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Previous studies on anuran anomalies predominantly examine isolated cases or focus on external and skeletal features. Our study analyzes a comprehensive sample collected from 1991 to 2017, examining the muscle-tendon system in 24 anuran species across adult, juvenile, and metamorphic stages. This extensive sample size allows us to investigate consistent anomaly patterns across different developmental stages and anuran families, exploring potential common developmental or genetic factors. Our detailed anatomical examination, encompassing musculature, tendons, and skeletal structures, revealed that 21% of the specimens displayed anomalies, a noteworthy finding considering the extensive sample size and duration of the studied sample. Of these anomalies, 17% affected the locomotor system, predominantly in the upper limbs. Key anomalies included, forelimbs and hindlimbs brachydactyly, rotation in forelimbs, partial kyphotic lordosis, and scoliosis. Notably, the digit 4 in the forelimbs and digits 4 and 5 in the hindlimbs were particularly susceptible to teratogenic effects, indicating possible prolonged exposure during development. Our study also uncovered combinations of anomalies and identified a phenotype similar to Poland syndrome. The findings validate the "Logic of Monsters" (LoMo theory) by Alberch, although the name itself may not be deemed appropriate, showing that developmental disruptions in tetrapods are not random but follow distinct sequences and patterns. The name, while unfortunate, accurately reflects the unusual nature of these developmental anomalies. This contributes to the evolving "Evo-Devo-Path" framework, highlighting the study's importance in understanding developmental disruptions in tetrapods.

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Background: Flexural deformities are anatomical deviations, in varying degrees, of one or more joints, and may have a congenital or acquired origin. Congenital contracture of the deep digital flexor tendon (DDFT) affects newborn calves and results in hyperflexion of the metacarpal-phalangeal joint, which in severe cases means that the animal must support its own weight on its fetlock joints. The aim of this study is to report the rapid and successful result of applying bilateral total tenotomy technique on a newborn bovine that had been diagnosed with severe bilateral DDFT contracture in the thoracic limbs. Case: A 3-week-old male bovine with a history of difficulty in maintaining a quadrupedal position was attended at the Veterinary Hospital of the Federal University of Tocantins. The animal had severe bilateral locomotor alterations in the thoracic members to the point that he walked on his fetlock joints. The physical examination revealed clinical parameters within the normal range. However, the locomotor system examination showed severe flexor deformity in the bilateral metacarpal-phalangeal joints, and the limbs were being supported on the dorsal face of the fetlock joints, which presented ulcerations, and was suggestive of a shortening of the DDFT. Based on the patients history and clinical examination, as well as the severity of the tendon contractures, surgical treatment using the DDFT bilateral total tenotomy technique was decided upon. Postoperative treatment consisted of 2.5 mg/kg of enrofloxacin intramuscularly (IM), SID, for 5 days and 0.5 mg/kg meloxicam via IM, SID, for 3 days; as well as a dressing (cotton, medical bandage and a PVC mold) on the thoracic limbs to provide support and allow the animal to..(AU)

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Background: Flexural deformities are anatomical deviations, in varying degrees, of one or more joints, and may have a congenital or acquired origin. Congenital contracture of the deep digital flexor tendon (DDFT) affects newborn calves and results in hyperflexion of the metacarpal-phalangeal joint, which in severe cases means that the animal must support its own weight on its fetlock joints. The aim of this study is to report the rapid and successful result of applying bilateral total tenotomy technique on a newborn bovine that had been diagnosed with severe bilateral DDFT contracture in the thoracic limbs. Case: A 3-week-old male bovine with a history of difficulty in maintaining a quadrupedal position was attended at the Veterinary Hospital of the Federal University of Tocantins. The animal had severe bilateral locomotor alterations in the thoracic members to the point that he walked on his fetlock joints. The physical examination revealed clinical parameters within the normal range. However, the locomotor system examination showed severe flexor deformity in the bilateral metacarpal-phalangeal joints, and the limbs were being supported on the dorsal face of the fetlock joints, which presented ulcerations, and was suggestive of a shortening of the DDFT. Based on the patient’s history and clinical examination, as well as the severity of the tendon contractures, surgical treatment using the DDFT bilateral total tenotomy technique was decided upon. Postoperative treatment consisted of 2.5 mg/kg of enrofloxacin intramuscularly (IM), SID, for 5 days and 0.5 mg/kg meloxicam via IM, SID, for 3 days; as well as a dressing (cotton, medical bandage and a PVC mold) on the thoracic limbs to provide support and allow the animal to..

