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Das fibröse Skelett der Hand

Veränderungen bei der Dupuytren-Kontraktur

The fibrous skeleton of the hand

Changes with Dupuytren’s contracture

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Zusammenfassung

Die genaue Kenntnis der Anatomie des fibrösen Skeletts der Hand ist Voraussetzung für jegliche Behandlung des M. Dupuytren. Dabei umfasst das fibröse Skelett nicht nur die Palmaraponeurose, sondern auch zahlreiche Retinacula cutis, die man in gängigen Anatomiebüchern nicht findet. Eponyme erleichtern hier die sonst schwierigen und überlangen Bezeichnungen der Fasersysteme. Skoog, Legueu und Juvara, Gosset, Grapow, Grayson, Cleland, Thomine, Barton sind die wichtigsten. Diese systematische Übersicht über die Fasern und Stränge soll dazu beitragen, dass weniger iatrogene Komplikationen entstehen.

Abstract

The exact knowledge of the anatomy of the fibrous skeleton of the hand is an absolute prerequisite for any treatment of Dupuytren’s disease. The fibrous skeleton does not only include the palmar aponeurosis, but also numerous retinacula cutis, which are not found in current anatomy books. Here, eponyms facilitate the otherwise difficult and over-pronounced names of the fiber systems. Skoog, Legueu and Juvara, Gosset, Grapow, Grayson, Cleland, Thomine, and Barton are the most important. This systematic review of the fibers and strands is designed to help reduce iatrogenic complications.

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Authors and Affiliations

  1. Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland

    M. F. Langer, B. Wieskötter & S. Oeckenpöhler

  2. Klinik für Hand-, Plastische und Wiederherstellungschirurgie, Kantonsspital St. Gallen, Rorschacher Strasse 95, 9007, St. Gallen, Schweiz

    J. Grünert

  3. Handchirurgie, Vulpiusklinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland

    F. Unglaub

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  1. M. F. Langer
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Correspondence to M. F. Langer.

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M. F. Langer, J. Grünert, F. Unglaub, B. Wieskötter und S. Oeckenpöhler geben an, dass kein Interessenkonflikt besteht.

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Langer, M.F., Grünert, J., Unglaub, F. et al. Das fibröse Skelett der Hand. Orthopäde 46, 303–314 (2017). https://doi.org/10.1007/s00132-017-3406-6

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