Progressive surgical dissection for tendon transposition affects length–force characteristics of rat flexor carpi ulnaris muscle

Abstract

Extramuscular connective tissue and muscular fascia have been suggested to form a myo-fascial pathway for transmission of forces over a joint that is additional to the generally accepted myo-tendinous pathway. The consequences of myo-fascial force transmission for the outcome of conventional muscle tendon transfer surgery has not been studied as yet. To test the hypothesis that surgical dissection of a muscle will affect its length–force characteristics, a study was undertaken in adult male Wistar rats. During progressive dissection of the flexor carpi ulnaris muscle, isometric length–force characteristics were measured using maximal electrical stimulation of the ulnar nerve. After fasciotomy, muscle active force decreased by approximately 20%. Further dissection resulted in additional decline of muscle active force by another 40% at maximal dissection. The muscle length at which the muscle produced maximum active force increased by approximately 0.7 mm (i.e. 14% of the measured length range) after dissection. It is concluded that, in rats, the fascia surrounding the flexor carpi ulnaris muscle is a major determinant of muscle length–force characteristics.