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DOI: 10.1055/s-0042-1750873
The Surgical Treatment of Bilateral Accessory Extensor Carpi Ulnaris: Case Report and Literature Review
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Abstract
Several abnormal pathologies, such as inflammation or degenerative change, can be causes of ulnar-sided wrist pain. This study demonstrated bilateral accessory extensor carpi ulnaris found in a patient who presented with bilateral wrist pain. The patient was initially treated with all conventional methods but failed to improve. Following the operation by releasing the sixth extensor compartment, the pain was completely relieved. The Disabilities of the Arm, Shoulder, and Hand (DASH) score was remarkably improved and there was no limitation in daily living activities compared with preoperative status. We presented an uncommon condition of ulnar-sided wrist pain caused by bilateral accessory extensor carpi ulnaris which was successfully treated by releasing the extensor compartmental sheath without tendon resection.
Keywords
accessory extensor carpi ulnaris - accessory tendon - wrist pain - extensor compartment releasePublication History
Received: 22 January 2022
Accepted: 12 May 2022
Article published online:
28 June 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Hinds RM, Gottschalk MB, Melamed E, Capo JT, Yang SS. Accessory slip of the extensor carpi ulnaris: a cadaveric assessment. J Wrist Surg 2016; 5 (04) 273-276
- 2 Pınar Y, Gövsa F, Bilge O, Celik S. Accessory tendon slip arising from the extensor carpi ulnaris and its importance for wrist pain. Acta Orthop Traumatol Turc 2012; 46 (02) 132-135
- 3 Nakashima T. An accessory extensor digiti minimi arising from extensor carpi ulnaris. J Anat 1993; 182 (pt. 1): 109-112
- 4 Barfred T, Adamsen S. Duplication of the extensor carpi ulnaris tendon. J Hand Surg Am 1986; 11 (03) 423-425
- 5 Eo S, Bahk S, Jones NF. Wrist pain due to abnormal extensor carpi ulnaris tendon. Arch Plast Surg 2016; 43 (04) 389-390
- 6 Allende C, Le Viet D. Extensor carpi ulnaris problems at the wrist–classification, surgical treatment and results. J Hand Surg [Br] 2005; 30 (03) 265-272
- 7 Taleisnik J, Gelberman RH, Miller BW, Szabo RM. The extensor retinaculum of the wrist. J Hand Surg Am 1984; 9 (04) 495-501
- 8 Flood ZD, Hawley DJ, Marshall MC, Capehart AA. Extensor carpi ulnaris: bilateral accessory tendons to the fifth metacarpal. Int J Anat Var 2013; 6: 231-233