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Czasopismo

2017 | 76 | 4 |

Tytuł artykułu

An anatomical study of additional radial wrist extensors including a unique extensor carpi radialis accessorius

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: In this study, 82 forearms from 41 cadavers were dissected to establish the incidence of variant additional radial wrist extensors. Three variants have been described in the literature: extensor carpi radialis intermedius (ECRI), extensor carpi radialis accessorius (ECRA) and extensor carpi radialis tertius (ECRT). Materials and methods: Of the 41 cadavers studied, 5/41 (12%) had an additional radial wrist extensor. Of these 5 individuals, 2 had bilateral additional muscles and 3 were unilateral. Of the 82 forearms, 7/82 (9%) had additional radial wrist extensors. Results: We found 4 examples of ECRI and 3 examples of ECRA. We did not find any examples of ECRT. One specimen of ECRA had an atypical, previously undescribed, course. Conclusions: These accessory muscles are of clinical relevance, as they may be a contributing factor in tennis elbow and nerve entrapment, or cause diagnostic confusion, especially in ultrasound scans. However, they may also be used for tendon transfer. Of the 7 muscles found in the current study, 3 would have been suitable for such procedures. (Folia Morphol 2017; 75, 4: 742–747)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

76

Numer

4

Opis fizyczny

p.742-747,fig.,ref.

Twórcy

autor
  • Human Anatomy Teaching Group, Department of Physiology, Development and Neuroscience, University of Cambridge, United Kingdom
  • Brighton and Sussex University Hospitals NHS Trust, United Kingdom
autor
  • Brighton and Sussex University Hospitals NHS Trust, United Kingdom
autor
  • Human Anatomy Teaching Group, Department of Physiology, Development and Neuroscience, University of Cambridge, United Kingdom

Bibliografia

  • 1. Albright JA, Linburg RM. Common variations of the radial writs extensors. J Hand Surg Am. 1978; 3(2): 134–138, indexed in Pubmed: 632542.
  • 2. Arora J, Dave V, Kumar A, et al. Unusual architecture of extensor digitorum muscle of hand in conjunction with accessory belly of extensor carpi radialis brevis: a clinicoanatomical insight. Clin Ter. 2013; 164(1): 31–33, indexed in Pubmed: 23455740.
  • 3. Claassen H, Wree A. Multiple variations in the region of Mm. extensores carpi radialis longus and brevis. Ann Anat. 2002; 184(5): 489–491, doi: 10.1016/S0940-9602(02)80084-X, indexed in Pubmed: 12392329.
  • 4. Gümüşalan Y, Kalaycioğlu A, Yazar F, et al. Accessory extensor carpi radialis muscle and interconnecting muscular bundle. Acta Anat (Basel). 1997; 159(1): 57–60, indexed in Pubmed: 9522898.
  • 5. Hong MKY, Hong MKH. An uncommon form of the rare extensor carpi radialis accessorius. Ann Anat. 2005; 187(1): 89–92, doi: 10.1016/j.aanat.2004.08.001, indexed in Pubmed: 15835405.
  • 6. Khaledpour C, Schindelmeiser J. Atypical course of the rare accessory extensor carpi radialis muscle. J Anat. 1994; 184 (Pt 1): 161–163, indexed in Pubmed: 8157488.
  • 7. MacAlister A. Additional observations on muscular anomalies in human anatomy with a catalogue of the principal muscular variations hitherto published (third series). Trans R Ir Acad. 1871; 25: 101–102.
  • 8. Melling M, Steindl M, Wilde J, et al. An anatomical variant of the extensor carpi radialis brevis muscle. Wien Klin Wochenschr. 2001; 113(23-24): 960–963, indexed in Pubmed: 11802514.
  • 9. Mitsuyasu H, Yoshida R, Shah M, et al. Unusual variant of the extensor carpi radialis brevis muscle: a case report. Clin Anat. 2004; 17(1): 61–63, doi: 10.1002/ca.10226, indexed in Pubmed: 14695590.
  • 10. Nayak SR, Krishnamurthy A, Prabhu LV, et al. Anatomical variation of radial wrist extensor muscles: a study in cadavers. Clinics (Sao Paulo). 2008; 63(1): 85–90, indexed in Pubmed: 18297212.
  • 11. Nayak SR, Madhan Kumar SJ, Krishnamurthy A, et al. An additional radial wrist extensor and its clinical significance. Ann Anat. 2007; 189(3): 283–286, indexed in Pubmed: 17534036.
  • 12. Olinger A, Benninger B. Unique form of the infrequent extensor carpi radialis accessorius muscle observed bilaterally. Clin Anat. 2010; 23(8): 891–893, doi: 10.1002/ca.21003, indexed in Pubmed: 20544794.
  • 13. Roy S, Mehta V, Suri R, et al. Bitendinous insertion of abductor pollicis longus coexistent with a rare accessory antebrachial muscle: clinico-anatomical considerations. Clin Ter. 2010; 161(2): 159–161, indexed in Pubmed: 20499032.
  • 14. Smith J, Pourcho AM, Kakar S. Sonographic appearance of the extensor carpi radialis intermedius tendon. PM R. 2015; 7(7): 789–791, doi: 10.1016/j.pmrj.2015.04.005, indexed in Pubmed: 25857593.
  • 15. Vessal S, Rai SB. Accessory extensor carpi radialis brevis muscle, a pseudomass of the distal forearm: ultrasound and MR appearances -case report and literature review. Clin Radiol. 2006; 61(5): 442–445, doi: 10.1016/j.crad.2005.12.008, indexed in Pubmed: 16679119.
  • 16. Wood J. Variations in human myology observed during the winter session of 1866-67 at King’s College, London. Proc R Soc. 1866; 15(0): 518–546, doi: 10.1098/rspl.1866.0119.
  • 17. Wood VE. The extensor carpi radialis intermedius tendon. J Hand Surg Am. 1988; 13(2): 242–245, indexed in Pubmed: 3351252.

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Bibliografia

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