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An accessory extensor digiti minimi arising from extensor carpi ulnaris

T Nakashima1

  • 1Department of Anatomy and Anthropology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

Journal of Anatomy
|February 1, 1993
PubMed
Summary

An accessory extensor digiti minimi muscle slip from the extensor carpi ulnaris was found in 34.2% of wrists studied. This anatomical variation can insert into the fifth metacarpal bone, impacting little finger extension.

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Area of Science:

  • Anatomy
  • Orthopedics
  • Surgical Anatomy

Background:

  • Anatomical variations in the extensor muscles of the hand can affect wrist and finger function.
  • The extensor digiti minimi proprius is a key muscle for little finger extension.
  • Accessory muscle slips can alter biomechanics and diagnostic interpretation.

Purpose of the Study:

  • To investigate the prevalence and insertion patterns of an accessory extensor digiti minimi slip originating from the extensor carpi ulnaris.
  • To document variations in the anatomical course and attachments of this specific accessory slip.

Main Methods:

  • Dissection of 240 adult upper limbs.
  • Observation and documentation of accessory tendinous slips in the sixth extensor compartment at the wrist.

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  • Recording of insertion sites on the fifth metacarpal bone.
  • Main Results:

    • An accessory tendinous slip originating from the extensor carpi ulnaris was identified in 82 out of 240 (34.2%) upper limbs.
    • The slip most commonly inserted at the base of the fifth metacarpal bone with the main extensor digiti minimi tendon (29.6%).
    • Less frequent insertions were observed on the midportion (2.5%) and head (1.7%) of the fifth metacarpal bone.

    Conclusions:

    • The accessory extensor digiti minimi arising from the extensor carpi ulnaris is a relatively common anatomical variation.
    • Understanding these variations is crucial for accurate diagnosis and surgical procedures involving the wrist and hand.
    • This specific variant, when inserting into the extensor aponeurosis of the little finger, aligns with descriptions by Kaplan & Spinner (1984).