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Variation in the insertion of the palmaris longus tendon
Authors:Vinutha Sunil  Shubha Rajanna  Gitanjali   Jayanthi Kadaba
Affiliation:1.Department of Anatomy, JSS Medical College, Mysore, Karnataka, India;2.Department of Anatomy, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India;3.Department of Anatomy, Mandya Institute of Medical Sciences, Mandya, Karnataka, India;4.Department of Anatomy, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
Abstract:The palmaris longus is harvested as a tendon graft in various surgical procedures. We herein report the variations in the insertion of the palmaris longus tendon. During a routine dissection, a rare variation in the insertion of the palmaris longus tendon was observed. In the left forearm, the palmaris longus tendon bifurcated, while in the right forearm, the palmaris longus tendon trifurcated, giving rise to an accessory muscle, which passed superficial to the ulnar artery and ulnar nerve. The accessory muscle was supplied by a deep branch of the ulnar nerve, and the ulnar artery was observed to be tortuous. During reconstructive surgeries, surgeons should bear in mind the accessory muscle. Also, since the palmaris longus muscle provides a very useful graft in tendon surgery, every surgeon should be aware of the variations in the insertion of the palmaris longus tendon.
Keywords:insertion   palmaris longus   tendon graft   variation
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