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First Extensor Compartment Entrapment After Distal Radius Fracture: Case Report.
Cureus
November 2024
Plastic Surgery, MetroHealth Medical Center, Cleveland, USA.
We report a unique case of first extensor compartment tendon entrapment (abductor pollicis longus [APL] and extensor pollicis brevis [EPB]) after a volarly displaced Salter-Harris type II distal radius fracture in a 16-year-old male. After unsuccessful treatment with closed reduction and pinning, open reduction was performed, which revealed the entrapment of the APL and EPB tendons within the fracture, requiring surgical dis-impaction, freeing of tendons, and stabilization with volar locking plate fixation. Post-operatively, there was no loss of reduction and the patient demonstrated full, pain-free thumb range of motion at follow-up.
View Article and Find Full Text PDFMRI Findings of Bilateral Anterior Tarsal Tunnel Syndrome - A Case Report.
J Musculoskelet Neuronal Interact
December 2024
Department of Medical Imaging, St. Joseph's Health Care London, Ontario, Canada.
Anterior tarsal tunnel syndrome, an infrequent entrapment neuropathy involving the deep peroneal nerve beneath the inferior extensor retinaculum in the anterior ankle, is often overlooked on medical images, leading to delayed diagnosis and treatment. We present the case of a 52-year-old male, an avid runner, who exhibited a sensation of burning and tingling in the dorsal region of both feet. Electrophysiologic studies suggested bilateral deep peroneal neuropathy.
View Article and Find Full Text PDFTransverse versus longitudinal skin incision in first extensor tendon release for radial styloid tenosynovitis: a randomized controlled trial.
BMC Musculoskelet Disord
November 2024
Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkhla, 90110, Thailand.
Background: De Quervain's tenosynovitis, characterized by the entrapment of the extensor pollicis brevis and abductor pollicis longus tendons in the first extensor compartment, leads to pain and swelling near the radial styloid. When conservative treatments including rest and antiinflammatory medications fail, surgery is often recommended. This study aimed to compare transverse and longitudinal skin incisions with respect to surgical scars, postoperative pain, and functional outcomes in the open release of the first extensor compartment in radial styloid tenosynovitis.
View Article and Find Full Text PDFDouble Crush Syndrome in the Lower Extremity: Simultaneous L5 Radiculopathy and Common Peroneal Nerve Compression.
World Neurosurg
December 2024
Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA.
Background: Double crush syndrome (DCS) is defined as multiple sites of compression along a single nerve. The combination of a compressive proximal lesion in the lumbar spine and a distal common peroneal nerve entrapment may result in compound nerve dysfunction.
Methods: A retrospective analysis of 100 patients who underwent common peroneal nerve decompression with a diagnosis of L5 radiculopathy between January 2000 and April 2023 at two quaternary academic institutions was performed.
Unilateral two-headed extensor digitorum longus muscle: atypical configuration and clinical implications.
Anat Sci Int
November 2024
Department of Anatomy, Istanbul Medeniyet University School of Medicine, Istanbul, Turkey.
This report describes a new configuration of the extensor digitorum longus (EDL) with two heads and two main tendons divided into four slips. During routine cadaver dissection, unilateral (right) EDL muscle belly and tendon variations were identified. The morphometric measurements of the EDL were conducted using Image J software.
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