Anatomic description of flexor pulley system. Functional impact of injury
Introduction: The hand, as the most distal region of the upper limb, plays a crucial role in enabling fine motor skills and gripping abilities. It houses a complex system of palmodigital structures known as pulleys that support the functioning of flexor tendons during finger movements. Injuries to t...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2023
- Institución:
- Pontificia Universidad Javeriana Cali
- Repositorio:
- Vitela
- Idioma:
- spa
- OAI Identifier:
- oai:vitela.javerianacali.edu.co:11522/549
- Acceso en línea:
- https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1367
https://vitela.javerianacali.edu.co/handle/11522/549
- Palabra clave:
- Lesión de polea flexora
Anatomía del tendón flexor
Lesión de mano
Anatomía de la mano
Lesión del tendón
Flexor pulley injury
Flexor tendón anatomy
Hand injury
Hand anatomy
Tendón injury
- Rights
- License
- Derechos de autor 2023 Salutem Scientia Spiritus
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| dc.title.en-US.fl_str_mv |
Anatomic description of flexor pulley system. Functional impact of injury |
| dc.title.es-ES.fl_str_mv |
Descripción anatómica del sistema de poleas digitales de la mano. Impacto funcional ante la lesión |
| title |
Anatomic description of flexor pulley system. Functional impact of injury |
| spellingShingle |
Anatomic description of flexor pulley system. Functional impact of injury Mosquera-Matta, María-Camila Lesión de polea flexora Anatomía del tendón flexor Lesión de mano Anatomía de la mano Lesión del tendón Flexor pulley injury Flexor tendón anatomy Hand injury Hand anatomy Tendón injury |
| title_short |
Anatomic description of flexor pulley system. Functional impact of injury |
| title_full |
Anatomic description of flexor pulley system. Functional impact of injury |
| title_fullStr |
Anatomic description of flexor pulley system. Functional impact of injury |
| title_full_unstemmed |
Anatomic description of flexor pulley system. Functional impact of injury |
| title_sort |
Anatomic description of flexor pulley system. Functional impact of injury |
| dc.creator.none.fl_str_mv |
Mosquera-Matta, María-Camila Ocampo-Loaiza, Juan-José Vélez-Cano, Daniel Montoya-Cobo, Estefanía |
| author |
Mosquera-Matta, María-Camila |
| author_facet |
Mosquera-Matta, María-Camila Ocampo-Loaiza, Juan-José Vélez-Cano, Daniel Montoya-Cobo, Estefanía |
| author_role |
author |
| author2 |
Ocampo-Loaiza, Juan-José Vélez-Cano, Daniel Montoya-Cobo, Estefanía |
| author2_role |
author author author |
| dc.subject.es-ES.fl_str_mv |
Lesión de polea flexora Anatomía del tendón flexor Lesión de mano Anatomía de la mano Lesión del tendón |
| topic |
Lesión de polea flexora Anatomía del tendón flexor Lesión de mano Anatomía de la mano Lesión del tendón Flexor pulley injury Flexor tendón anatomy Hand injury Hand anatomy Tendón injury |
| dc.subject.en-US.fl_str_mv |
Flexor pulley injury Flexor tendón anatomy Hand injury Hand anatomy Tendón injury |
| description |
Introduction: The hand, as the most distal region of the upper limb, plays a crucial role in enabling fine motor skills and gripping abilities. It houses a complex system of palmodigital structures known as pulleys that support the functioning of flexor tendons during finger movements. Injuries to these pulleys can lead to aesthetic and functional impairments, significantly impacting patients' work capacity and quality of life. Hence, understanding these structures should be of great interest to medical professionals. Materials and methods: A comprehensive literature review was conducted using Medline, employing controlled terminology and advanced search equations. This review gathered 26 articles that describe the morphofunctional characteristics of the human hand's flexor pulley system and its functional implications in the event of traumatic injuries. Results: The II-V fingers possess five pulleys located between annular and cruciate regions, with annular pulleys 2 and 4 playing a pivotal role in the functioning and sliding of the flexor apparatus. In the I finger, the oblique pulley stabilizes the gripping system; however, injuries to this pulley can affect the vascular supply provided by the synovial sheaths, resulting in severe functional losses. Conclusions: The digital pulleys' specific location, configuration, and mechanism of action contribute significantly to the evolutionary advantage of the human hand, facilitating various gripping and pinching actions for daily activities. Nevertheless, their subcutaneous placement and exposure to high loads during certain work and sports activities make them susceptible to injuries, leading to motor disabilities and deformities. |
| publishDate |
2023 |
| dc.date.accessioned.none.fl_str_mv |
2023-10-11T04:35:30Z |
| dc.date.available.none.fl_str_mv |
2023-10-11T04:35:30Z |
| dc.date.none.fl_str_mv |
2023-06-30 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| dc.type.es-ES.fl_str_mv |
Revisión de la literatura |
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publishedVersion |
| dc.identifier.none.fl_str_mv |
https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1367 |
| dc.identifier.uri.none.fl_str_mv |
https://vitela.javerianacali.edu.co/handle/11522/549 |
| url |
https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1367 https://vitela.javerianacali.edu.co/handle/11522/549 |
| dc.language.none.fl_str_mv |
spa |
| language |
spa |
| dc.relation.none.fl_str_mv |
