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Scandinavian Journal of Plastic and Reconstructive Surgery Volume 11, 1977 - Issue 3
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Original Article

The Vascularization and Structure of the Human Digital Tendon Sheath as Related to Flexor Tendon Function: An Angiographic and Histological Study

GÖRan Lundborg Division of Hand Surgery (Head: S. Edshage), Department of Orthopedic Surgery I, Sahlgrenska Sjukhuset and the Laboratory of Experimental Biology (Head: P.-I. Brånemark), Department of Anatomy, University of Göteborg, Sweden
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Rhagnar Myrhage Division of Hand Surgery (Head: S. Edshage), Department of Orthopedic Surgery I, Sahlgrenska Sjukhuset and the Laboratory of Experimental Biology (Head: P.-I. Brånemark), Department of Anatomy, University of Göteborg, Sweden
Pages 195-203 | Received 03 Jun 1977, Published online: 08 Jul 2009

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Sven-Olof Abrahamsson, Goran Lundborg & L. Stefan Lohmander. (1989) Segmental variation in microstructure, matrix synthesis and cell proliferation in rabbit flexor tendon. Scandinavian Journal of Plastic and Reconstructive Surgery 23:3, pages 191-198.
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GÖRan Lundborg, Sten Holm & Rhagnar Myrhage. (1980) The Role of the Synovial Fluid and Tendon Sheath for Flexor Tendon Nutrition. Scandinavian Journal of Plastic and Reconstructive Surgery 14:1, pages 99-107.
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Oddvar Eiken, Lars Hagberg & Fritz Rank. (1978) The Healing Process of Transplanted Digital Tendon Sheath Synovium: Experimental Autoradiographic Studies in Chickens. Scandinavian Journal of Plastic and Reconstructive Surgery 12:3, pages 225-229.
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Articles from other publishers (75)

Mersedeh Tohidnezhad, Johanna Zander, Alexander Slowik, Yusuke Kubo, Gözde Dursun, Wolfgang Willenberg, Adib Zendedel, Nisreen Kweider, Marcus Stoffel & Thomas Pufe. (2020) Impact of Uniaxial Stretching on Both Gliding and Traction Areas of Tendon Explants in a Novel Bioreactor. International Journal of Molecular Sciences 21:8, pages 2925.
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Loelita Marcelia Lumintang & Beta Subakti Nata’atmadja. (2018) Surgery and Rehabilitation Following Flexor Tendon Zone II Injury Of The Hand: A Literature Review. Jurnal Plastik Rekonstruksi 4:1, pages 73-81.
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Rocco Aicale, Domiziano Tarantino & Nicola Maffulli. 2017. Bio-orthopaedics. Bio-orthopaedics 249 273 .
Kai Megerle, Colin Woon, Armin Kraus, Shyam Raghavan, Hung Pham & James Chang. (2016) Flexor Tendon Sheath Engineering Using Decellularized Porcine Pericardium. Plastic and Reconstructive Surgery 138:4, pages 630e-641e.
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Alim Can Baymurat, Akif Muhtar Ozturk, Haluk Yetkin, Mehmet Ali Ergun, Fatma Helvacıoglu, Asya Ozkızılcık, Kadriye Tuzlakoğlu, E. Ertugrul Şener & Deniz Erdogan. (2015) Bio-engineered synovial membrane to prevent tendon adhesions in rabbit flexor tendon model. Journal of Biomedical Materials Research Part A 103:1, pages 84-90.
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Kazuyoshi Uchihashi, Toshiyuki Tsuruta, Hiroko Mine, Shigehisa Aoki, Aki Nishijima-Matsunobu, Mihoko Yamamoto, Akio Kuraoka & Shuji Toda. (2014) Histopathology of tenosynovium in trigger fingers. Pathology International 64:6, pages 276-282.
