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Morphological features of the chiasma tendinum and its relation with surface landmarks and pulleys: a cadaveric study

Dinc, Ugur; Sengezer, Ecem; Beger, Orhan; Yilmaz, Merve Sehide; Olgunus, Zeliha Kurtoglu


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  <identifier identifierType="URL">https://aperta.ulakbim.gov.tr/record/231064</identifier>
  <creators>
    <creator>
      <creatorName>Dinc, Ugur</creatorName>
      <givenName>Ugur</givenName>
      <familyName>Dinc</familyName>
    </creator>
    <creator>
      <creatorName>Sengezer, Ecem</creatorName>
      <givenName>Ecem</givenName>
      <familyName>Sengezer</familyName>
      <affiliation>Mersin Univ, Fac Med, Mersin, Turkey</affiliation>
    </creator>
    <creator>
      <creatorName>Beger, Orhan</creatorName>
      <givenName>Orhan</givenName>
      <familyName>Beger</familyName>
      <affiliation>Gaziantep Univ, Fac Med, Dept Anat, Gaziantep, Turkey</affiliation>
    </creator>
    <creator>
      <creatorName>Yilmaz, Merve Sehide</creatorName>
      <givenName>Merve Sehide</givenName>
      <familyName>Yilmaz</familyName>
      <affiliation>Sisli Etfal Training &amp; Res Hosp, Dept Family Med, Istanbul, Turkey</affiliation>
    </creator>
    <creator>
      <creatorName>Olgunus, Zeliha Kurtoglu</creatorName>
      <givenName>Zeliha Kurtoglu</givenName>
      <familyName>Olgunus</familyName>
      <affiliation>Mersin Univ, Fac Med, Dept Anat, Mersin, Turkey</affiliation>
    </creator>
  </creators>
  <titles>
    <title>Morphological Features Of The Chiasma Tendinum And Its Relation With Surface Landmarks And Pulleys: A Cadaveric Study</title>
  </titles>
  <publisher>Aperta</publisher>
  <publicationYear>2021</publicationYear>
  <dates>
    <date dateType="Issued">2021-01-01</date>
  </dates>
  <resourceType resourceTypeGeneral="Text">Journal article</resourceType>
  <alternateIdentifiers>
    <alternateIdentifier alternateIdentifierType="url">https://aperta.ulakbim.gov.tr/record/231064</alternateIdentifier>
  </alternateIdentifiers>
  <relatedIdentifiers>
    <relatedIdentifier relatedIdentifierType="DOI" relationType="IsIdenticalTo">10.1007/s00276-021-02783-w</relatedIdentifier>
  </relatedIdentifiers>
  <rightsList>
    <rights rightsURI="http://www.opendefinition.org/licenses/cc-by">Creative Commons Attribution</rights>
    <rights rightsURI="info:eu-repo/semantics/openAccess">Open Access</rights>
  </rightsList>
  <descriptions>
    <description descriptionType="Abstract">Aim Chiasma tendinum (Camper's chiasm) is of great importance in the delicate movements and stability of the fingers and takes place poorly in the literature. This study aims to reveal the morphometric details of the chiasma tendinum in relation with pulleys and other relevant structures. Materials and methods Palm and 2nd to 5th fingers of 10 (6 male, 4 female) formalin fixed cadavers were used bilaterally. After determining the superficial reference points on the fingers, the skin and the tendon sheath were incised, and then measurements of chiasma tendinum and related tendons were performed. The measurements were analyzed with respect to fingers, genders, and sides. Finally, the types of chiasma tendinum were identified and then grouped as symmetrical, asymmetrical, and pseudo chiasm. Results Pulley and chiasma tendinum positions were correlated with finger length (p &amp;lt; 0.01). Pulley lengths were significantly less in females. Asymmetrical chiasma tendinum types were found in 45% of the fingers. In most comparisons, values for fifth finger were significantly different than that of other fingers and chiasma tendinum types differed according to fingers and gender. The case of no fiber exchange was observed only in the 5th finger in 15%. Conclusion Findings related to the prediction of location of the pulleys and chiasma tendinum according to the superficial signs, awareness of cases where one of the two arms of the flexor digitorum superficialis is extremely thin and no fiber exchanges that may be risk factors for spontaneous tendon rupture may help provide more accurate approaches in relevant clinical applications.</description>
  </descriptions>
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