Histology of the Extensor Retinaculum of the Wrist and the Ankle

Klein, David M.; Katzman, Barry M.; Mesa, J.; Lipton, Jeffrey F.; Caligiuri, Daniel A.

doi:10.1053/jhsu.1999.0799

Cited by 34 publications

(19 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…16 Extensor retinaculum also has been used in resurfacing arthroplasty for osteoarthritic MCP joints 17 and arthroplasty for wrist joints with rheumatoid arthritis. 18 Klein et al 19 conducted a histologic study of the extensor retinaculum and noted chondroid metaplasia in the inner gliding layer. From a friction perspective, the extensor retinaculum may be used to reconstruct not only tendon pulleys but also joints.…”

Section: Discussionmentioning

confidence: 99%

Extensor Retinaculum Graft for Chronic Boxer’s Knuckle

Nagaoka

Satoh

Nagao

et al. 2006

The Journal of Hand Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Extensor Retinaculum Graft for Chronic Boxer’s Knuckle

Nagaoka

Satoh

Nagao

et al. 2006

The Journal of Hand Surgery

View full text Add to dashboard Cite

“…They consist of three layers [1] with distinct structural and functional features ( -the superficial layer contains a loose network of connective tissue and blood vessels. It is a thin layer that is in contact with the perimuscular and subcutaneous fasciae.…”

Section: A Disorder Favored By Local Anatomic Factorsmentioning

confidence: 99%

Stenosing tenosynovitis

Vuillemin

Guérini

Bard³

et al. 2012

Journal of Ultrasound

View full text Add to dashboard Cite

Tenosynovitis refers to an inflammatory condition involving the synovial sheath of a tendon. Stenosing tenosynovitis is a peculiar entity caused by multiple factors, including local anatomy, mechanical factors, and hormonal factors. The main forms include de Quervain tendinopathy; trigger finger (stenosing tenosynovitis involving the flexor digitorum tendons); stenosing tenosynovitis of the extensor carpi ulnaris, extensor carpi radialis, or extensor comunis tendons; stenosing tenosynovitis of the flexor hallucis tendon; and stenosing tenosynovitis of the peroneal tendons. The cardinal finding on ultrasonography is the presence of a thickened retinaculum or pulley that constricts the osseofibrous tunnel through which the tendon runs.Sommario Le tenosinoviti sono infiammazioni delle guaine sinoviali dei tendini. Le tenosinoviti stenosanti sono delle entità particolari, condizionate da molteplici fattori. Si tratta di patologie favorite dall'anatomia locale, da fattori meccanici ed ormonali. Le principali tenosinoviti stenosanti sono: la tendinopatia di de Quervain, la tenosinovite stenosante dei tendini flessori delle dita o dito a scatto, la tenosinovite stenosante del tendine estensore ulnare del carpo, dei tendini estensori radiali del carpo e degli estensori comuni, la tenosinovite stenosante del tendine flessore dell'alluce, la tenosinovite stenosante dei tendini peronei. La loro diagnosi si basa sull'ecografia, che mostra un segno cardine: l'ispessimento del retinacolo o della puleggia rispetto al tendine ed il suo carattere stenosante. ª

show abstract

“…Retinacular decompression has been used to treat the socalled extensor retinaculum syndrome, a type of entrapment neuropathy (Mubarak, 2002). Given its similar histological structure, the extensor retinaculum of the ankle has been proposed as a reasonable biologic replacement for the reconstruction of a deficient extensor retinaculum of the wrist as well annular pulleys in various parts of the body (Klein et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

Deep fascia on the dorsum of the ankle and foot: Extensor retinacula revisited

Abu-Hijleh

Harris

2006

Clinical Anatomy

View full text Add to dashboard Cite

This study revisits the anatomy of the deep fascia over the distal leg, ankle, and dorsum of the foot. The arrangement of the deep fascia in these regions was recorded in 14 lower limbs of adult cadavers using photographs and drawings. The fascial layer from all three sites was subsequently removed in toto, and serial thickness measurements were made along its entire length. In addition, fiber disposition was studied under polarized light, and sections were stained to demonstrate collagen. The arrangement of deep fascia is complex. A common and novel finding at all levels is a crisscross, lattice-like arrangement of fibers. There was little evidence of the clearly defined sturdy band of the superior extensor retinaculum (SER) or of the Y-shaped inferior retinaculum (IER) commonly illustrated in topographical anatomy texts. The SER is a complex area with several thickenings commencing about 3 cm proximal to the tip of the lateral malleolus and gradually increasing to reach a maximum of 270 microm about 5 cm above the malleolus, then gradually returning to original thickness, about 9 cm above the malleolus. Fibers crossing diagonally to each other are a feature of the region. The IER characteristically has two forms: either a cross-shaped band (9 specimens) or a thickened "node" with small extensions radiating toward the malleoli (5 specimens), located about 1-2 cm distal to the lateral malleolus and centred over the common tendon of extensor digitorum where it has maximum thickness (430 microm). The deep fascia is thickened and firmly attached over both malleoli and to the tarsals and metatarsals along both borders of the foot. In general, the deep fascial structures were thicker in males than those in females.

show abstract

Histology of the Extensor Retinaculum of the Wrist and the Ankle

Cited by 34 publications

References 9 publications

Extensor Retinaculum Graft for Chronic Boxer’s Knuckle

Extensor Retinaculum Graft for Chronic Boxer’s Knuckle

Stenosing tenosynovitis

Deep fascia on the dorsum of the ankle and foot: Extensor retinacula revisited

Contact Info

Product

Resources

About