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The extensor retinaculum (dorsal carpal ligament, or posterior annular ligament) is a thickened portion of the antebrachial fascia that holds the tendons of the extensor muscles in place. [1] It is located on the back of the forearm , just proximal to the hand . [ 2 ]
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.
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.
The shoulder must not only have good motor condition but also good proprioceptive control. The trophicity and articular condition of the upper limb must also be considered. A poor condition requires a preoperative rehabilitation program. [3] Before any hand surgery is performed, the patient should be able to actively extend the elbow.
Brevis moves the arm from ulnar abduction to its mid-position and flexes dorsally. Longus is a weak pronator in the flexed arm and a supinator in the outstretched arm. At the carpal joints longus acts in dorsiflexion with the extensor carpi ulnaris and in radial abduction with the flexor carpi radialis. These two muscles are called "fist ...
In cases of minor wrist pain, CTS, arthritis, injuries and sprains, it's often recommended that the patient wear a wrist brace throughout the healing process to provide extra support, pain relief ...