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Any of the dorsal compartments of the wrist can develop tenosynovial inflammation. [3] 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 dorsal interosseous, the most consistent, is inserted entirely into the base of its proximal phalanx and the extensor hood there. The second, third, and fourth dorsal interossei have insertions both proximally on the base of the metacarpal and hood, and distally on the lateral bands and central tendon of the extensor mechanism.
The extensor indicis proprius usually runs and inserts onto the ulnar side of the extensor digitorum communis of the index finger. [4] The fifth compartment is occupied by the extensor digiti minimi, the extensor of the little finger. The extensor carpi ulnaris passes through the sixth compartment to insert to the base of the fifth metacarpal bone.
Dorsal Radial portals The portals lay between the dorsal extensor compartments. [17] 1-2 portal: Between the 1st and 2nd extensor compartments; Located in the Anatomical snuff box; not often utilized; 3-4 portal: between the 3rd and 4th extensor compartments; Located distal to Lister's tubercle; primary viewing portal; 4-5 portal:
Moving distally, there are the abductor pollicis longus (APL), extensor pollicis brevis (EPB), extensor pollicis longus (EPL), and extensor indicis (EI). The APL originates from the lateral part of the dorsal surface of the body of the ulna below the insertion of the anconeus and from the middle third of the dorsal surface of the body of the ...
Extensor digitorum brevis manus is an extra or accessory muscle on the backside (dorsum) of the hand. It was first described by Albinus in 1758. [1] The muscles lies in the fourth extensor compartment of the wrist, and is relatively rare. [2] It has a prevalence of 4% in the general population according to a meta-analysis. [3]
Dorsal: metacarpal bones 1 to 5. Palmar: metacarpal bones of digits 2, 4, 5: Insertion: Dorsal: bases of proximal phalanges and extensor expansions of digits 2 to 4. Palmar: base of proximal phalanx and extensor expansion of the same digit from which it originated. Nerve: deep branch of the ulnar nerve: Actions: Dorsal: Abduct digits.
On the dorsal side of the hand, the palmar carpal ligament corresponds in location and structure to the extensor retinaculum, both being formations of the antebrachial fascia and therefore continuous. Consequently, the flexor retinaculum is commonly referred to as the transverse carpal ligament to avoid confusion. [4]