https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1367/1172 |
| dc.rights.es-ES.fl_str_mv |
Derechos de autor 2023 Salutem Scientia Spiritus https://creativecommons.org/licenses/by-nc-nd/4.0 |
| rights_invalid_str_mv |
Derechos de autor 2023 Salutem Scientia Spiritus https://creativecommons.org/licenses/by-nc-nd/4.0 |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.es-ES.fl_str_mv |
Pontificia Universidad Javeriana Cali |
| dc.source.en-US.fl_str_mv |
Salutem Scientia Spiritus; Vol. 9 No. 2 (2023): Revista Salutem Scientia Spiritus; 88-96 |
| dc.source.es-ES.fl_str_mv |
Salutem Scientia Spiritus; Vol. 9 Núm. 2 (2023): Revista Salutem Scientia Spiritus; 88-96 |
| dc.source.none.fl_str_mv |
2463-1426 |
| institution |
Pontificia Universidad Javeriana Cali |
| repository.name.fl_str_mv |
Repositorio Vitela |
| repository.mail.fl_str_mv |
vitela.mail@javerianacali.edu.co |
| _version_ |
1808493668478222336 |
| spelling |
Mosquera-Matta, María-CamilaOcampo-Loaiza, Juan-JoséVélez-Cano, DanielMontoya-Cobo, Estefanía2023-06-302023-10-11T04:35:30Z2023-10-11T04:35:30Zhttps://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1367https://vitela.javerianacali.edu.co/handle/11522/549Introduction: The hand, as the most distal region of the upper limb, plays a crucial role in enabling fine motor skills and gripping abilities. It houses a complex system of palmodigital structures known as pulleys that support the functioning of flexor tendons during finger movements. Injuries to these pulleys can lead to aesthetic and functional impairments, significantly impacting patients' work capacity and quality of life. Hence, understanding these structures should be of great interest to medical professionals. Materials and methods: A comprehensive literature review was conducted using Medline, employing controlled terminology and advanced search equations. This review gathered 26 articles that describe the morphofunctional characteristics of the human hand's flexor pulley system and its functional implications in the event of traumatic injuries. Results: The II-V fingers possess five pulleys located between annular and cruciate regions, with annular pulleys 2 and 4 playing a pivotal role in the functioning and sliding of the flexor apparatus. In the I finger, the oblique pulley stabilizes the gripping system; however, injuries to this pulley can affect the vascular supply provided by the synovial sheaths, resulting in severe functional losses. Conclusions: The digital pulleys' specific location, configuration, and mechanism of action contribute significantly to the evolutionary advantage of the human hand, facilitating various gripping and pinching actions for daily activities. Nevertheless, their subcutaneous placement and exposure to high loads during certain work and sports activities make them susceptible to injuries, leading to motor disabilities and deformities.Introducción: La mano es la región más distal del miembro superior la cual permite la motricidad fina y el agarre, para ello, cuenta con un sistema complejo de estructuras palmodigitales denominadas poleas que apoyan la función de los tendones flexores durante los movimientos de los dedos. Su lesión puede manifestarse con alteraciones estéticas y funcionales que comprometen la capacidad laboral y la calidad de vida de los pacientes es por ello que su conocimiento debe ser motivo de interés para el personal médico. Materiales y métodos: Se realizó una revisión de la literatura en Medline, utilizando terminología controlada y ecuaciones de búsqueda avanzada, recopilando 26 artículos que permitieron conocer la descripción morfofuncional del sistema de poleas flexoras de la mano humana y los compromisos funcionales ante su lesión traumática. Resultados: Los dedos II-V cuentan con 8 poleas entre anulares y cruciadas, de las cuales las anulares 2 y 4 son las más importantes para el funcionamiento y deslizamiento del aparato flexor. En el I dedo la polea oblicua estabiliza el sistema de agarre, sin embargo, sus lesiones pueden afectar el sistema vascular proporcionado a través de las vainas sinoviales generando pérdidas funcionales graves. Conclusiones: La ubicación, conformación y mecanismo de acción de las poleas digitales confiere un gran nivel de evolución a la mano humana al facilitar diversas formas de agarre y pinza para las actividades diarias, pero también está altamente expuesto a lesiones por ser subcutáneo y estar sometido a altas cargas en algunas actividades laborales y/o deportivas lo que conlleva a lesiones con incapacidad motora y/o deformidad.application/pdfspaPontificia Universidad Javeriana Calihttps://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1367/1172Derechos de autor 2023 Salutem Scientia Spiritushttps://creativecommons.org/licenses/by-nc-nd/4.0Salutem Scientia Spiritus; Vol. 9 No. 2 (2023): Revista Salutem Scientia Spiritus; 88-96Salutem Scientia Spiritus; Vol. 9 Núm. 2 (2023): Revista Salutem Scientia Spiritus; 88-962463-1426Lesión de polea flexoraAnatomía del tendón flexorLesión de manoAnatomía de la manoLesión del tendónFlexor pulley injuryFlexor tendón anatomyHand injuryHand anatomyTendón injuryAnatomic description of flexor pulley system. Functional impact of injuryDescripción anatómica del sistema de poleas digitales de la mano. Impacto funcional ante la lesióninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRevisión de la literatura11522/549oai:vitela.javerianacali.edu.co:11522/5492024-06-25 05:12:43.996metadata.onlyhttps://vitela.javerianacali.edu.coRepositorio Vitelavitela.mail@javerianacali.edu.co |