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The extensor tendon sheaths on the back of the wrist. De Quervain syndrome involves noninflammatory thickening of the tendons and the synovial sheaths that the tendons run through. The two tendons concerned are those of the extensor pollicis brevis and abductor pollicis longus muscles. These two muscles run side by side and function to bring ...
Extensor carpi radialis brevis tendon. Extension of wrist Intersection syndrome: 3 Extensor pollicis longus tendon: Separated from the third compartment by Lister's tubercle. Forms ulnar (little finger side) border of the anatomical snuff box Extension of interphalangeal joint of thumb Drummer's wrist: 4 Extensor digitorum tendons. Extensor ...
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 ...
Extensor pollicis longus extends the terminal phalanx of the thumb. While abductor pollicis brevis and adductor pollicis, both attached to the extensor pollicis longus tendon, can extend the thumb's interphalangeal joint to the neutral position, only extensor pollicis longus can achieve full hyperextension at the interphalangeal joint.
Finkelstein's test was described by Harry Finkelstein (1865–1939), an American surgeon, in 1930. [5]A similar test was previously described by Eichhoff, in which the thumb is placed in the palm of the hand and held with the fingers, and the hand is then ulnar deviated (see images), causing intense pain over the radial styloid which disappears if the thumb is released.
Infectious tenosynovitis is the infection of closed synovial sheaths in the flexor tendons of the fingers. It is usually caused by trauma, but bacteria can spread from other sites of the body. Although tenosynovitis usually affects the flexor tendon of the fingers, the disease can also affect the extensor tendons occasionally. [5]
Injuries (such as by an external flexion force during active extension) may allow the tendon to dislocate into the intermetacarpal space; the extensor tendon then acts as a flexor and the finger may no longer be actively extended. This may be corrected surgically by using a slip of the extensor tendon to replace the damaged ligamentous band [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 ]