期刊
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
卷 35E, 期 8, 页码 614-622出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/1753193410374412
关键词
flexor tendon; carpal sheath; sliding system; vasculature; collagen fibrillar framework; microvacuoles
资金
- National Institute for Health Research [CL-2006-06-004] Funding Source: researchfish
The term 'fascia' has been applied to a large number of very different tissues within the hand. These range from aligned ligamentous formations such as the longitudinal bands of the palmar fascia or Grayson's and Cleland's ligaments, to the loose packing tissues that surround all of the moving structures within the hand. In other parts of the body the terms 'superficial' and 'deep fascia' are often used but these have little application in the hand and fingers. Fascia can be divided into tissues that restrain motion, act as anchors for the skin, or provide lubrication and gliding. Whereas the deep fascia is preserved and easily characterized in anatomical dissection, the remaining fascial tissue is poorly described. Understanding its structure and dynamic anatomy may help improve outcomes after hand injury and disease. This review describes the sliding tissue of the hand or the 'microvacuolar system' and demonstrates how movement of tissues can occur with minimal distortion of the overlying skin while maintaining tissue continuity.
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