Dorsal and Palmar Material Properties of the Adult Human Flexor Profundus Tendon in Zone II

Author:

Soejima Osamu1,Diao Edward2,Lotz Jeffrey C.3,Hariharan Jayaram S.,Naito Masatoshi1

Affiliation:

1. Chief, Hand and Wrist Surgery Service, Department of Orthopaedic Surgery, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan

2. Hand and Microvascular Surgery Service and Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, CA, USA

3. Orthopaedic Bioengineering Laboratory, Department of Orthopaedic Surgery, University of California, San Francisco, CA, USA

Abstract

Nineteen fresh frozen adult human flexor digitorum profundus (FDP) tendons in Zone II were studied to compare the differences in material properties between the dorsal (dFDP) and palmar (pFDP) side of each tendon biomechanically, biochemically and histologically. We have found that tissue from the dorsal side of each flexor tendon has (1) greater strength; (2) less collagen crosslinking (hydroxypyridinium); and (3) a larger single bundle cross-sectional area than tissue from the palmar side of the same tendon. These data clearly demonstrate that the dorsal and palmar sides of the adult human (FDP) tendon in Zone II differ materially. These differences suggest that there may be biomechanical advantages in placing core sutures dorsally when repairing flexor tendons, a technique that we have previously described.

Publisher

World Scientific Pub Co Pte Lt

Subject

General Medicine

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