The quadriga syndrome: a rarely recognized alteration in hand surgery

Author:

Bíró Vilmos1

Affiliation:

1. Pécs Hajnóczy u. 25/A, II. emelet 2. 7633

Abstract

The tendons of flexor digitorum profundus are most often interconnected and making them less able to move independently than the superfical tendons. The reason for this is the cross connective tissue-ligamentous connection between the tendons of the profundus. The recognition of this so called quadriga phenomenon is important in the clinical practice, when the presence of this syndrome hinders the strength and the movement of the tendons after the operative reconstruction. In his work the author describes the anatomical bases, the biomechanical relations and the clinical importance of the quadriga syndrome in the mirror of literature data. Orv. Hetil., 2014, 155(20), 778–782.

Publisher

Akademiai Kiado Zrt.

Subject

General Medicine

Reference24 articles.

1. Verdan, C.: Syndrome of the quadriga. Surg. Clin. North Am., 1960, 40, 425–426.

2. Schreuders, T. A.: The quadriga phenomenon: A review and clinical relevance. J. Hand Surg. Eur. Vol., 2012, 37(6), 513–522.

3. Giambini, H., Ikeda, J., Amadio, P. C., et al.: The quadriga effect revisited: designing a “safety incision” to prevent tendon repair rupture and gap formation in a canine model in vitro. J. Orthop. Res. 2010, 28(11), 1482–1489.

4. Vízkelety, T. (ed.): The bibliography of Hungarian orthopaedics, traumatology and its borderlines from the beginning until now. [A magyar ortopédia, traumatológia és határterületei bibliográfiája a kezdetektől napjainkig.] A Magyar Traumatológus Társaság, a Magyar Ortopéd Társaság, a Magyar Kézsebész Társaság és a Magyar Plasztikai Sebész Társaság Kiadványa, Budapest, 2007. [Hungarian]

5. Brand, P. W., Hollister, A.: Clinical mechanics of the hand. Mosby, St. Louis, 1999.

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