Predicting Tendon Tissue Grafting Source From the Extensors of Long Fingers: A Systematic Review of Cadaveric Studies.

摘要: Background: The use of tendon tissue for transfer and grafting is a common practice in hand surgery. Many local tendons are usually used, mainly that the palmaris longus muscle. However, this could be absent up to 46%. Extra slips extensor digitorum communis (EDC) extra such as indicis (EI) digiti minimi (EDM) valuable sources tissue. Methods: A systematic review was conducted quantify proportion relation each long finger. aim better predict location on dorsum reconstructive Results: Based 39 studies including 7847 hands, cumulative frequencies association between double-slip frequency ancestry were follows: (1) little finger showed highest (96.54%), followed by ring (37.5%), (30.6%), index (9.5%) fingers; (2) with its EI variants EDM bear far (≈100%); (3) double found rare Indian populations, most prevalent Japanese more fingers Caucasians, Middle Eastern populations. Conclusions: Knowledge along their prevalence different populations would improve: prevision source grafting; surgical planning while supporting patient-centered approach. Evidence-based anatomy have major potential contribute an evidence-based Predicting possible present thought very surgeons. In addition from evolutionary perspective, we hypothesized observed significantly higher values triple-slip types EDC finger, might indicate natural selection tendency independence former digits future evolution human hand.