Prusmetikul Suwimol, Tawonsawatruk Tulyapruek
Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Wrist Surg. 2022 Jun 28;12(4):368-370. doi: 10.1055/s-0042-1750873. eCollection 2023 Aug.
Several abnormal pathologies, such as inflammation or degenerative change, can be causes of ulnar-sided wrist pain. This study demonstrated bilateral accessory extensor carpi ulnaris found in a patient who presented with bilateral wrist pain. The patient was initially treated with all conventional methods but failed to improve. Following the operation by releasing the sixth extensor compartment, the pain was completely relieved. The Disabilities of the Arm, Shoulder, and Hand (DASH) score was remarkably improved and there was no limitation in daily living activities compared with preoperative status. We presented an uncommon condition of ulnar-sided wrist pain caused by bilateral accessory extensor carpi ulnaris which was successfully treated by releasing the extensor compartmental sheath without tendon resection.
几种异常病理情况，如炎症或退行性改变，可能是尺侧腕部疼痛的原因。本研究展示了一名双侧腕部疼痛患者存在双侧副尺侧腕伸肌的情况。该患者最初接受了所有常规治疗方法，但病情未能改善。在通过松解第六伸肌间隔进行手术后，疼痛完全缓解。与术前状态相比，上肢、肩部和手部功能障碍（DASH）评分显著改善，日常生活活动无受限情况。我们报告了一种由双侧副尺侧腕伸肌引起的尺侧腕部疼痛的罕见病例，通过松解伸肌间隔腱鞘而不进行肌腱切除成功治愈。
