New ideas in hand flexor tendon surgery : Chapter I
CHAPTER I : HOW DOES THE SLIDING SYSTEM WORK ?
- Introduction to a better understanding of the physiology of flexor tendon sliding in zones III, IV and V.
- I - Study of the Common Carpal Sheath, Zones III, IV and V
- Microanatomical observations in video analysis
- II - Concepts of microvacuola and the Microvacuolar Collagenic Dynamic Absorbing System (MCDAS)
- Abandoning the continuous theory in separate layers in favor of continuous matter
- 1 - Microvacuola in vitro.
- 2 - Microvacuola in vivo.
- 3 - 3D Microvacuola representations.
- 4 - Complete histological continuity between MCDAS and tendon bundles.
- 5 - Microvacuola dynamic behavior.
- A) Hypotheses to explain fiber behavior inside vacuola.
- B) Overall mechnical behavior of MCDAS fibers.
- III - Structural and molecular collagenic organization for tendon and MCDAS
- 1 - Molecular organization.
- 2 - Collagen biosynthesis.
- 3 - Vacuolar collagenic molecular organization and distribution.
- 4 - Intratendinous collagenic organization.
- IV - Physiological conclusions