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As deformidades flexurais são caracterizadas pelo desvio da orientação normal do membro, detectadas pela permanente hiperflexão de uma ou mais regiões articulares. O termo deformidade flexural ou tendões contraídos tem sido utilizado tradicionalmente para representar várias deformidades flexoras nos membros. Todavia, o potencial para contração deste tecido é limitado. O defeito primário não está necessariamente no tendão. As deformidades flexurais congênitas devem ser tratadas imediatamente após o seu diagnóstico, com a severidade da deformidade ditando o quão agressivo será o tratamento. Quanto mais novo for o potro, melhor a resposta ao tratamento, devido ao fato de que os tecidos se tornam menos responsivos ao tratamento com o passar do tempo. O presente trabalho teve como objetivo relatar um caso de deformidade flexural em um potro submetido a tratamento conservativo. Foi atendido pelo HGV-Hospital Geral Veterinário, em Aquiraz, um potro, macho, não castrado, com cinco dias de idade, pesando aproximadamente 50kg, o proprietário relatou que após o nascimento o potro estava com os cascos projetados dorsalmente e com dificuldade de locomoção. Ao exame clínico, constatou-se que o potro apresentava hiperflexão bilateral dos membros torácicos, ocasionando deformidade flexural metacarpofalangeana e interfalangeana. Após o diagnóstico foi instituído tratamento à base de oxitetraciclina e tiocochilcosideo e o uso de talas de PVC. O tratamento conservativo com uso da oxitetraciclina e do tiocolchicosídeo no caso de deformidade flexural no potro do presente relato foi eficiente, revertendo o quadro sem trazer sequelas ao potro.

Flexural deformities are characterized by deviation from the normal orientation of the limb, detected by the permanent hyperflexion of one or more joint regions. The term flexural deformity or contracted tendons has traditionally been used to represent various flexor deformities in the limbs. However, the potential for contraction of this tissue is limited. The primary defect is not necessarily in the tendon. Congenital flexural deformities should be treated immediately after diagnosis, with the severity of the deformity dictating how aggressive the treatment will be. The younger the foal, the better the response to treatment, due to the fact that the tissues become less responsive to treatment over time. The present study aimed to report a case of flexural deformity in a foal submitted to conservative treatment. Was attended by HGV-Hospital Geral Veterinário, in Aquiraz, a foal, male, uncastrated, with five days of age, weighing approximately 50kg, the owner reported that after birth the foal had its hooves projected dorsally and with difficulty in locomotion. On clinical examination, it was found that the foal had bilateral hyperflexion of the thoracic limbs, causing metacarpophalangeal and interphalangeal flexural deformity. After the diagnosis, treatment based on oxytetracycline and thiocochylcoside was instituted and the use of PVC splints. Conservative treatment with the use of oxytetracycline and thiocolchicoside in the case of flexural deformity in the foal of the present report was efficient, reversing the condition without causing sequels to the foal.

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As deformidades flexurais são caracterizadas pelo desvio da orientação normal do membro, detectadas pela permanente hiperflexão de uma ou mais regiões articulares. O termo deformidade flexural ou tendões contraídos tem sido utilizado tradicionalmente para representar várias deformidades flexoras nos membros. Todavia, o potencial para contração deste tecido é limitado. O defeito primário não está necessariamente no tendão. As deformidades flexurais congênitas devem ser tratadas imediatamente após o seu diagnóstico, com a severidade da deformidade ditando o quão agressivo será o tratamento. Quanto mais novo for o potro, melhor a resposta ao tratamento, devido ao fato de que os tecidos se tornam menos responsivos ao tratamento com o passar do tempo. O presente trabalho teve como objetivo relatar um caso de deformidade flexural em um potro submetido a tratamento conservativo. Foi atendido pelo HGV-Hospital Geral Veterinário, em Aquiraz, um potro, macho, não castrado, com cinco dias de idade, pesando aproximadamente 50kg, o proprietário relatou que após o nascimento o potro estava com os cascos projetados dorsalmente e com dificuldade de locomoção. Ao exame clínico, constatou-se que o potro apresentava hiperflexão bilateral dos membros torácicos, ocasionando deformidade flexural metacarpofalangeana e interfalangeana. Após o diagnóstico foi instituído tratamento à base de oxitetraciclina e tiocochilcosideo e o uso de talas de PVC. O tratamento conservativo com uso da oxitetraciclina e do tiocolchicosídeo no caso de deformidade flexural no potro do presente relato foi eficiente, revertendo o quadro sem trazer sequelas ao potro.(AU)

