{"id":2297,"date":"2020-06-05T13:38:07","date_gmt":"2020-06-05T13:38:07","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=2297"},"modified":"2020-06-05T13:38:07","modified_gmt":"2020-06-05T13:38:07","slug":"ijar-2020-164","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2020-164","title":{"rendered":"IJAR.2020.164"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.8.2\/IJAR.2020.164.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-8-2.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 8; Issue 2.3 (June 2020)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a07568-7571<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2020.164<\/h3>\n<h3 style=\"text-align: justify;\">AN ANATOMICAL AND MORPHOLOGICAL STUDY ON ACCESSORY HEAD OF FLEXOR POLLICIS LONGUS (GANTZER\u2019S MUSCLES) AND ITS CLINICAL EMPHASIS<\/h3>\n<p style=\"text-align: justify;\"><strong>M. Khizer Hussain Afroze <sup>1<\/sup>, Umesh S.N *<sup>2<\/sup>, Sangeeta M <sup>3<\/sup>, Varalakshmi KL <sup>4<\/sup>, Suman Tiwari <sup>5<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>1, *2 <\/sup>Assistant Professor, Department of Anatomy, MVJ Medical College &amp; Research Hospital, Bangalore, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><sup>3 <\/sup>Professor &amp; HOD, Department of Anatomy, MVJ Medical College &amp; Research Hospital, Bangalore, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><sup>4,5 <\/sup>Associate Professor, Department of Anatomy, MVJ Medical College &amp; Research Hospital, Bangalore, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author: <\/strong>Dr. Umesh S.N, Assistant Professor, Department of Anatomy, MVJ Medical College &amp; Research Hospital, Hoskote, Bangalore. 562114, Karnataka, India.\u00a0Phone No: +91-9448619629 <strong>E-Mail:<\/strong> veenaumesh66@gmail.com<\/p>\n<h3 style=\"text-align: justify;\">ABSTRACT<\/h3>\n<p style=\"text-align: justify;\"><strong>Objective:<\/strong> This study aims to reveal the incidence of origin, insertion, and nerve supply of Gantzer\u2019s muscle and to provide necessary information to surgeons in concern to compartment syndrome.<\/p>\n<p style=\"text-align: justify;\"><strong>Material and Methods: <\/strong>50 embalmed disarticulated upper limbs (23 right &amp; 27 left sides) were dissected and analyzed to find the incidence of Gantzer\u2019s muscle along with their sources of origin, the sites of insertion and nerve supply were observed and documented.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> The incidence of an accessory head of flexor pollicis longus<strong> (<\/strong>Gantzer\u2019s muscle) was 24 % (12 out of 50 upper limbs). All the incidences of Gantzer\u2019s muscles were unilateral, among which, in 5, it was seen on the right side and in 7 on the left side and bilateral occurrence was not found. All the Gantzer\u2019s muscles originated from two different sources, one from the medial epicondyle and other from the coronoid process of ulna and the majority of the cases were inserted to the middle third of the tendon of FPL. In the present study, Gantzer\u2019s muscle was innerved by the anterior interosseous nerve in all specimens except in one, which was supplied by the median nerve.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusions: <\/strong>The knowledge of which, has to be borne in minds of the operating surgeons for anterior interosseous nerve syndrome and median nerve compression for an effective outcome.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong> Gantzer\u2019s muscles, Accessory head of Flexor Pollicis Longus, deep muscles of the forearm.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Wood J. XVII. Variations in human myology observed during the winter session of 1867-68 at King\u2019s College, London. Proceedings of the royal society of London. 1868 Dec 31(16):483-525.<\/li>\n<li style=\"text-align: justify;\">Le Double AF. Trait\u00e9 des variations du syst\u00e8me musculaire de l&#8217;homme: et de leur signification au point de vue de l&#8217;anthropologie zoologique. Schleicher fr\u00e8res; 1897.<\/li>\n<li style=\"text-align: justify;\">Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, et al. Gray\u2019s Anatomy. 38th Ed., New York, <em>Churchill Livingstone. <\/em>1995; 848.