The Surgical Treatment of Bilateral Accessory Extensor Carpi Ulnaris: Case Report and Literature Review

Author:

Prusmetikul Suwimol1ORCID,Tawonsawatruk Tulyapruek1

Affiliation:

1. Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Abstract

AbstractSeveral 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.

Publisher

Georg Thieme Verlag KG

Subject

Orthopedics and Sports Medicine,Surgery

Reference8 articles.

1. Accessory slip of the extensor carpi ulnaris: a cadaveric assessment;R M Hinds;J Wrist Surg,2016

2. Accessory tendon slip arising from the extensor carpi ulnaris and its importance for wrist pain;Y Pınar;Acta Orthop Traumatol Turc,2012

3. An accessory extensor digiti minimi arising from extensor carpi ulnaris;T Nakashima;J Anat,1993

4. Duplication of the extensor carpi ulnaris tendon;T Barfred;J Hand Surg Am,1986

5. Wrist pain due to abnormal extensor carpi ulnaris tendon;S Eo;Arch Plast Surg,2016

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