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Surgical Management of Symptomatic Extensor Digitorum Brevis Manus: A Proposed Algorithm for Treatment.

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The extensor digitorum brevis manus (EDBM) is a rare anomalous muscle in the hand. This case report details successful surgical treatment for symptomatic EDBM after conservative measures failed.

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Area of Science:

  • Anatomy
  • Orthopedic Surgery
  • Hand Surgery

Background:

  • The extensor digitorum brevis manus (EDBM) is an anomalous muscle variant in the dorsal wrist and hand.
  • While uncommon, EDBM occurs in approximately 2% of the population.
  • Literature on symptomatic EDBM and its surgical management is limited.

Observation:

  • A young patient presented with persistent symptoms attributed to an anomalous extensor tendon, presumed to be EDBM.
  • Conservative treatment modalities were unsuccessful in alleviating the patient's symptoms.

Findings:

  • Surgical excision of the anomalous extensor tendon provided successful symptom relief.
  • This case highlights a rare but treatable cause of wrist and hand pain.

Implications:

  • The successful surgical management of symptomatic EDBM offers a viable treatment option.
  • An algorithm for managing EDBM after conservative treatment failure is proposed.
  • Further research into the clinical significance and management of EDBM is warranted.