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Jayachandiran AP, Rajendran S, U.S T, Mahipathy SRRV, Durairaj AR, Sundaramurthy N, Ananthappan M. Assessing the Accuracy of Common Clinical Tests for Detecting Palmaris Longus: A Prospective Study in a Tertiary Center. Indian J Plast Surg 2023; 56:426-430. [PMID: 38026775 PMCID: PMC10663074 DOI: 10.1055/s-0043-1774788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2023] Open
Abstract
Background Palmaris longus (PL) is a short-bellied muscle with a long tendon that merges with the palmar aponeurosis. It is supplied by the median nerve and acts as a tensor of the palmar aponeurosis and flexes the wrist. This tendon is commonly used for tendon transfers and as a donor for tendon graft. There are numerous clinical tests to detect the presence of PL like Schaeffer's test, Thompson's test, Mishra's test I, Mishra's test II, Pushpakumar's "two-finger sign" method, and AIIMS test. The principle of all these tests is to make the tendon prominent by eliciting its flexor action and then its identification by inspection and palpation. Objectives The tests that are consistently easy to perform with good understandability would be easy to explain to the general population (patients). The aim of our study is to find out the accuracy and easy comprehensibility of various tests using compulsive postures for detecting PL tendon clinically. Materials and Methods This is a prospective study on 137 participants. All the patients were subjected to six clinical tests to detect the presence or absence of PL tendon. The results were recorded for both hands by a single observer. Results Of the 137 participants, 75 were males (54.74%) and 62 were females (45.26%). The mean age was 21 years. The AIIMS test showed the maximum number of tendons, that is, 113 (82.4%) in the right hand and 108 (78.8%) in the left hand. In view of the ability to comprehend the tests, 119 (86.9%) subjects understood Schaeffer's test very easily. Conclusion According to this study, the AIIMS test best demonstrates the PL tendon, and Schaeffer's test was the test most easily understood by the subjects.
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Affiliation(s)
- Anand Prasath Jayachandiran
- Department of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India
| | - Suresh Rajendran
- Department of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India
| | - Tanuja U.S
- Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India
| | - Surya Rao Rao Venkata Mahipathy
- Department of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India
| | - Alagar Raja Durairaj
- Department of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India
| | - Narayanamurthy Sundaramurthy
- Department of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India
| | - Manoj Ananthappan
- Department of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India
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Brown J, Cronin M, Dempsey AM, Flynn PM, Toulouse A. Bilateral anatomical variations of the hand. A case report. Translational Research in Anatomy 2022. [DOI: 10.1016/j.tria.2022.100189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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