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The Normal Fibrous Skeleton of the Hand and Changes in Dupuytren’s Contracture

  • Martin Franz Langer
  • Frank Unglaub
Chapter

Abstract

Precise knowledge of the anatomy of the fibrous skeleton of the hand is an absolute prerequisite for any treatment of Dupuytren’s contracture. The fibrous skeleton includes not only the palmar aponeurosis, but also numerous retinacula cutis, which are not shown in current anatomy books. Here, eponyms, of which Skoog’s fibers, the septa of Legueu and Juvara, Gosset’s fibers, Grapow’s fibers, Grayson’s ligaments, Cleland’s ligaments, Thomine fibers, and Barton’s cord are the most important, are used to avoid the use of otherwise difficult-to-pronounce names of the fiber systems, This chapter on the fibrous skeleton of the hand is designed to help reduce iatrogenic complications in the treatment of Dupuytren’s contracture.

References

  1. 1.
    Arora R, Kaiser P, Kastenberger TJ, Schmiedle G, Erhart S, Gabl M. Injectable collagenase Clostridium histolyticum as a nonsurgical treatment for Dupuytren’s disease. Oper Orthop Traumatol. 2016;28:30–7.CrossRefPubMedGoogle Scholar
  2. 2.
    Spies C, Müller LP, Skouras E, Bassemir D, Hahn P, Unglaub F. Die perkutane Nadelaponeurotomie der Dupuytren-Kontraktur. Oper Orthop Traumatol. 2016;28:12–9.CrossRefPubMedGoogle Scholar
  3. 3.
    Weitbrecht J. Syndesmologia sive historia ligamentorum corporis human. Petropoli: Ex Typographia Academiae Scientiarum; 1742.Google Scholar
  4. 4.
    Hyrtl J. Onomatologica anatomica. Wien: Braumüller; 1880.Google Scholar
  5. 5.
    Grapow M. Die Anatomie und Physiologische Bedeutung der Palmaraponeurose. Arch Anat Physiol. 1887;143:2–3.Google Scholar
  6. 6.
    Johnson HA. The Hugh Johnson sign of early Dupuytren’s contracture. Plast Reconstr Surg. 1981;65:697.CrossRefGoogle Scholar
  7. 7.
    Skoog T. The transverse elements of the palmar aponeurosis in Dupuytren’s contracture. Scand J Plast Reconstr Surg. 1967;1:51–63.CrossRefGoogle Scholar
  8. 8.
    Anson BJ, Ashley FL. The midpalmar compartment, associated spaces and limiting layers. Anat Rec. 1940;78:389–408.CrossRefGoogle Scholar
  9. 9.
    Bojsen-MØller F, Schmidt L. The palmar aponeurosis and the central spaces of the hand. J Anat. 1974;117:55–68.PubMedPubMedCentralGoogle Scholar
  10. 10.
    Legueu JWH, Juvara E. Des aponevroses de la paume de la main. Bull Soc Anat Paris. 1892;67(5 serie T).Google Scholar
  11. 11.
    Manske PR, Lesker PA. Palmar aponeurosis pulley. J Hand Surg [Am]. 1983;8:259–63.CrossRefGoogle Scholar
  12. 12.
    Strickland JW, Leibovic SJ. Anatomy and pathogenesis of the digital cords and nodules. Hand Clin. 1991;7:645–57.PubMedGoogle Scholar
  13. 13.
    Gosset J. Dupuytren’s disease and the anatomy of the palmodigital aponeuroses. In: Tubiana R, Hueston JT, editors. Dupuytren’s disease. Edinburgh: Churchill Livingstone; 1985. p. 13–26.Google Scholar
  14. 14.
    McFarlane RM. Patterns of the diseased fascia in the fingers in Dupuytren’s contracture. Displacement of the neurovascular bundle. Plast Reconstr Surg. 1974;54:31–44.CrossRefPubMedGoogle Scholar
  15. 15.
    Ritter MA. The anatomy and function of the palmar fascia. Hand. 1973;5(3):263–7.CrossRefPubMedGoogle Scholar
  16. 16.
