Table of Contents
ISRN Orthopedics
Volume 2012 (2012), Article ID 597681, 4 pages
http://dx.doi.org/10.5402/2012/597681
Research Article

Role of the Juncturae Tendinum in Preventing Radial Subluxation of the Extensor Communis Tendons after Ulnar Sagittal Band Rupture: A Cadaveric Study

1Department of Medical and Social Care Education, University of Leicester, Maurice Shock Medical Sciences Building, P.O. Box 138, Leicester LE1 9HN, UK
2The Royal College of Surgeons of Edinurgh, Edinburgh, Midlothian EH89DW, UK

Received 12 February 2012; Accepted 10 April 2012

Academic Editors: S. Kamineni, C. H. Lee, A. Leithner, and K. Yokoyama

Copyright © 2012 N. Greville Farrar and Amrit Kundra. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Radial subluxation of the extensor communis tendons at the metacarpophalangeal (MCP) joints is a rarely reportedvinjury. These injuries have proved difficult to reproduce in cadaveric studies and have a low biomechanical likelihood of occurrence due to the ulnar direction of pull of the extensor communis tendons. It has been suggested that the juncturae tendinum may have a stabilising role, preventing radial subluxation after ulnar sagittal band rupture; however this has not been established. Methods. 40 cadaveric digits were dissected to reveal the extensor mechanism around the MCP joints. The ulnar sagittal bands were released and then the juncturae tendinum divided, in stages, before observing for radial subluxation or dislocation during finger flexion. Results. Radial subluxation of the extensor tendon was observed in only one digit after complete ulnar sagisttal band release. When all the fingers were flexed, after the juncturae tendinorum were divided, four additional tendons subluxed radially and a fifth tendon dislocated in this direction. When the digits were then flexed individually, there were eight unstable tendons in total. Conclusions. The juncturae tendinum appear to have a role in stabilising the extensor communis tendons at the MCP joints and preventing radial subluxation after ulnar sagittal band rupture.