Jackson W T, Viegas S F, Coon T M, Stimpson K D, Frogameni A D, Simpson J M
J Bone Joint Surg Am. 1986 Jul;68(6):923-6.
We studied 300 wrists from cadavera and the wrists of forty patients with de Quervain disease to determine the variation in the pattern of the tendons and septa in the first extensor compartment. In 75 per cent of the wrists from cadavera, we found that the number of tendons within the compartment differed from what is considered standard; there was complete or partial septation in 40 per cent. In about a third of the specimens from cadavera, the first extensor compartment was divided by a septum and two tendons or more were present within the major subcompartment. These features might readily result in inadequate decompression of the compartment in the treatment of de Quervain disease. In our prospective study of forty patients with de Quervain disease, septation was found in twenty-seven. There was no significant difference between the number of patients and the number of specimens from cadavera that had no, one, or two accessory abductor tendons.
我们研究了300个尸体手腕以及40例患有桡骨茎突狭窄性腱鞘炎患者的手腕，以确定第一伸肌间隙内肌腱和间隔模式的变异情况。在75%的尸体手腕中，我们发现该间隙内的肌腱数量与标准情况不同；40%存在完全或部分分隔。在约三分之一的尸体标本中，第一伸肌间隙被一个间隔分开，且在主要子间隙内存在两条或更多肌腱。这些特征可能很容易导致在桡骨茎突狭窄性腱鞘炎的治疗中该间隙减压不充分。在我们对40例桡骨茎突狭窄性腱鞘炎患者的前瞻性研究中，发现27例存在分隔。有零条、一条或两条副外展肌腱的患者数量与尸体标本数量之间无显著差异。
