Course of the extensor pollicis longus tendon considering the different functional positions of the wrist and the first ray-an anatomical study.

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL

Wiener medizinische Wochenschrift Pub Date : 2025-02-01 Epub Date: 2024-08-05 DOI:10.1007/s10354-024-01052-w

Peter Grechenig, Theresa di Vora, Amir Koutp, Alexandros Andrianakis, Paul Puchwein, Gloria Hohenberger

{"title":"Course of the extensor pollicis longus tendon considering the different functional positions of the wrist and the first ray-an anatomical study.","authors":"Peter Grechenig, Theresa di Vora, Amir Koutp, Alexandros Andrianakis, Paul Puchwein, Gloria Hohenberger","doi":"10.1007/s10354-024-01052-w","DOIUrl":null,"url":null,"abstract":"Background: The aim of this anatomical study was to evaluate the course of the extensor pollicis longus (EPL) tendon, its positional relationship to adjacent structures, and the resulting clinical relevance under consideration of various functional positions.Materials and methods: Twenty upper extremities from ten adult human cadavers embalmed using Thiel's method were included in this study. The greatest possible movement/slippage of the EPL tendon, the angle at which the tendon wraps around Lister's tubercle, and its course across the extensor carpi radialis longus and brevis (ECRL and ECRB) were recorded and defined in all functional positions.Results: Our findings demonstrate a high range of motion of the tendon in relation to clinically relevant structures.Conclusion: Understanding the anatomical course of the EPL tendon, its potential extent of movement, and its resulting positional changes is essential for the diagnosis and surgical treatment of patients with complaints or injuries in the dorsoradial wrist region.","PeriodicalId":23882,"journal":{"name":"Wiener medizinische Wochenschrift","volume":" ","pages":"44-49"},"PeriodicalIF":1.1000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775041/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wiener medizinische Wochenschrift","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s10354-024-01052-w","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/5 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background: The aim of this anatomical study was to evaluate the course of the extensor pollicis longus (EPL) tendon, its positional relationship to adjacent structures, and the resulting clinical relevance under consideration of various functional positions.

Materials and methods: Twenty upper extremities from ten adult human cadavers embalmed using Thiel's method were included in this study. The greatest possible movement/slippage of the EPL tendon, the angle at which the tendon wraps around Lister's tubercle, and its course across the extensor carpi radialis longus and brevis (ECRL and ECRB) were recorded and defined in all functional positions.

Results: Our findings demonstrate a high range of motion of the tendon in relation to clinically relevant structures.

Conclusion: Understanding the anatomical course of the EPL tendon, its potential extent of movement, and its resulting positional changes is essential for the diagnosis and surgical treatment of patients with complaints or injuries in the dorsoradial wrist region.

查看原文本刊更多论文

考虑到手腕和第一射线的不同功能位置的伸拇肌肌腱走向--解剖学研究。

背景：这项解剖学研究的目的是评估伸拇肌肌腱（EPL）的走向、其与邻近结构的位置关系，以及在考虑各种功能位置的情况下由此产生的临床意义：本研究选取了用泰尔法防腐处理的十具成人尸体的 20 个上肢。记录并定义了所有功能体位下 EPL 肌腱的最大可能运动/滑动范围、肌腱缠绕李斯特结节的角度及其穿过桡侧长伸肌和桡侧短伸肌（ECRL 和 ECRB）的路线：结果：我们的研究结果表明，肌腱与临床相关结构之间的运动范围很大：结论：了解 EPL 肌腱的解剖走向、其潜在的运动范围以及由此导致的位置变化，对于诊断和手术治疗腕背侧区域不适或受伤的患者至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Wiener medizinische Wochenschrift MEDICINE, GENERAL & INTERNAL-

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： ''From the microscope to clinical application!'', Scientists from all European countries make available their recent research results and practical experience through Wiener Medizinische Wochenschrift, the renowned English- and German-language forum. Both original articles and reviews on a broad spectrum of clinical and preclinical medicine are presented within the successful framework of thematic issues compiled by guest editors. Selected cutting-edge topics, such as dementia, geriatric oncology, Helicobacter pylori and phytomedicine make the journal a mandatory source of information.