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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.
Weightlifters, rowers, and other athletes are particularly prone to this condition. The patient presents with pain over dorsal aspect of the forearm and wrist. The tendon of 6th compartment (extensor carpi ulnaris) can suffer recurrent dislocation due to a tear of the ulnar side of the compartment.
It divides below into four tendons, which pass, together with that of the extensor indicis proprius, through a separate compartment of the dorsal carpal ligament, within a mucous sheath. The tendons then diverge on the back of the hand, and are inserted into the middle and distal phalanges of the fingers in the following manner. [4]
Supernumerary tendons can refer to the additional tendons of normal structures or tendons of rare anatomical variants such as the extensor medii proprius or the extensor digitorum brevis manus. The increased pressure in the synovial sheath is known to directly or indirectly compress the posterior interosseous nerve of radial nerve . [ 14 ]
As the tendons cross the interphalangeal joints, they furnish them with dorsal ligaments. The tendon to the index finger is accompanied by the EI, which lies on its ulnar side. On the back of the hand, the tendons to the middle, ring, and little fingers are connected by two obliquely placed bands, one from the third tendon passing downward and ...
At the insertion the tendon of the extensor digitorum brevis manus often joins the extensor indicis proprius, [3] although it also occurs when the extensor indicis proprius is absent. It was also reported to coexist with the extensor medii proprius , another anatomical variation in the extensor compartment of the hand. [ 8 ]
The mucous sheaths of the tendons on the back of the wrist are protective coverings for tendons in the wrist. Between the dorsal carpal ligament and the bones six compartments are formed for the passage of tendons, each compartment having a separate mucous sheath. One is found in each of the following positions:
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.