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First dorsal interosseous muscle reconstruction: a systematic review of its attachments

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Abstract

Purpose

The first dorsal interosseous (FDI) muscle, when impaired due to traumatic injuries or degenerative conditions, can be reanimated in various ways to restore pinch grip. These reconstructive techniques are planned based on a precise anatomical understanding of the FDI muscle. However, a review of the existing literature has brought to light controversy regarding its insertions. A systematic review of these descriptions is presented to appreciate these variations.

Methods

An electronic database search without exclusion by publication year and language was performed according to the Checklist for Anatomical Reviews and Meta-Analyses (CARMA) guidelines, using the PubMed, Scopus, Web of Science and Embase databases. An assessment of the methodological quality was performed.

Results

Thirteen studies were included in this article. There is general agreement that the FDI muscle contains two bellies and a bony insertion into the index finger proximal phalanx base. However, due to wide anatomic variation, differences were reported on whether there is a soft tissue insertion. When this was found, the included studies differed on how commonly this occurs (between 1.4% and 78%), where it inserts. Other sites of distal insertions reported include the metacarpophalangeal capsule, the interosseous hood and an assemblage nucleus on the volar plate.

Conclusions

Our systematic review, focusing on the insertion of the FDI muscle, summarizes the existing knowledge on its anatomy and variations, thereby facilitating better understanding of its function and surgical planning for reconstruction.

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The authors have no relevant financial or non-financial interests to disclose. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. The authors have no financial or proprietary interests in any material discussed in this article.

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Authors and Affiliations

  1. Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Academia, 20 College Road, Singapore, 169856, Singapore

    Zhi Xuan Low & Duncan Angus McGrouther

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  1. Zhi Xuan Low
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  2. Duncan Angus McGrouther
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Contributions

ZX Low: protocol/project development, data collection or management, data analysis, literature search, manuscript writing. DA McGrouther: conceptualization, manuscript editing, supervision.

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Correspondence to Zhi Xuan Low.

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Low, Z.X., McGrouther, D.A. First dorsal interosseous muscle reconstruction: a systematic review of its attachments. Surg Radiol Anat 45, 901–909 (2023). https://doi.org/10.1007/s00276-023-03149-0

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