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The first compartment is the most frequently affected site, called De Quervain's disease (syndrome or tenosynovitis). The other two most commonly injured are the sixth (extensor carpi ulnaris) and second (intersection syndrome) compartments. The first compartment is the site where entrapment tendinitis, better known as De Quervain's disease ...
Variations of the fifth extensor compartment, which the extensor digiti minimi runs through, may cause tenosynovitis and can limit the use of the extensor digiti minimi. The extensor digiti minimi can also be bifurcated, which means split, at many different points in the muscle.
Infectious tenosynovitis in 2.5% to 9.4% of all hand infections. Kanavel's cardinal signs are used to diagnose infectious tenosynovitis. They are: tenderness to touch along the flexor aspect of the finger, fusiform enlargement of the affected finger, the finger being held in slight flexion at rest, and severe pain with passive extension.
De Quervain's syndrome is a medical condition when the synovial sheath surrounding tendons in the first extensor tendon compartment becomes inflamed, so called tenosynovitis. [12] The tendons of the abductor pollicis longus and the extensor pollicis brevis run narrower due to the thickening of the synovial sheath, which causes pain when ...
[4] The extensor tendons are connected to the second by a thin transverse band, known as the juncturae tendinum; they serve to maintain the central alignment of the extensor tendons over the metacarpal head, [5] thus increasing the available leverage. Injuries (such as by an external flexion force during active extension) may allow the tendon ...
De Quervain tendinopathy affects the tendons of these muscles as they pass from the forearm into the hand via a fibro-osseous tunnel (the first dorsal compartment). Evaluation of histopathological specimens shows a thickening and myxoid degeneration consistent with a chronic degenerative process, as opposed to inflammation or injury. [ 17 ]
The ECU crosses from the lateral to the medial side of the forearm. The APL and EPB pass obliquely down and lateral, ending in tendons which run through a groove on the lateral side of the lower end of the radius. The EPL tendon passes through the third compartment and lies in a narrow, oblique groove on the back of the lower end of the radius.
Passing through the third tendon compartment, [1] lying in a narrow, oblique groove on the back of the lower end of the radius, [3] it crosses the wrist close to the dorsal midline before turning towards the thumb using Lister's tubercle on the distal end of the radius as a pulley.