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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 carpi radialis longus is one of the five main muscles that control movements at the wrist. [1] This muscle is quite long, starting on the lateral side of the humerus , and attaching to the base of the second metacarpal bone (metacarpal of the index finger ).
Symptoms of radial neuropathy vary depending on the severity of the trauma; however, common symptoms may include wrist drop, numbness on the back of the hand and wrist, and inability to voluntarily straighten the fingers. Loss of wrist extension is due to loss of the ability to move of the posterior compartment of forearm muscles.
An illustration of wrist pain. Wrist pain or open wrist is a syndrome inhibiting use of a hand due to pain in anatomical structures of the wrist. [1] It most commonly results from an injury to a ligament. [1] The pain may be sharp from a traumatic injury or from chronic repetitive wrist activities. [1]
The chief complaint of this disease is usually pain in the dorsal aspect of the upper forearm, and any weakness described is secondary to the pain. Tenderness to palpation occurs over the area of the radial neck. Also, the disease can be diagnosed by a positive "middle finger test", where resisted middle finger extension produces pain.
The mechanism of injury is usually repetitive resisted extension, as with rowing, weight lifting, or pulling. [citation needed] Intersection syndrome is often confused with another condition called DeQuervain's syndrome, which is an irritation of the thumb-sided set of tendons at the wrist, called the first dorsal compartment.
Extensor digitorum brevis manus is an extra or accessory muscle on the backside (dorsum) of the hand. It was first described by Albinus in 1758. [1] The muscles lies in the fourth extensor compartment of the wrist, and is relatively rare. [2] It has a prevalence of 4% in the general population according to a meta-analysis. [3]
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 ]
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