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The extensor carpi radialis intermedius tendon.

V E Wood1

  • 1Department of Orthopaedic Surgery, Loma Linda University Medical Center, CA 92350.

The Journal of Hand Surgery
|March 1, 1988
PubMed
Summary
This summary is machine-generated.

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The extensor carpi radialis intermedius tendon, found in 12% of cadavers, is valuable for tendon transfers in quadriplegia treatment. Careful differentiation from accessory bands is crucial for surgical success.

Area of Science:

  • Anatomy
  • Orthopedic Surgery

Background:

  • The extensor carpi radialis intermedius tendon's anatomical variations and clinical utility are not fully elucidated.
  • Understanding its incidence is crucial for reconstructive surgery, particularly in cases of severe paralysis.

Purpose of the Study:

  • To determine the incidence of the extensor carpi radialis intermedius tendon in a human cadaveric population.
  • To assess the suitability of this tendon for surgical transfer procedures.

Main Methods:

  • Dissection of 312 arms from 156 cadavers.
  • Gross anatomical examination to identify and evaluate the extensor carpi radialis intermedius tendon.

Main Results:

  • The extensor carpi radialis intermedius tendon was present in 12% of the studied cadavers.

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  • Of the identified tendons, 32 were deemed suitable for tendon transfer operations, while seven were unsuitable.
  • Bilateral presence of an extra tendon was noted in 17 of the 29 bodies with a discernible extensor carpi radialis intermedius.

    • Conclusions:

    • The extensor carpi radialis intermedius tendon exhibits a significant incidence and a high proportion of surgically suitable specimens.
    • This tendon is a potentially valuable resource for tendon transfer surgeries in patients with severe quadriplegia, offering functional restoration for thumb and wrist movements.