presents
Wheeless' Textbook of Orthopaedics
www.datatrace.com
Tracking Pixel

Surgical Anatomy: First Extensor Compartment





- Discussion:
- anatomic variations: of tendons in 1st extensor compartment;
- APL & EPB tendons may occupy separate canals,
    or lie together in one osseofibrous canal;
    - commonly there is one EPB and multiple APL;
    - there is separation of first extensor compartment more often in
          pts w/ DeQuervain's tenosynovitis than in those w/o condition;
- Anatomic Snuff Box:
    - lies just dorsal and distal to the radial stylid process;
    - radial border of snuff box is composed of APL & EPB
        which pass over the radial styloid process and etch a small groove
        on its lateral aspect; both travel thru Tunnel I;
    - ulnar border of snuff box is EPL tendon and floor of scaphoid bone;
    - occasionally deep branch of radial artery is palpable where it
        crosses the scaphoid bone;
    - termainal branches of the superficial radial nerve are also
        palpable where they cross the EPL tendon;



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