Flexural deformities are characterized by deviation from the normal orientation of the limb, detected by the permanent hyperflexion of one or more joint regions. The term flexural deformity or contracted tendons has traditionally been used to represent various flexor deformities in the limbs. However, the potential for contraction of this tissue is limited. The primary defect is not necessarily in the tendon. Congenital flexural deformities should be treated immediately after diagnosis, with the severity of the deformity dictating how aggressive the treatment will be. The younger the foal, the better the response to treatment, due to the fact that the tissues become less responsive to treatment over time. The present study aimed to report a case of flexural deformity in a foal submitted to conservative treatment. Was attended by HGV-Hospital Geral Veterinário, in Aquiraz, a foal, male, uncastrated, with five days of age, weighing approximately 50kg, the owner reported that after birth the foal had its hooves projected dorsally and with difficulty in locomotion. On clinical examination, it was found that the foal had bilateral hyperflexion of the thoracic limbs, causing metacarpophalangeal and interphalangeal flexural deformity. After the diagnosis, treatment based on oxytetracycline and thiocochylcoside was instituted and the use of PVC splints. Conservative treatment with the use of oxytetracycline and thiocolchicoside in the case of flexural deformity in the foal of the present report was efficient, reversing the condition without causing sequels to the foal.(AU)

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SUMMARY: The fibularis brevis muscle typically inserts by a single long, robust, flat tendon upon the base of the fifth metatarsal. In this case report, we demonstrate two comparatively small accessory tendons of insertion in both the right and left limbs of an elderly cadaver. In each limb, the superior and inferior accessory tendons arose from the distal end of the main tendon of insertion to attach to, respectively, the shaft and neck of the fifth metatarsal. The bilateral presence of this comparatively rare condition is a new finding. Review of the literature reveals that these accessory tendons are most probably remnants of the inserting tendons of the atavistic muscle peroneus digiti minimi. The presence of this anomaly could affect reconstruction surgeries that utilize the inserting tendon of fibularis brevis, and treatment of avulsion fractures of the base of the fifth metatarsal.

RESUMEN: El músculo fibularis corto generalmente se inserta por un solo tendón largo, robusto y plano en la base del quinto metatarsiano. En este trabajo demostramos dos tendones accesorios de inserción comparativamente pequeños en ambos miembros inferiores de un cadáver de edad avanzada. En cada miembro inferior, los tendones accesorios superiores e inferiores surgieron de la porción distal del tendón principal de inserción para adherirse, respectivamente, al eje y al cuello del quinto metatarsiano. La presencia bilateral de éste músculo, comparativamente raro, es un nuevo hallazgo. La revisión de la literatura revela que estos tendones accesorios son probablemente remanentes de los tendones de inserción del músculo peroneus digiti minimi. La presencia de esta anomalía podría afectar las cirugías de reconstrucción que utilizan el tendón de inserción del músculo fibular corto, y el tratamiento de las fracturas por avulsión de la base del quinto hueso metatarsiano.

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El músculo palmar largo es de los músculos más variables en su presentación en el cuerpo humano. El propósito del estudio fue determinar su grado de agenesia en una muestra de individuos del Departamento de Caldas (Colombia). Se evaluó la presencia del músculo palmar largo por visualización directa de su tendón, para lo cual se aplicó el test de Thompson, y cuando fue necesario se aplicó el Test de Schaeffer, en una muestra de 115 individuos de sexo femenino y masculino entre los 17 a 50 años de edad oriundos de Caldas. La agenesia global del palmar largo se encuentra en el 22,6 % de la población caldense, pero la agenesia bilateral sólo se presenta en el 8,69 % de los individuos, siendo mayor su presentación en las mujeres; mientras que la agenesia unilateral es más frecuente, por el orden del 13,91 %, guardando una proporción semejante entre hombres y mujeres. Aunque existe cierta concordancia con la mayoría de estudios realizados en otros países, nuestro estudio destaca dos hechos relevantes, que la agenesia global músculo del palmar largo tiene una de las frecuencias más elevadas de presentación, y que la agenesia unilateral, tanto derecha como izquierda, se encuentra entre los rangos más bajos. La agenesia global del músculo, bilateral y unilateral, es más común en las mujeres. Así mismo, la agenesia bilateral es más frecuente en las mujeres, con una presentación que duplica la de los hombres, mientras que la agenesia unilateral es proporcionalmente igual en ambos sexos.

