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Wheeless' Textbook of Orthopaedics
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Anatomic Snuff Box



- See:
      - DeQuervain's Disease
      - Differential Diagnosis:

- Discussion:
    - snuff box is depression within the borders formed by EPB & EPL;
    - distal border is formed by prominent edge of base of first metacarpal
            & proximal border is formed by styloid process of the radius;
    - lies just dorsal and distal to the radial stylid process;
    - radial border of snuff box is composed of APL & EPB tendons which
            pass over radial styloid process & etch groove on its lateral aspect;
            - both travel thru Tunnel I;
    - ulnar border of snuff box is EPL tendon & floor of scaphoid bone;
    - occasionally deep branch of radial artery is palpable where it
            crosses the scaphoid bone;
            - termainal branches of superficial radial nerve are also palpable where
                  they cross EPL tendon;
    - terminal branches of the musculocutaneous nerve and the radial nerve,
          as well as the radial artery, crosses the snuff box;
    - floor consists of the dorsal tubercle of the trapezium, as well
            as portion of the dorsal surface of th scaphoid tubercle;


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Anatomical variations in the first extensor compartment of the wrist.
    A clinical and anatomical study.



Original Text by Clifford R. Wheeless, III, MD.