Excessive Thumb Motion Causing Delayed Tendon Injury to Wrist First Extensor Compartment Associated with Flexible Nail

2015 ◽  
Vol 2 (3) ◽  
pp. 61-65
Author(s):  
Bisher Alshanawani ◽  
Abdulmonem Alsiddiky ◽  
Feras Alshomer ◽  
Mohamed Zamzam
Keyword(s):  
Tendon Injury ◽  
First Extensor Compartment ◽  
Extensor Compartment ◽  
Thumb Motion

scholarly journals Extensor pollicis longus rerouting for thumb-in-palm deformity in cerebral palsy: a biomechanical analysis

2019 ◽  
Vol 44 (8) ◽  
pp. 785-789
Author(s):  
Juul V. Alewijnse ◽  
Mick Kreulen ◽  
Jan van Loon ◽  
Mark J. C. Smeulders
Keyword(s):  
Cerebral Palsy ◽  
Three Dimensional ◽  
Biomechanical Analysis ◽  
Spastic Cerebral Palsy ◽  
Subcutaneous Route ◽  
Common Procedure ◽  
Extensor Pollicis Longus ◽  
First Extensor Compartment ◽  
Extensor Compartment ◽  
Thumb Motion

Extensor pollicis longus rerouting is a common procedure to improve thumb abduction in thumb-in-palm deformity seen with spastic cerebral palsy. In 1985, Manske redirected the extensor pollicis longus tendon in this procedure through the first extensor compartment. They also proposed an alternative subcutaneous route around the extensor pollicis brevis and abductor pollicis longus tendons proximal to the extensor compartment. In this study, we performed a three-dimensional analysis of thumb motion on 11 cadaver arms with the subcutaneous route and the first extensor compartment route. We found that with the two different routing methods, the mean difference in thumb radial abduction and retropulsion (0° or 6°, respectively) was very small. Such differences are unlikely to have clinical relevance. We were unable to find significant differences in the motion range of the thumb after these rerouting techniques or sites of insertion. Our biomechanical data support the simpler subcutaneous route.

De Quervain’s Disease

2000 ◽  
Vol 25 (1) ◽  
pp. 65-69 ◽  
Author(s):  
N. R. M. KAY
Keyword(s):  
De Quervain’S Disease ◽  
Factors Associated ◽  
The Poor ◽  
First Extensor Compartment ◽  
Extensor Compartment

The basic anatomy of the first extensor compartment is presented with a review of the pathology of de Quervain’s stenosing tenovaginitis. The results in 100 medicolegal cases of de Quervain’s disease are analysed and reasons are sought for the poor results. A review of the known factors associated with the causation of de Quervain’s disease is presented with recommendations about the management of this condition.

Clinical Sign for Missed Decompression of a Separate Extensor Pollicis Brevis Compartment in de Quervain’s Disease

2017 ◽  
Vol 49 (03) ◽  
pp. 185-187
Author(s):  
Niels Benatar
Keyword(s):  
Clinical Sign ◽  
Revisional Surgery ◽  
Persistent Pain ◽  
Previous Surgery ◽  
De Quervain’S Disease ◽  
Longus Tendon ◽  
Abductor Pollicis Longus ◽  
Extensor Pollicis Brevis ◽  
First Extensor Compartment ◽  
Extensor Compartment

AbstractPersistent pain despite previous surgery for de Quervain’s disease might be due to an overlooked septum between the abductor pollicis longus tendon slips and the extensor pollicis brevis tendon, or an overlooked completely separate compartment for the extensor pollicis brevis tendon alone. In both of these instances, extension of the MP joint of the thumb against resistance elicits pain at the distal level of the first extensor compartment of the wrist. When this sign is positive, revisional surgery and decompression of the remaining septum or separate compartment is indicated.

Anatomical variations in the first extensor compartment of the wrist. A clinical and anatomical study.

