{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:06:25Z","timestamp":1777853185248,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T00:00:00Z","timestamp":1563840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:p>The anatomy in the region of the palmodigital junction has been relatively little studied, but it is very relevant for the surgical treatment of Dupuytren\u2019s disease. To study the microanatomy of the palmodigital junction, we dissected 26 cadaveric digits from 13 human cadaveric hands using microsurgical techniques. The dynamics of the different ligaments were studied in three hands preserved by Thiel\u2019s method. We found a structure, which we propose to name the \u2018palmodigital spiralling sheet\u2019 (PSS), which has not been described before. It has a spiralling course around the neurovascular bundle giving rise to a neurovascular tunnel distally in the palm of the hand. It is formed proximally by fibres from the pretendinous band and the intrinsic muscle fascias and distally is in continuity with Cleland\u2019s and Grayson\u2019s ligaments. As such it connects the palmar and digital fascias. Its spiralling course stabilizes the neurovascular bundle in the healthy hand, but can displace it in Dupuytren\u2019s disease, which may contribute to the development of spiral cords.<\/jats:p>","DOI":"10.1177\/1753193419863418","type":"journal-article","created":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T06:27:44Z","timestamp":1563863264000},"page":"972-978","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["New insights into the anatomy at the palmodigital junction in Dupuytren\u2019s disease: the palmodigital spiralling sheet"],"prefix":"10.1177","volume":"44","author":[{"given":"Asja T.","family":"Malsagova","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery, University of Groningen and University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rinze L.","family":"Zwanenburg","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of Groningen and University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul M. N.","family":"Werker","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of Groningen and University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"key":"bibr1-1753193419863418","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2000.6918"},{"key":"bibr2-1753193419863418","doi-asserted-by":"publisher","DOI":"10.1177\/1753193409349855"},{"key":"bibr3-1753193419863418","first-page":"554","volume":"21","author":"Gosset J","year":"1967","journal-title":"Ann Chir"},{"key":"bibr4-1753193419863418","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197407000-00004"},{"key":"bibr5-1753193419863418","unstructured":"McFarlane RM. The finger. In: McFarlane RM, McGrouther DA, Flint M (Eds.)\n                      Dupuytren\u2019s disease.\n                      Edinburgh, Churchill Livingstone, 1990, 5: 155\u201367."},{"key":"bibr6-1753193419863418","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-968X(82)80055-7"},{"key":"bibr7-1753193419863418","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/S0749-0712(21)00902-1","volume":"7","author":"Strickland JW","year":"1991","journal-title":"Hand Clin"},{"key":"bibr8-1753193419863418","doi-asserted-by":"publisher","DOI":"10.1016\/S0940-9602(11)80346-8"},{"key":"bibr9-1753193419863418","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003419"},{"key":"bibr10-1753193419863418","first-page":"194","volume":"10","author":"Thomine JM","year":"1965","journal-title":"Ann Chir Plast"},{"key":"bibr11-1753193419863418","doi-asserted-by":"publisher","DOI":"10.3109\/2000656X.2016.1159568"},{"key":"bibr12-1753193419863418","unstructured":"Zancolli EA, Cozzi EP. The retinaculum cutis of the hand. In:\n                      Atlas of the surgical anatomy of the hand.\n                      Singapore, Churchill Livingstone, 1992: 1\u201318."},{"key":"bibr13-1753193419863418","doi-asserted-by":"publisher","DOI":"10.1177\/1753193413511944"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193419863418","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193419863418","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193419863418","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:49:24Z","timestamp":1777502964000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193419863418"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,23]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1177\/1753193419863418"],"URL":"https:\/\/doi.org\/10.1177\/1753193419863418","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,23]]}}}