    Schmidt H-M, Lanz U. Chirurgische Anatomie der Hand. 2nd ed. Stuttgart: Thieme; 2003.Google Scholar
  17. 17.
    Thomine JM. Conjonctif d’enveloppe des doigts et squelette fibreux des commissures interdigitales. Ann Chir Plast. 1965;10:194–203.PubMedGoogle Scholar
  18. 18.
    Sabnis A. Morphological study of cutaneous ligaments of phalanges. Int J Morphol. 2013;31:606–8.CrossRefGoogle Scholar
  19. 19.
    Sindel M, Arican RY, Ozcanli H, Cengiz M, Gur S, Keles N. Cleland’s and Grayson’s ligaments: an anatomic study. Fizyoter Rehabil. 2011;22:245–8.Google Scholar
  20. 20.
    Anderson P, Shrimanker J, Milner RH. Osteophyte formation in association with Dupuytren’s disease. J Hand Surg. 1999;24:305–6.CrossRefGoogle Scholar
  21. 21.
    Lukas B, Lukas M. Lappenplastiken bei fortgeschrittenem Morbus Dupuytren. Oper Orthop Traumatol. 2016;28:20–9.CrossRefPubMedGoogle Scholar
  22. 22.
    Munson CF, Dacidson D, Lohana P. Breaking the rules: Dupuytren’s disease under Skoog’s fibres. J Hand Surg. 2013;18:225–6.Google Scholar
  23. 23.
    Tubiana R, Leclercq C, Hurst L, Badalamente M, Mackin E. Dupuytren’s disease. London: Martin Dunitz; 2000. ISBN:1-85317-475-0.Google Scholar
  24. 24.
    Walle L, Hohendorff B, Pillukat T, van Schoonhoven J. Laterodorsaler Transpositionslappen zum Verschluss eines Weichteildefekts am palmaren Kleinfingergrundglied nach Auflösung einer Dupuytren-Rezidivbeugekontraktur. Oper Orthop Traumatol. 2016;28:38–46.CrossRefPubMedGoogle Scholar
  25. 25.
    Langer MF. Pathoanatomie des Morbus Dupuytren. Handchirurgie Scan. 2016;5:53–66.CrossRefGoogle Scholar
  26. 26.
    Bilderback KK, Rhayan GM. The septa of Legueu and Juvara. An anatomic study. J Hand Surg [Am]. 2004;29:494–9.CrossRefGoogle Scholar
  27. 27.
    Grodinsky M, Holyoke EA. The fasciae and fascial spaces of the palm. Anat Rec. 1941;79:435–51.CrossRefGoogle Scholar
  28. 28.
    Langer MF, Oeckenpöhler S, Hartensuer R, Hermann K, Wieskötter B. Ringbandrekonstruktion an der Hand. Orthopade. 2015;44:757–66.CrossRefPubMedGoogle Scholar
  29. 29.
    McGrouther DA. Anatomy of palm. In: McFarlane RM, editor. Dupuytren’s disease. Edinburgh: Churchill Livingstone; 1990. p. 127–35.Google Scholar
  30. 30.
    Stack HG. The palmar fascia. Edinburgh: Churchill Livingstone; 1973.Google Scholar
  31. 31.
    Parkes A. The ‘lumbrical plus’ finger. Hand. 1970;2:164–5.CrossRefPubMedGoogle Scholar
  32. 32.
    Parkes A. The ‘lumbrical plus’ finger. J Bone Joint Surg Br. 1971;53B:236–9.CrossRefGoogle Scholar
  33. 33.
    Gratzer J, Vökt CA, Brenner P. Morphologische und funktionelle Zusammenhänge zwischen palmarer Platte der Metakarpophalangealgelenke und Binnenmuskulatur der Hand. Handchir Mikrochir Plast Chir. 2001;33:299–309.CrossRefPubMedGoogle Scholar
  34. 34.
    Volz L. Beitrag zur chirurgischen Anatomie der Extremitäten. Berlin: Georg Reimer; 1865.Google Scholar
  35. 35.
    Braune W, Trübiger A. Die Venen der menschlichen Hand. Leipzig: Veit; 1873.Google Scholar
  36. 36.
