castration were included in this study. The first reason for tendonectomy was to avoid damage caused by the cat's scratching household materials. The first benefit of tendonectomy was decreasing damage to materials (89%). The primary concern of the owners of cats that underwent tendonectomy was postoperative pain after surgery (61%). Twelve cats (67%) that underwent tendonectomy recovered fully within the first three days and 6 cats (33%) recovered within two weeks. After combining the very positive rating and positive as positive, seventeen owners (94%) of cats that underwent tendonectomy had a positive attitude to the surgery.