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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
CASE REPORT ON VARIANT SLIP OF FLEXOR CARPI ULNARIS MUSCLE ASSOCIATED WITH ULNAR TYPE OF SUPERFICIAL PALMAR ARCH
Author
Roopali S Sehgal*, Sharadkumar Pralhad Sawant, Rakhi M More, Shaguphta T Shaikh, Shaheen Rizvi, Uma R
Email
sehgalroopali@yahoo.co.in
keyword
Flexor carpi ulnaris muscle, Acessory muscle, Forearm, Cadaver
Abstract
During routine dissection, of the right upper limb of 70 years old donated embalmed male cadaver in the Department of Anatomy, K.J. Somaiya Medical College, Sion, Mumbai, India, we observed the accessory slip of flexor carpi ulnaris muscle associated with incomplete superficial palmar arch. To recognize anatomical variations it is necessary to know the normal anatomy. Normally the flexor carpi ulnaris muscle arises by two heads, humeral and ulnar, connected by a tendinous arch. The humeral head arises from the medial epicondyle via the common flexor tendon. The ulnar head arises from the medial margin of the olecranon process and an aponeurosis attached to the posterior sub cutaneous border of the ulna. The tendon of flexor carpi ulnaris inserted into the hamate and the fifth metacarpal bone through pisohamate and pisometacarpal ligaments. In the present case the ulnar head of flexor carpi ulnaris muscle was more bulky. It separated ulnar nerve and artery. The humeral and ulnar heads were separated from each other by ulnar nerve. These two heads fused with each other just before their insertion, where the ulnar artery came in contact with ulnar nerve. The further course and distribution of ulnar artery and ulnar nerve were normal. The knowledge of such unusual ulnar head separating ulnar artery and ulnar nerve may be clinically important for plastic surgeons doing flap surgeries and for the surgeon dealing with cubital tunnel syndrome
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