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A graft of the extensor retinaculum was shown to be useful in treating boxer's knuckle when direct repair of the damaged capsule is not possible. [6] Because of their similarities in histological structure, studies also show the extensor retinaculum to be a reasonable biological replacement for reconstruction of a deficient annular pulley. [6]
Any movement of the thumb and wrist causes the patient pain, inflammation and swelling. The presence of anomalous or variant muscles in the fourth compartment may result in chronic dorsal wrist pain, a condition known as the fourth compartment syndrome. [4] Intersection syndrome can be caused by direct trauma to the second extensor compartment.
Extensor compartments of wrist (back of hand) The fingers have two long flexors, located on the underside of the forearm. They insert by tendons to the phalanges of the fingers. The deep flexor attaches to the distal phalanx, and the superficial flexor attaches to the middle phalanx. The flexors allow for the actual bending of the fingers.
The thenar eminence is the mound formed at the base of the thumb on the palm of the hand by the intrinsic group of muscles of the thumb. [1] The skin overlying this region is the area stimulated when trying to elicit a palmomental reflex.
The extensor carpi radialis longus (ECRL) has the most proximal origin of the extrinsic hand extensors. It originates just distal to the brachioradialis at the lateral supracondylar ridge of the humerus, the lateral intermuscular septum, and by a few fibers at the lateral epicondyle of the humerus. [1]
A part of the tendon reaches the trapezium, while another fuses with the tendons of the extensor pollicis brevis and the abductor pollicis brevis. Except for abducting the hand, it flexes the hand towards the palm and abducts it radially. It is innervated by the deep branch of the radial nerve (C7-C8). [4]
Rest can reduce pain and activity can make it worse, especially with rotating movements (supination and pronation) of the wrist or movements of the hand sideways in ulnar direction. Other symptoms patients with a TFCC injury frequently mention are: swelling, loss of grip strength, instability, and grinding or clicking sounds ( crepitus ) that ...
The fibres end approximately at the middle of the forearm in the form of a flat tendon, which is closely connected with that of the extensor carpi radialis longus, and accompanies it to the wrist; it passes beneath the abductor pollicis longus and extensor pollicis brevis, beneath the extensor retinaculum, and inserts into the lateral dorsal ...