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Histogenesis and Morphology of the Flexor Tendon Pulley System in the Human Embryonic Hand
- Source :
- Journal of Hand Surgery (European Volume); April 2000, Vol. 25 Issue: 2 p175-179, 5p
- Publication Year :
- 2000
-
Abstract
- The number, position, structural and ultrastructural features of the flexor tendon pulley system in six human embryonic hands, aged from 6 to 12 weeks, were studied by light and electron microscope. The pulley system can be recognized from the ninth week; later, at 12 weeks, the structures are easily identified around the flexor tendon in positions closely correlated to those found during post-natal growth and in the adult hand. Structurally and ultrastructurally the pulleys are not simply thickened portions of the sheath. They are formed by three layers: an inner layer, one or two cells thick, probably representing a parietal synovial tendon sheath; a middle layer formed by collagen bundles and fibroblasts whose direction is mainly perpendicular to the underlying phalanx; and an outermost layer consisting of mesenchymal tissue with numerous vessels which extends dorsally in an identical layer, forming a ring that includes flexor and extensor tendons and the cartilaginous model of the phalanx. The pulley does not have a semicircular shape but a much more complicated one, owing to the middle layer which in part runs dorsally and in part ventrally, under the flexor tendons.
Details
- Language :
- English
- ISSN :
- 17531934
- Volume :
- 25
- Issue :
- 2
- Database :
- Supplemental Index
- Journal :
- Journal of Hand Surgery (European Volume)
- Publication Type :
- Periodical
- Accession number :
- ejs47779071
- Full Text :
- https://doi.org/10.1054/jhsb.1999.0341