<\/li>\n<li style=\"text-align: justify;\">Mangini U. Flexor pollicis longus muscle: its morphology and clinical significance. JBJS. 1960 Apr 1;42(3):467-559.<\/li>\n<li style=\"text-align: justify;\">Dellon AL, Mackinnon SE. Musculoaponeurotic variations along the course of the median nerve in the proximal forearm. The Journal of Hand Surgery: British &amp; European Volume. 1987 Oct 1;12(3):359-63.<\/li>\n<li style=\"text-align: justify;\">Al-Qattan MM. Gantzer\u2019s muscle: an anatomical study of the accessory head of the flexor pollicis longus muscle. Journal of Hand Surgery. 1996 Apr;21(2):269-70.<\/li>\n<li style=\"text-align: justify;\">Hemmady MV, Subramanya AV, Mehta IM. Occasional head of flexor pollicis longus muscle: a study of its morphology and clinical significance. Journal of postgraduate medicine. 1993 Jan 1;39 (1):14.<\/li>\n<li style=\"text-align: justify;\">Gunnal SA, Siddiqui AU, Daimi SR, Farooqui MS, Wabale RN. A study on the accessory head of the flexor pollicis longus muscle (Gantzer\u2019s muscle). Journal of Clinical and Diagnostic Research: JCDR. 2013 Mar;7(3):418.<\/li>\n<li style=\"text-align: justify;\">Jadhav S D, Zambare B R. Accessory head of the flexor pollic longus muscle and its clinical significance. IJCR. 2015; 7(5): 16540-43.<\/li>\n<li style=\"text-align: justify;\">Oh CS, Chung IH, Koh KS. Anatomical study of the accessory head of the flexor pollicis longus and the anterior interosseous nerve in Asians. Clinical Anatomy: The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. 2000;13(6):434-8.<\/li>\n<li style=\"text-align: justify;\">Mahakkanukrauh P, Surin P, Ongkana N, Sethadavit M, Vaidhayakarn P. Prevalence of accessory head of flexor pollicis longus muscle and its relation to anterior interosseous nerve in Thai population. Clinical Anatomy: The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. 2004;17(8):631-5.<\/li>\n<li style=\"text-align: justify;\">Feray GU, Gulgun K, Mete E et al. Incidence and morphology of the accessory head of the flexor pollicis longus muscle (Gantzer\u2019s muscle) in a Turkish population Neuroscience. 2006; 11 (3):171-74.<\/li>\n<li style=\"text-align: justify;\">Tamang BK, Sinha P, Sarda RK, Shilal P, Murlimanju BV. Incidence and morphology of accessory head of Flexor pollicis longus muscle&#8211;an anatomical study. Journal of Evolution of Medical and Dental Sciences. 2013 Sep 9;2(36):6800-7.<\/li>\n<li style=\"text-align: justify;\">Mustafa AY, Alkushi AG, Abdullah W, Alasmari M, Sakran AM, Mohammed A. Anatomical study of the accessory heads of the deep flexor muscles of the forearm (Gantzer muscles). Int J Anat Res. 2016;4(4):2984-87.<\/li>\n<li style=\"text-align: justify;\">Desai RR, Desai AR, Ambali MP. Incidence of Accessory Head Of Flexor Pollicis Longus (Only In Males) and Its Clinical Significance. National Journal of Integrated Research in Medicine. 2017 Jan 1; 8(1).<\/li>\n<li style=\"text-align: justify;\">Zdilla M. J. A Gantzer muscle arising from the brachialis and flexor digitorum superficialis: embryological considerations and implications for median nerve entrapment. Anatomical Science International. 2018 Oct.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> M. Khizer Hussain Afroze, Umesh S.N, Sangeeta M, Varalakshmi KL, Suman Tiwari. AN ANATOMICAL AND MORPHOLOGICAL STUDY ON ACCESSORY HEAD OF FLEXOR POLLICIS LONGUS (GANTZER\u2019S MUSCLES) AND ITS CLINICAL EMPHASIS. Int J Anat Res 2020;8(2.3):7568-7571.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2020.164\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 8; Issue 2.3 (June 2020) Page No.:\u00a07568-7571 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2020.164 AN ANATOMICAL AND MORPHOLOGICAL STUDY ON ACCESSORY HEAD OF FLEXOR POLLICIS LONGUS (GANTZER\u2019S MUSCLES) AND ITS CLINICAL EMPHASIS M. Khizer Hussain Afroze 1, Umesh S.N *2, Sangeeta M 3, Varalakshmi KL 4, Suman Tiwari 5. 1, *2 Assistant Professor, Department of Anatomy,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2020-164\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2297"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=2297"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2297\/revisions"}],"predecessor-version":[{"id":2308,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2297\/revisions\/2308"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=2297"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}