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The first compartment is the site where entrapment tendinitis, better known as De Quervain's disease, occurs. Repetitive trauma is believed to cause thickening of the tendons, which lead to movement restriction of the tendons through the compartment. Any movement of the thumb and wrist causes the patient pain, inflammation and swelling.
Parts without major muscle groups, such as the fingers, have been replanted up to 94 hours later, although 12 hours is typically the maximum ischemic time tolerated. Parts that contain major muscle groups, such as the arms, need to be replanted within 6–8 hours to have a viable limb. [ 5 ]
Brachydactyly type D, also known as short thumb, [3] [1] stub thumb, [5] [6] or clubbed thumb, [5] [6] is a genetic trait recognised by a thumb being relatively short and round with an accompanying wider nail bed. The distal phalanx of such thumbs is approximately two-thirds the length of full-length thumbs.
A collateral ligament flanks each MCP joint - one on either side. Each attaches proximally at the head of the metacarpal bone, and distally at the base of the phalynx. Each extends obliquely in a palmar direction from its proximal attachment to its distal attachment. [2]
An extensor expansion (extensor hood, [1] dorsal expansion, dorsal hood, dorsal aponeurosis [citation needed]) is the special connective attachments by which the extensor tendons insert into the phalanges. These flattened tendons (aponeurosis) of extensor muscles span the proximal and middle phalanges. [2]
The ulnar collateral ligament of the thumb runs along the ulnar side of the metacarpo-phalangeal joint of the thumb. The ulnar collateral ligament is an important stabilizer of the thumb. It is on the radial side of the wrist, but on the ulnar side of the thumb.
The radial styloid process is found on the lateral surface of the distal radius bone. [1] It extends obliquely downward into a strong, conical projection. The tendon of the brachioradialis attaches at its base. [2]
Abduction of the thumb is defined as the movement of the thumb anteriorly, a direction perpendicular to the palm. The abductor pollicis brevis does this by acting across both the carpometacarpal joint and the metacarpophalangeal joint. It also assists in opposition and extension of the thumb.