    Dylevsky I. Connective tissue of the hand and foot. Acta Univ Carol Med Monogr. 1988;127:1–195.Google Scholar
  37. 37.
    Frohse F. Die Aponeurosis palmaris und digitalis der menschlichen Hand mit besonderer Berücksichtigung ihrer Funktion. Arch Anat Physiol (Anat Abt). 1906:101–8.Google Scholar
  38. 38.
    Frohse F, Fränkel M. Die Muskeln des menschlichen Armes, In: K. v. Bardelebens, editor. Handbuch der Anatomie des Menschen. 2. Abt., 2. Teil. Fischer: Jena; 1908. pp. 256–62.Google Scholar
  39. 39.
    Kalberg W. Zur Anatomie der Palmaraponeurose. Anat Anz. 1935;81:149–59.Google Scholar
  40. 40.
    Thomine JM. The aponeurosis and compartments of the hand. Hand. 1981;1:223–31.Google Scholar
  41. 41.
    Tubiana R, Simmons BP, DeFrenne HA. Location of Dupuytren’s disease on the radial aspect of the hand. Clin Orthop. 1982;168:222–9.Google Scholar
  42. 42.
    De Frenne HA. Aponeurotic structures at the level of the first commissure. Ann Chir. 1977;31:1017–9.PubMedGoogle Scholar
  43. 43.
    Milner RH. Dupuytren’s disease affecting the thumb and the first web of the hand. J Hand Surg. 2003;28B:33–6.CrossRefGoogle Scholar
  44. 44.
    Barton NJ. Dupuytren’s disease arising from the abductor digiti minimi. J Hand Surg (Br). 1984;9:265–70.CrossRefGoogle Scholar
  45. 45.
    Meathrel KE, Thoma A. Abductor digiti minimi involvement in Dupuytren’s contracture of the small finger. J Hand Surg. 2004;29:510–3.CrossRefGoogle Scholar
  46. 46.
    Thomine JM. The development and anatomy of the digital fascia. In: Tubiana R, Hueston JT, editors. Dupuytren’s disease. Edinburgh: Churchill Livingstone; 1985. p. 3–12.Google Scholar
  47. 47.
    White S. Anatomy of the palmar fascia on the ulnar border of the hand. J Hand Surg. 1984;9:50–6.CrossRefGoogle Scholar
  48. 48.
    McFarlane RM. The anatomy of Dupuytren’s disease. Bull Hosp Jt Dis Orthop Inst. 1984;44:318–37.PubMedGoogle Scholar
  49. 49.
    Grayson J. The cutaneous ligaments of the digits. J Anat. 1940;75:164.Google Scholar
  50. 50.
    Knott C, Schmidt HM. Die bindegewebigen Verstärkungseinrichtungen der digitalen Sehnenscheiden an der menschlichen Hand. Gegenbaurs Morphol Jahrb. 1986;132:1–28.Google Scholar
  51. 51.
    Milford LW. Retaining ligaments of the digits of the hand: gross and microscopic study. Philadelphia: W. B. Saunders; 1968. p. 598–9.Google Scholar
  52. 52.
    Shewring DJ, Rethnam U. Cleland’s ligaments and Dupuytren’s disease. J Hand Surg Eur Vol. 20;39:477–81.CrossRefGoogle Scholar
  53. 53.
    Chrysopoulo MT, McGrouther DA, Jeschke MG, Kaufman BR. Cleland’s ligaments: an anatomic study. Plast Reconstr Surg. 2002;109:566–72; discussion 573-5.CrossRefPubMedGoogle Scholar
  54. 54.
    Cleland FRS. The cutaneous ligaments of the phalanges. J Anat Physiol. 1878;12:526–7.Google Scholar
  55. 55.
    De-Ary-Pires B, Valdez CF, Shecaira AP, de Ary-Pires R, Ary Pires-Neto M. Cleland’s and Grayson’s ligaments of the hand: a morphometrical investigation. Clin Anat. 2007;20:68–76.CrossRefPubMedGoogle Scholar
  56. 56.
    Zwanenburg RL, Werker PM, McGrouther DA. The anatomy and function of Cleland’s ligaments. J Hand Surg. 2014;39:482–90.CrossRefGoogle Scholar
  57. 57.