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A. G. Lowrie & V. C. Lees. (2013) Considerations in the surgical use of the flexor sheath and pulley system. Journal of Hand Surgery (European Volume) 39:1, pages 54-59.
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Makoto Kameyama, Ko-Ron Chen, Kiyoshi Mukai, Akira Shimada, Yoshihito Atsumi & Shigeru Yanagimoto. (2013) Histopathological Characteristics of Stenosing Flexor Tenosynovitis in Diabetic Patients and Possible Associations With Diabetes-Related Variables. The Journal of Hand Surgery 38:7, pages 1331-1339.
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G. Schulze‐Tanzil, O. Al‐Sadi, E. Wiegand, W. Ertel, C. Busch, B. Kohl & T. Pufe. (2011) The role of pro‐inflammatory and immunoregulatory cytokines in tendon healing and rupture: new insights. Scandinavian Journal of Medicine & Science in Sports 21:3, pages 337-351.
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Philippe Liverneaux & Christophe ChantelotJ.-C. Guimberteau. 2011. La traumatologie des parties molles de la main. La traumatologie des parties molles de la main 159 178 .
Liang Xu, Dejun Cao, Wei Liu, Guangdong Zhou, Wen Jie Zhang & Yilin Cao. (2010) In vivo engineering of a functional tendon sheath in a hen model. Biomaterials 31:14, pages 3894-3902.
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K. Drossos, M. Remmelink, N. Nagy, V. de Maertelaer, J.L. Pasteels & F. Schuind. (2009) Correlations Between Clinical Presentations of Adult Trigger Digits and Histologic Aspects of the A1 Pulley. The Journal of Hand Surgery 34:8, pages 1429-1435.
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Yuichi Yoshii, Chunfeng Zhao, Kristin D. Zhao, Mark E. Zobitz, Kai‐Nan An & Peter C. Amadio. (2008) The effect of wrist position on the relative motion of tendon, nerve, and subsynovial connective tissue within the carpal tunnel in a human cadaver model. Journal of Orthopaedic Research 26:8, pages 1153-1158.
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J. BORETTO, V. ALFIE, A. DONNDORFF, G. GALLUCCI & P. DE CARLI. (2008) A Prospective Clinical Study of the A1 Pulley in Trigger Thumbs. Journal of Hand Surgery (European Volume) 33:3, pages 260-265.
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M. C. SBERNARDORI & P. BANDIERA. (2017) Histopathology of the A1 Pulley in Adult Trigger Fingers. Journal of Hand Surgery (European Volume) 32:5, pages 556-559.
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James W. Strickland. (2005) The Scientific Basis for Advances in Flexor Tendon Surgery. Journal of Hand Therapy 18:2, pages 94-110.
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Takeshi Matsui. (2001) Acute nonspecific flexor tenosynovitis in the digits. Journal of Orthopaedic Science 6:3, pages 234-237.
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James R. Doyle. (2001) Palmar and Digital Flexor Tendon Pulleys. Clinical Orthopaedics and Related Research 383, pages 84-96.
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David Rempel & Sven‐Olof Abrahamsson. (2006) The effects of reduced oxygen tension on cell proliferation and matrix synthesis in synovium and tendon explants from the rabbit carpal tunnel: an experimental study in vitro. Journal of Orthopaedic Research 19:1, pages 143-148.
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M. E. JONES, K. LADHANI, V. MUDERA, A. O. GROBBELAAR, D. A. MCGROUTHER & R. SANDERS. (2016) Flexor Tendon Blood Vessels. Journal of Hand Surgery 25:6, pages 552-559.
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J. Steven Moore. (2000) Flexor Tendon Entrapment of the Digits (Trigger Finger and Trigger Thumb). Journal of Occupational and Environmental Medicine 42:5, pages 526-545.
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M. C. SBERNARDORI, G. FENU, A. PIRINO, C. FABBRICIANI & A. MONTELLA. (2016) Histogenesis and Morphology of the Flexor Tendon Pulley System in the Human Embryonic Hand. Journal of Hand Surgery 25:2, pages 175-179.
