Sex differences in the radial grooves in the first extensor compartment

Gürses, İlke Ali; Türkay, Rüştü; İnci, Ercan; Örs, Suna; Onal, Yilmaz; Özel, Sevda; Vural, Meltem

doi:10.1007/s00256-016-2381-z

Cited by 6 publications

(5 citation statements)

References 31 publications

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“…This may also be one of the reasons why radial stenosis tenosynovitis is more prevalent in women. 28 …”

Section: Discussionmentioning

confidence: 99%

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Percutaneous Release of the First Extensor Tendon Compartment in De Quervain’s Disease by Acupotomy with US-Guidance: A Cadaveric Study

Shen¹,

Zhou²,

Sun³

et al. 2022

JPR

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Background: De Quervain's disease is a painful stenosing tenosynovitis of the first dorsal compartment of the hand affecting the tendons of the abductor pollicis longus and extensor pollicis brevis. This study aimed to evaluate the safety and efficacy of percutaneous first extensor compartment releases performed on embalmed cadaveric models by acupotomy operation with or without US guidance. Methods: Percutaneous release was performed with an acupotomy on 59 wrists of cadavers; 23 wrists were operated with US guidance, and 39 wrists were operated without US guidance. Each arm was dissected and assessed regarding the amount of release as well as the extent of neurovascular and tendon injury. Anatomical structures were also observed in this study. Results: Twenty cases (87%) were successfully released with ultrasound-assisted techniques, and 27 cases (75%) were successfully released with blind techniques. No neurovascular injury occurred in any arm, regardless of technique. No significant tendon injury was seen in any arm. Although minor surface scratches were visualized in 11 cases, they occurred in 3 cases (13.04%) with ultrasound assistance and in 8 cases (22.22%) with blind techniques. There was no statistically significant difference between the two groups in the measurement of the distance from the incision marks to the blood vessels and nerves. A fibrous septum and bony protrusions were found in the first dorsal compartment, which may be anatomical factors affecting the success of treatment. Conclusion: Both traditional and US-guided percutaneous release by acupotomy of the first extensor tendon compartment can be performed for all wrists. US-guided techniques can improve the success rate and reduce damage during acupotomy operations.

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“…This may also be one of the reasons why radial stenosis tenosynovitis is more prevalent in women. 28 …”

Section: Discussionmentioning

confidence: 99%

“…This may also be one of the reasons why radial stenosis tenosynovitis is more prevalent in women. 28 The study still has limitations. First, due to the limitation of the number of specimens and its conditions, there is the different water content between two groups, which may affect the results of the operation.…”

mentioning

confidence: 99%

Percutaneous Release of the First Extensor Tendon Compartment in De Quervain’s Disease by Acupotomy with US-Guidance: A Cadaveric Study

Shen¹,

Zhou²,

Sun³

et al. 2022

JPR

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“…Also, the existence of a septum within the compartment causes the condition and determines the success of the treatment (14,19,(22)(23)(24). Several studies have been carried out to determine the prevalence of these variations (3,25,26); nonetheless, none evaluated the Iranian population.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Septated First Dorsal Compartment Among Iranian Patients with De Quervain Tenosynovitis

Pahlavansabagh

Soleimani

Ghaznavi

et al. 2022

Med. J. Islam. Republ. Iran

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The presence of a septum in the first extensor compartment is associated with the failure of nonsurgical treatments and a higher number of extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons with the likelihood of development of the de Quervain disease. →What this article adds:Although the condition is well described in other populations, to the best of our knowledge, there have been no prior studies on the Iranian population, making this case series the first study to report the condition in the Iranian population. In this study, most patients had 2 APL tendons and 1 EPB tendon, and most affected wrists had a septum in the first extensor compartment.

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“…The lack of a gender differential of septation in our study supports the premise of others suggesting that additional factors, such as variations in bony morphology, contribute to the significantly higher female occurrence of De Quervain disease. [18][19][20] Our anatomical study differs from others as it does not use cadaver data as a source of reference. Instead, our data exclusively represent the evaluation of operative patients who had the first dorsal compartment clinically inspected and released.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of a Septated First Dorsal Compartment Among Patients With and Without De Quervain Tenosynovitis: An In Vivo Anatomical Study

Beutel

Doscher

Melone

2018

Hand (New York, N,Y.)

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Background: The reported prevalence of a subcompartment housing the extensor pollicis brevis (EPB) tendon within the first dorsal compartment varies widely in the literature, especially regarding the rates of occurrence between genders and among those with and without De Quervain. Based on direct intraoperative observation, we hypothesized that the prevalence of a septated compartment is far greater than previously reported, particularly in those with De Quervain disease. Methods: A prospective analysis of consecutive patients who underwent first dorsal compartment release was carried out. Patients were divided into 2 groups: those with De Quervain tenosynovitis (“De Quervain” group) and a control cohort without a primary diagnosis of De Quervain (“non–De Quervain” group). The intraoperative findings of a single compartment or a separate subcompartment were recorded. The prevalence of a septated compartment was calculated and compared between genders and both patient groups. Results: A total of 102 consecutive patients were included, with a female predominance (74.5%). Overall, 79.4% of patients had a separate subcompartment for the EPB. In the De Quervain cohort, 89.1% had 2 compartments, while 71.4% of non–De Quervain patients had a subcompartment. Men and women had a similar rate of double compartments (80% and 82.4%, respectively). Conclusions: The prevalence of a septated first dorsal compartment is considerably higher than previously reported, most notably in patients afflicted with De Quervain tenosynovitis. This higher rate of septation occurs with a similar prevalence in both men and women. Owing to its consistent presence, the dual first dorsal compartment should be regarded as an expectant anatomical component of the normal wrist.

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Sex differences in the radial grooves in the first extensor compartment

Cited by 6 publications

References 31 publications

Percutaneous Release of the First Extensor Tendon Compartment in De Quervain’s Disease by Acupotomy with US-Guidance: A Cadaveric Study

Percutaneous Release of the First Extensor Tendon Compartment in De Quervain’s Disease by Acupotomy with US-Guidance: A Cadaveric Study

Prevalence of Septated First Dorsal Compartment Among Iranian Patients with De Quervain Tenosynovitis

Prevalence of a Septated First Dorsal Compartment Among Patients With and Without De Quervain Tenosynovitis: An In Vivo Anatomical Study

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