The palmaris longus muscle is one of the most variable muscles in its presentation in the human body. The purpose of the study was to determine the degree of agenesis of this muscle in a sample of individuals in the Department of Caldas (Colombia). The presence of palmaris longus muscle by direct visualization of the tendon was evaluated by applying Thompson`s test and where necessary, Schaeffer`s test, in a sample of 115 individuals (female and male) between 17-50 years old, all natives of Caldas. The overall agenesis of palmaris longus muscle is in the 22.6 %, but bilateral agenesis occurs only in 8.69 % of individuals, being higher in women, while unilateral agenesis is more common in the order of 13.91 %, keeping a similar proportion of men and women. Although there is some agreement with most of the studies made in other countries, our study highlights two important events, the global agenesis of palmaris longus muscle has one of the highest frequencies of submission, and that the unilateral agenesis, both right and left is among the lower ranks. Bilateral and unilateral global muscle agenesis is more common in women. Likewise, bilateral agenesis is more frequent in women, with a presentation that doubles that of men, while unilateral agenesis is proportionally equal in both sexes.

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RESUMEN El sarcoma de células claras fue descrito por primera vez por Franz M. Enzinger en 1965. Está íntimamente asociado a tendones y aponeurosis, excepcionalmente compromete la epidermis. Afecta fundamentalmente a pacientes jóvenes y se caracteriza por múltiples recurrencias locales y metástasis tardías. Se presenta un paciente de 22 años de edad, masculino que fue sometido a tratamiento quirúrgico radical (amputación transmetatarseana del 1er y 2do rayo). Los estudios anatomopatológicos confirmaron el diagnóstico de un sarcoma de células claras. El paciente se encuentra libre de la enfermedad después de 6 años de operado e incorporado a su vida social (AU).

ABSTRACT The clear cell sarcoma was firstly described by Franz M. Enzinger in 1965. It is intimately associated to tendons and aponeurosis, exceptionally compromising the epidermis. It mainly affects young patients and is characterized by multiple local recurrences and late metastases. We present a male patient, aged 22 years, who underwent a radical surgical treatment (transmetatarsal amputation of the 1st and 2nd rays). The anatomic-pathological studies confirmed the diagnosis of clear cell sarcoma. 6 years after surgery, the patients is free of the disease and reincorporated to his social life (AU).

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RESUMEN El sarcoma de células claras fue descrito por primera vez por Franz M. Enzinger en 1965. Está íntimamente asociado a tendones y aponeurosis, excepcionalmente compromete la epidermis. Afecta fundamentalmente a pacientes jóvenes y se caracteriza por múltiples recurrencias locales y metástasis tardías. Se presenta un paciente de 22 años de edad, masculino que fue sometido a tratamiento quirúrgico radical (amputación transmetatarseana del 1er y 2do rayo). Los estudios anatomopatológicos confirmaron el diagnóstico de un sarcoma de células claras. El paciente se encuentra libre de la enfermedad después de 6 años de operado e incorporado a su vida social (AU).

ABSTRACT The clear cell sarcoma was firstly described by Franz M. Enzinger in 1965. It is intimately associated to tendons and aponeurosis, exceptionally compromising the epidermis. It mainly affects young patients and is characterized by multiple local recurrences and late metastases. We present a male patient, aged 22 years, who underwent a radical surgical treatment (transmetatarsal amputation of the 1st and 2nd rays). The anatomic-pathological studies confirmed the diagnosis of clear cell sarcoma. 6 years after surgery, the patients is free of the disease and reincorporated to his social life (AU).

