Anatomy and Cell Biology

Korean Association of Anatomists (대한해부학회)
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Relationship to the superficial radial nerve and anatomic variations of the first extensor compartment in Thai population: a basis for successful de Quervain tenosynovitis treatment

  • Krittameth Pasiphol (Faculty of Medicine, Chulalongkorn University) ;
  • Sithiporn Agthong (Department of Anatomy, Faculty of Medicine, Chulalongkorn University) ;
  • Napatpong Thamrongskulsiri (Department of Anatomy, Faculty of Medicine, Chulalongkorn University) ;
  • Sirikorn Dokthien (Department of Anatomy, Faculty of Medicine, Chulalongkorn University) ;
  • Thanasil Huanmanop (Department of Anatomy, Faculty of Medicine, Chulalongkorn University) ;
  • Tanat Tabtieng (Department of Anatomy, Faculty of Medicine, Chulalongkorn University) ;
  • Vilai Chentanez (Department of Anatomy, Faculty of Medicine, Chulalongkorn University)
  • Received : 2024.01.11
  • Accepted : 2024.03.06
  • Published : 2024.06.30
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Abstract

Knowledge of the superficial radial nerve (SRN) relationship and anatomic variations of the first extensor compartment (1st EC) will contribute to a better outcome of de Quervain tenosynovitis treatment. We dissected 87 embalmed cadaveric wrists to determine the relationship of the SRN, the 1st EC length, distance from the proximal and distal 1st EC borders to radial styloid process (RSP), abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendon slip numbers, and the presence of septum. Our results revealed SRN crossing over the 1st EC in 59.5%. The lateral branch of the superficial radial nerve to the 1st EC midline in most cases (61.9%) except for one specimen, where lateral antebrachial cutaneous nerve was the closest. Distances from proximal and distal 1st EC borders to the RSP were 19.7±4.1 mm and 7.6±1.8 mm, respectively. Extensor retinaculum (ER) width over 1st EC (1st EC length) was 14.8±3.2 mm. Complete and incomplete septa were found in 17.2%, and 42.5%, respectively. The most frequent APL tendon slip number in the compartment was two in overall 47 specimens (54.0%). Almost all compartments (85 specimens; 97.7%) contained one EPB tendon slip. We detected bilateral EPB absence in one cadaver. Moreover, we recorded a tendon slip from extensor pollicis longus traveling into 1st EC bilaterally in one cadaver and observed the EPB muscle belly extension into 1st EC in 9 wrists. Awareness of 1st EC anatomic variations would be essential for successful surgical and nonsurgical outcomes.

Keywords

Acknowledgement

The authors would like to express their gratitude to those who have donated their body for medical study and research. Special thanks are extended to the technical staff of the Department of Anatomy, Faculty of Medicine, Chulalongkorn University for their support.

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