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[Painful extensor digitorum brevis]

J N Kuhlmann1, M Mimoun, R Mosseri

  • 1Service de Chirurgie Orthopédique et traumatologique, Plastique et esthétique, Hôpital Rothschild, Paris.

Acta Orthopaedica Belgica
|June 1, 1996
PubMed
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A boxer experienced severe wrist pain due to an extensor digitorum brevis muscle issue. Surgical removal of the affected muscle successfully resolved the carpal instability and pain.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Anatomy

Background:

  • The extensor digitorum brevis muscle, located in the foot, is rarely implicated in wrist pathologies.
  • Carpal instability can arise from various anatomical or traumatic causes.

Observation:

  • A professional boxer presented with debilitating wrist pain.
  • The pain was specifically linked to the proximal insertion of the extensor digitorum brevis muscle onto the lunate bone.
  • This anatomical anomaly resulted in a unique presentation of carpal instability.

Findings:

  • Surgical excision of the affected extensor digitorum brevis muscle was performed.
  • Post-operatively, the boxer experienced complete resolution of wrist pain.
  • The procedure effectively addressed the carpal instability caused by the muscle's aberrant insertion.

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Implications:

  • This case highlights an unusual cause of wrist pain and instability in athletes.
  • It underscores the importance of thorough anatomical assessment in diagnosing complex wrist conditions.
  • Surgical intervention can be a viable treatment option for extensor digitorum brevis muscle-related wrist pathology.