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Purpose: To evaluate the effects of rotator cuff muscle regeneration in sheep and establish an experimental model for the use of autologous stem cells as a treatment option for tendon injuries. Methods: Infrared muscle tenotomies and Penrose drain implantation were performed on 12 shoulders of six clinically healthy adult sheep. After 60 days, the tendons were submitted to tissue repair, drainage removal, and divided into two groups according to the use of autologous stromal stem cells for treatment. Muscle regeneration was performed by biopsy on days 14 and 34 after repair. Results: The treatment group with cell therapy showed neovascularization and expressive regeneration. Complete regeneration of the muscle pattern did not occur in any sample although some muscle gain was obtained in the group 1 samples at 34 days after repair and introduction of stem cells. Fatty infiltration of these samples from group 1 at 34 days was less intense than that in samples from group 2 at 34 days after repair without the introduction of autologous precursor cells. Conclusion: The sheep proved to be a good experimental model to assist in the development of research on muscle regeneration and the autologous manipulation of stem cells as a therapeutic option.(AU)

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SUMMARY: Variation in the morphology of the extensor pollicis longus muscle is very rare. The muscle is considered as one of the deep group of dorsal forearm muscles. It passes through the dorsal radiocarpal ligament in a detached compartment. It inserts at the base of the distal phalanx of the thumb. The muscle might have double tendons where they run either in one, or in separate compartments. In this study, we report an extremely rare condition for a 38-year-old male where some of the tendon fibers split at the base of the proximal phalanx and the two tendons insert at the sides of the base of the distal phalanx. We also noticed a high range of hyperextension where the action was painless and showed no sign of discomfort. We believe that the way the tendons get inserted might have a role in this wide range of extension.

RESUMEN: La variación en la morfología del músculo extensor largo del pulgar es muy rara. Es considerado perteneciente al grupo profundo de los músculos del dorso del antebrazo. Su tendón pasa a través del ligamento radiocarpiano dorsal en un compartimiento separado. Se inserta en la base de la falange distal del pulgar. El músculo puede tener tendones dobles que pasan a través de un solo compartimiento, o en compartimentos separados, del ligamento radiocarpiano dorsal. En este estudio se reporta una variación extremadamente rara en un hombre de 38 años de edad, donde algunas de las fibras del tendón se dividen en la base de la falange proximal y los dos tendones se insertaban a los lados de la base de la falange distal del pulgar. También observamos un alto grado de hiperextensión siendo la acción indolora y no mostrando ningún signo de malestar. Creemos que la forma en que los tendones se insertan podrían tener un papel en este amplio rango de extensión.

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Las anomalías del desarrollo del tendón de la porción larga del bíceps son poco frecuentes. La detención de la migración evolutiva del tendón hacia intra-articular durante las primeras semanas de la vida embrionaria y fetal darán lugar a las múltiples variantes anatómicas del segmento intra-articular del tendón. Presentamos 2 casos de variantes anatómicas del tendón de la porción larga del bíceps en su segmento intra-articular diagnosticadas sólo luego de la exploración artroscópica gleno-humeral. El tratamiento de estas anomalías congénitas depende en gran media del examen físico preoperatorio y del grado de movilidad que presente el tendón durante la exploración artroscópica.

Developmental anomalies of the tendon of the long head of the biceps are rare. The arrest of evolutionary migration of the tendon towards intra-articular during the first weeks of embryonic and fetal life will result in multiple anatomic variants of the intra-articular tendon segment. We report 2 cases of anatomical variants of the tendon of the long head of the biceps in its intra-articular segment diagnosed only after gleno-humeral arthroscopic examination. Treatment of these congenital anomalies depend to a large extent on preoperative physical examination as well as on mobility achieved by the tendon during arthroscopic examination.

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Anatomical variations of the fingers extensor tendons are not uncommon and have been described by several authors. Participation of intertendinous band of fascia in this kind of variation can change muscle functionality. However, this element is scarcely described in the literature. In this case report, we describe the finding of an accessory tendon located between the extensor digitorum communis muscle tendon, destined for the index finger, and the extensor pollicis longus tendon. In an anatomical analysis, we observed a connection between the radial portion of the accessory tendon and the ulnar portion of the extensor pollicis longus tendon by intertendinous fascia. This finding corresponds anatomically to the supernumerary muscle denominated extensor indicis radialis, but due to the fascial connections observed with the extensor pollicis longus, this muscle would behave functionally as a supernumerary muscle denominated extensor pollicis et indicis communis. This report suggests that participation of fascia in muscular variation in this anatomical segment is essential to establish the correct morpho-functional denomination of muscular variants.