    Hohendorff B, Biber F, Sauer H, Ries C, Spies C, Franke J. Die ergänzende Mittelgelenksarthrolyse bei der operativen Behandlung einer Dupuytren’schen Beugekontraktur am finger. Oper Orthop Traumatol. 2016;28:4–11.CrossRefPubMedGoogle Scholar
  58. 58.
    Tonkin MA, Bure FD, Varian JPW. The proximal interphalangeal joint in Dupuytren’s disease. J Hand Surg. 1985;10:358–64.CrossRefGoogle Scholar
  59. 59.
    Bendz P. The functional significance of the oblique retinacular ligament of Landsmeer. A review and new proposals. J Hand Surg (Br). 1985;10:25–9.CrossRefGoogle Scholar
  60. 60.
    El-Gammal TA, Steyers CM, Blair WF, Maynard JA. Anatomy of the oblique retinacular ligament of the index finger. J Hand Surg [Am]. 1993;18:717–21.CrossRefGoogle Scholar
  61. 61.
    Landsmeer JMF. The anatomy of the dorsal aponeurosis of the human finger and its functional significance. Anat Rec. 1949;104:31–44.CrossRefPubMedGoogle Scholar
  62. 62.
    Landsmeer JMF. Atlas of anatomy of the hand. Edinburgh: Churchill Livingstone; 1976.Google Scholar
  63. 63.
    Lösch GM. Dupuytrensche Kontraktur 4. Grades, formale Entstehung und Behandlung. Handchirurgie. 1974;6:65–74.Google Scholar
  64. 64.
    Pollack HJ. Funktionelle Anatomie der Fingerstreckung unter physiologischen und pathologischen Bedingungen. Beitr Orthop Traumatol. 1985;32:214–21.PubMedGoogle Scholar
  65. 65.
    Shrewsbury MM, Johnson RK. A systematic study of the oblique retinacular ligament of the human finger: its structure and function. J Hand Surg [Am]. 1977;2:194–9.CrossRefGoogle Scholar
  66. 66.
    Ueba H, Moradi N, Erne HC, Gardner TR, Strauch RJ. An anatomic and biomechanical study of the oblique retinacular ligament and its role in finger extension. J Hand Surg [Am]. 2011;36:1959–64.CrossRefGoogle Scholar
  67. 67.
    Yu BH-L, Chase RA, Strauch B. Atlas of anatomy and clinical implications. Chicago: Mosby; 2004.Google Scholar
  68. 68.
    Zancolli EA. Structural and dynamic bases of hand surgery. Philadelphia: Lippincott; 1979.Google Scholar
  69. 69.
    Zancolli EA, Cozzi EP. Atlas of surgical anatomy of the hand. Edinburgh: Churchill Livingstone; 1990.Google Scholar
  70. 70.
    Hueston JT. Comment on anatomy and pathogenesis of the digital cords. Hand Clin. 1991;7:659–60.Google Scholar
  71. 71.
    Garrod AE. On an unusual form of nodule upon the joints of the fingers. St Barth Hosp Rep. 1893;29:157–61.Google Scholar
  72. 72.
    Hueston JT. Some observations on knuckle pads. J Hand Surg (Br). 1984;9:75–8.CrossRefGoogle Scholar
  73. 73.
    Short WH, Watson HK. Prediction of the spiral nerve in Dupuytren’s contracture. J Hand Surg. 1982;7:84–6.CrossRefGoogle Scholar
  74. 74.
    Elfenbein DH, Rettig ME. The digital extensor mechanism of the hand. Bull Hosp Jt Dis. 2000;59:183–8.PubMedGoogle Scholar
  75. 75.
    Slattery D, Aland C, Durbridge G, Cowin G. The connective tissue and ligaments of the distal interphalangeal joint: a review and investigation using ultra-high field 16.4 Tesla magnetic resonance imaging. J Hand Surg Eur Vol. 2014;39:398–404.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Clinic for Trauma, Hand, and Reconstructive SurgeryUniversity Clinic MuensterMuensterGermany
  2. 2.HandchirurgieVulpiusklinikBad RappenauGermany

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