Mehmet DEMİR, Muhammed Furkan ARPACI, Sibel ATEŞOĞLU KARABAŞ, Adem DOĞANER, Atila YOLDAŞ

TÜRK POPULASYONUNDA MUSCULUS PALMARİS LONGUS VE MUSCULUS FLEXOR DIGITORUM SUPERFICIALIS’İN GÖSTERİMİNDE KULLANILAN TESTLER ARASINDAKİ UYUMUN İNCELENMESİ

AMAÇ: Önkolda bulunan musculus palmaris longus (PL); her kişide bulunmayan, palmar fasyanın gerilmesinde rol oynayan ve rekonstruktif cerrahide kullanılan bir kas olup, klinikte bu kasın varlığının belirlenmesinde çeşitli testler kullanılmaktadır. Çalışmamızda, sağlıklı bireylerde PL ve musculus fleksor digitorum superficialis’in (FDS) gösteriminde kullanılan testlerin arasındaki uyumun incelenmesi amaçlanmıştır. GEREÇ VE YÖNTEM: Araştırmaya 2021 Eylül ile 2022 Temmuz tarihleri arasında Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Araştırma ve Uygulama Hastanesi çalışanları ile Tıp Fakültesi öğrencileri arasından gönüllülük esasına uygun olarak rastgele seçilmiş 18 yaş üstü toplam 528 kişi katıldı. PL varlığının tespiti için gönüllülere Schaeffer testi, Pushpakumar testi, Thompson testi ve Mishra II testi, FDS kası için ise FDS fonksiyon testi uygulandı. Testler arasındaki uyumların belirlenmesinde Kappa katsayısından yararlanıldı. BULGULAR: Her iki kolda yapılan testler arasında en uyumlu olan testin Schaeffer testi olduğu ve bu testin de en yüksek oranda Pushpakumar testi ile uyumlu olduğu belirlendi (Sol kolda Kappa: 0,856; p=0.001; Sağ kolda Kappa: 0,832; p=0.001). Sağ ve sol kolda uygulanan FDS fonksiyon testi ile PL’nin belirlenmesinde kullanılan dört test arasındaki ilişkinin istatistiksel olarak anlamlı olmadığı görüldü. SONUÇ: PL’nin belirlenmesinde en iyi uyumun Schaeffer testi ile Puspakumar testi arasında olduğu belirlendi. Her iki kola uygulanan FDS fonksiyon testi ile PL için kullanılan testler arasında herhangi bir uyumun olmadığı belirlendi. Bulgularımızın PL ve FDS’yi belirleyen klinik uygulamalara yardımcı olacağını düşünmekteyiz.

Anahtar Kelimeler:

Musculus palmaris longus, Schaeffer testi, musculus fleksor digitorum superficialis, Pushpakumar testi

INVESTIGATION OF THE COMPATIBILITY BETWEEN THE TESTS USED IN THE DISPLAY OF PALMARIS LONGUS MUSCLE AND FLEXOR DIGITORUM SUPERFICIALIS MUSCLE IN THE TURKISH POPULATION

OBJECTIVE: The palmaris longus muscle (PL) in the forearm is a muscle that is not present in all individuals, and plays a role in stretching the palmar fascia and is used in reconstructive surgery, various tests are used to determine the presence of this muscle in the clinic. In this study, we aimed to / it was aimed to examine the compatibility between the tests used in the display of PL and musculus flexor digitorum superficialis (FDS) in healthy individuals. MATERIAL AND METHODS: The research was carried out with a total of 528 participants over the age of 18 and randomly selected from among the staff of Kahramanmaraş Sütçü Imam University, Medical Faculty, Research and Application Hospital and the students of the Faculty of Medicine between September 2021 and July 2022. Schaeffer’s test, Pushpakumar’s test, Thompson’s test, and Mishra’s II test were applied for PL presence, whilst FDS function test was applied for the presence of the FSD in the volunteers. The Kappa coefficient was used to determine the agreement between the methods. RESULTS: We determined that the most suitable test among the tests performed on both arms was Schaeffer's test, and this test was the most suitable with Pushpakumar's test (Left arm Kappa: 0.856; p=0.001; Right arm Kappa: 0.832; p=0.001). There was no statistical correlation between the FDS function test applied on the right and left arms and the four tests used to determine PL. CONCLUSIONS: We determined that the best suitability in the determination of PL was between the Schaeffer test and the Puspakumar’s test, and there was no correlation between the FDS function test applied to both arms and the tests used for PL. We believe that our findings will help clinical applications that determine PL and FDS.

Keywords:

Palmaris longus muscle, Schaeffer, Flexor digitorum superficialis muscle, Pushpakumar,

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