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James W. Strickland. (2000) Development of flexor tendon surgery: Twenty-five years of progress. The Journal of Hand Surgery 25:2, pages 214-235.
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B. M. KATZMAN, D. M. KLEIN, T. C. GARVEN, D. A. CALIGIURI & J. KUNG. (2016) Comparative Histology of the Annular and Cruciform Pulleys. Journal of Hand Surgery 24:3, pages 272-274.
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Barry M. Katzman, David M. Klein, Tom C. Garven, Daniel A. Caligiuri, John Kung & Evan D. Collins. (1998) Anatomy and histology of the A5 pulley. The Journal of Hand Surgery 23:4, pages 653-657.
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S. Gajisin, M. Bednarkiewicz & A. Zbrodowski. (1998) Blood supply of the digital sheath. Annales de Chirurgie de la Main et du Membre Supérieur 17:2, pages 147-153.
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Monica Wiig, Sven-Olof Abrahamsson & Göran Lundborg. (1997) Tendon repair—Cellular activities in rabbit deep flexor tendons and surrounding synovial sheaths and the effects of hyaluronan: An experimental study in Vivo and in Vitro. The Journal of Hand Surgery 22:5, pages 818-825.
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Marie A. Badalamente, Steven P. Sampson & Lawrence C. Hurst. (1996) The second annular pulley: A histologic examination. The Journal of Hand Surgery 21:3, pages 529.
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S. MESTER, B. SCHMIDT, K. DERCZY, J. NYARADY & V. BIRO. (2016) Biomechanics of the Human Flexor Tendon Sheath Investigated by Tenography. Journal of Hand Surgery 20:4, pages 500-504.
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Frank D. Ellis, John Gray SeilerIIIIII & C. Whitaker Sewell. (1995) The second annular pulley: A histologic examination. The Journal of Hand Surgery 20:4, pages 632-635.
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S. Uchiyama, J. H. Coert, L. Berglund, P. C. Amadio & K.-N. An. (1995) Method for the measurement of friction between tendon and pulley. Journal of Orthopaedic Research 13:1, pages 83-89.
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Jon W. Ark, Richard H. Gelberman, Sven-Olof Abrahamsson, John Gray SeilerIIIIII & David Amiel. (1994) Cellular survival and proliferation in autogenous flexor tendon grafts. The Journal of Hand Surgery 19:2, pages 249-258.
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J. B. TANG. (2016) Flexor Tendon Repair in Zone 2C. Journal of Hand Surgery 19:1, pages 72-75.
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Steven P. Sampson, Marie A. Badalamente, Lawrence C. Hurst & Jesse Seidman. (1991) Pathobiology of the human A1 pulley in trigger finger. The Journal of Hand Surgery 16:4, pages 714-721.
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Hans Lee. (1990) Double loop locking suture: A technique of tendon repair for early active mobilization Part II: Clinical experience. The Journal of Hand Surgery 15:6, pages 953-958.
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Hans Lee. (1990) Double loop locking suture: A technique of tendon repair for early active mobilization Part I: Evolution of technique and experimental study. The Journal of Hand Surgery 15:6, pages 945-952.
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Richard H. Gelberman, Savio L-Y. Woo, David Amiel, Shuji Horibe & Dosuk Lee. (1990) Influences of flexor sheath continuity and early motion on tendon healing in dogs. The Journal of Hand Surgery 15:1, pages 69-77.
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Daniel I. Singer, Wayne A. Morrison, Graham J. Gumley, Bernard McC O'Brien, Geraldine M. Mitchell, Ronald M. Barton & Gary K. Frykman. (1989) Comparative study of vascularized and nonvascularized tendon grafts for reconstruction of flexor tendons in zone 2: An experimental study in primates. The Journal of Hand Surgery 14:1, pages 55-63.
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