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Anatomical variations of abductor pollicis longus and extensor pollicis brevis are important in clinical assessment of diseased and traumatized hand. The present case reports an unusual fusion of muscle bellies of abductor pollicis longus and extensor pollicis brevis with two separate tendons of insertion, the medial tendon inserted into the base of first metacarpal and the lateral tendon into the abductor pollicis brevis muscle. Knowledge of such anatomical variations is of utmost importance in the management of De Quervain's disease and reconstructive surgeries of hand.

Las variaciones anatómicas de los músculos abductor largo del pulgar y extensor corto del pulgar son importantes en la evaluación clínica de la mano enferma y traumatizada. El presente caso informa una inusual fusión de los vientres musculares de los Mm. abductor largo del pulgar y extensor corto del pulgar con dos tendones de inserción separados, el tendón medial se insertó en la base del primer metacarpiano y el tendón lateral en el músculo abductor corto del pulgar. El conocimiento de estas variaciones anatómicas es de importancia en el manejo de la enfermedad de De Quervain y cirugía reconstructiva de la mano.

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We report a case of bilateral reversed palmaris longus muscle (PLM). The muscle was tendinous in its upper portion and muscular in its lower portion in both arms. This rare variation has been mentioned only once in the literature as a surgical finding. According to the literature, a reversed PLM may cause a compartment syndrome in the wrist area, carpal tunnel, and Guyon's syndrome. The described variation is also useful to the hand surgeon as a tendon graft, a tendon for transfer, or as an anatomical landmark for operations at this area.

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Palmaris longus (PL) muscle, although of little functional use to the human upper limb, assumes great importance when used as a donor tendon for transfer or transplant. The surgeon's awareness of the incidence in a population is therefore desirable. In the present study, 500 Medical students (242 males and 258 females) of ages 16 to 40 years from both College of Medicine of the University of Lagos, Idi-Araba and Lagos State University College of Medicine, Ikeja were examined for the presence or absence of the PL tendon, using the conventional (Schaffer's) test. The prevalence and pattern of PL agenesis was further analyzed statistically for differences in the prevalence or pattern of PL agenesis with regard to body side or sex. The prevalence of PL agenesis was found to be 12.6 percent (8 percent Unilateral and 4.6 percent Bilateral). Out of those with unilateral agenesis, 20 (4 percent) had left-sided agenesis and 20 (4 percent) had right-sided agenesis. Although female subjects had a prevalence of agenesis of PL tendon (Unilateral and Bilateral combined) of 36 out of 258, (13.95 percent) while in male subjects this prevalence was 23 out of 242 (9.5 percent). The prevalence of PL muscle agenesis in this study was found to be much higher than the reported average for blacks (2-3 percent).

El músculo palmar largo (PL), aunque de poco uso funcional en el miembro superior humano, asume gran importancia cuando se utiliza como un tendón donante para la transferencia o trasplante. El cirujano ha tomado conciencia que la incidencia en una población es por tanto deseable. En el presente estudio, 500 estudiantes de medicina (242 hombres y 258 mujeres) de 16 a 40 años, de la Facultad de Medicina de la Universidad de Lagos (Idi-Araba) y la Facultad de Medicina de la Universidad Estatal de Lagos (Ikeja) fueron examinados para evaluar la presencia o ausencia del tendón del PL, utilizando la prueba convencional (Schaffer's). La prevalencia y el patrón de agenesia del PL fueron determinados para analizar diferencias estadísticas en la prevalencia o patrón de agenesia del PL con respecto al lado del cuerpo o sexo. Se encontró una prevalencia de agenesia del PL de 12,6 por ciento (8 por ciento y 4,6 por ciento unilateral y bilateralmente). De los sujetos con agenesia unilateral, 20 (4 por ciento) eran en el lado izquierdo y 20 (4 por ciento) en el lado derecho. Las mujeres tuvieron una prevalencia de agenesia del tendón del PL (unilaterales y bilaterales combinadas) en 36 de 258 (13,95 por ciento), mientras que en los hombres esta prevalencia fue en 23 de 242 (9,5 por ciento). La prevalencia de agenesia del músculo PL en este estudio se encontró mucho más alto que el promedio reportado para los negros (2-3 por ciento).

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An anomalous presentation of flexor carpi radialis brevis (FCRB) is reported in six patients. These findings occurred in a consecutive series of 172 distal radius fracture fixations using a volar approach between 2002 and 2007. This is the first report of this anomalous muscle from a clinical series.

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