Repository logo
 

An anatomical study of additional radial wrist extensors including a unique extensor carpi radialis accessorius.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

West, CT 
Ricketts, D 

Abstract

BACKGROUND: In this study, 82 forearms from 41 cadavers were dissected to establish the incidence of variant additional radial wrist extensors. Three variants have been described in the literature: extensor carpi radialis intermedius (ECRI), extensor carpi radialis accessorius (ECRA) and extensor carpi radialis tertius (ECRT). MATERIALS AND METHODS: Of the 41 cadavers studied, 5/41 (12%) had an additional radial wrist extensor. Of these 5 individuals, 2 had bilateral additional muscles and 3 were unilateral. Of the 82 forearms, 7/82 (9%) had additional radial wrist extensors. RESULTS: We found 4 examples of ECRI and 3 examples of ECRA. We did not find any examples of ECRT. One specimen of ECRA had an atypical, previously undescribed, course. CONCLUSIONS: These accessory muscles are of clinical relevance, as they may be a contributing factor in tennis elbow and nerve entrapment, or cause diagnostic confusion, especially in ultrasound scans. However, they may also be used for tendon transfer. Of the 7 muscles found in the current study, 3 would have been suitable for such procedures.

Description

Keywords

extensor carpi radialis accessorius, extensor carpi radialis brevis, extensor carpi radialis intermedius, extensor carpi radialis longus

Journal Title

Folia Morphol (Warsz)

Conference Name

Journal ISSN

0015-5659
1644-3284

Volume Title

76

Publisher

VM Media SP. zo.o VM Group SK