1986 ◽  
Vol 68 (6) ◽  
pp. 923-926 ◽  
Author(s):  
W T Jackson ◽  
S F Viegas ◽  
T M Coon ◽  
K D Stimpson ◽  
A D Frogameni ◽  
...  
Keyword(s):  
Anatomical Study ◽  
Anatomical Variations ◽  
First Extensor Compartment ◽  
Extensor Compartment

Tendon Interposition Arthroplasty of the First Carpo-Metacarpal Joint

1988 ◽  
Vol 13 (4) ◽  
pp. 421-425
Author(s):  
A. WEILBY
Keyword(s):  
Radial Nerve ◽  
Interposition Arthroplasty ◽  
Nerve Lesions ◽  
Flexor Carpi Radialis ◽  
Abductor Pollicis Longus ◽  
Slight Pain ◽  
First Extensor Compartment ◽  
Full Power ◽  
Extensor Compartment ◽  
Tendon Interposition

After removal of the trapezium, imbrication of abductor pollicis longus and fixing it with a strip of flexor carpi radialis tendon, we obtained a stable arthroplasty having three quarters of normal mobility and half to full power. Of the first 100 operated thumbs, 15 patients had slight pain on heavy use; the rest were painfree. Three patients had radial nerve lesions with minor complaints. Seven patients developed de Quervain’s syndrome and two had rupture of abductor pollicis longus; these complications have since been avoided by routinely splitting the first extensor compartment. Four cases with unstable joints required further surgery, and one joint became stiff due to extra-articular conditions.

Anatomic Variations in the First Extensor Compartment of the Wrist: Accuracy of US

Radiology ◽  
2010 ◽  
Vol 257 (2) ◽  
pp. 427-433 ◽  
Author(s):  
Pascal Rousset ◽  
Valérie Vuillemin-Bodaghi ◽  
Jean-Denis Laredo ◽  
Caroline Parlier-Cuau
Keyword(s):  
Anatomic Variations ◽  
First Extensor Compartment ◽  
Extensor Compartment

PREVENTION OF FLEXOR POLLICIS LONGUS TENDON RUPTURE AFTER VOLAR PLATE FIXATION OF DISTAL RADIUS FRACTURES

Hand Surgery ◽  
2011 ◽  
Vol 16 (03) ◽  
pp. 271-275 ◽  
Author(s):  
Kaoru Tada ◽  
Kazuo Ikeda ◽  
Kenji Shigemoto ◽  
Seigo Suganuma ◽  
Hiroyuki Tsuchiya
Keyword(s):  
Distal Radius ◽  
Tendon Rupture ◽  
Plate Fixation ◽  
Tendon Injury ◽  
Flexor Pollicis Longus ◽  
Radius Fractures ◽  
Plate Removal ◽  
Volar Plate Fixation ◽  
Flexor Pollicis Longus Tendon ◽  
Thumb Motion

We evaluated the presence of "tendon irritation" of flexor pollicis longus (FPL) for cases of distal radius fracture treated with volar plates to prevent FPL tendon rupture. This report details cases of 24 patients. The presence of pain or a sense of incompatibility and subdermal crepitus around the wrist with an active thumb motion were defined as symptoms of FPL tendon irritation. Twelve of 24 patients complained of FPL tendon irritation. The plates were removed in nine of these 12 patients, while tendon injury was found in three cases. The other 12 patients did not complain of FPL tendon irritation. Four of these 12 patients underwent plate removal, and tendon injury was not detected. The results of this study indicate that FPL tendon irritation is likely to appear before tendon rupture. Therefore, FPL tendon rupture might be prevented by plate removal in patients who complained of tendon irritation.

Posttraumatic volar tendon subluxation out of the first extensor compartment: A case report

2002 ◽  
Vol 27 (4) ◽  
pp. 636-638
Author(s):  
Naoki Kato ◽  
Koichi Nemoto ◽  
Hideaki Murakami ◽  
Takao Motosuneya ◽  
Kyosuke Fujikawa
Keyword(s):  
Case Report ◽  
First Extensor Compartment ◽  
Extensor Compartment
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