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Extensor compartments wrist4/5/2023 Movements involving grasping or pinching are particularly painful and difficult.Ĭonservative management of De Quervain’s tenosynovitis involves lifestyle advice (avoiding repetitive actions) and a wrist splint. Steroid injections will reduce swelling and relieve pain in most cases, and can be repeated several times if a good response is observed.įor those failing to respond to conservative management, surgical decompression of the extensor compartment can be performed under local or general anaesthetic. Patients with De Quervain’s tenosynovitis will often complain of pain near the base of the thumb with an associated swelling (secondary to thickening of the tendon sheath). It is consistently found on the base of the fourth compartment. The Posterior Interosseous Nerve is the only nerve found in the dorsal wrist compartments. It is most common in women between the ages of 30-50, especially in those with occupations or hobbies involving repetitive movements of the wrist. The Extensor compartments of the wrist contain the extensor tendons of the hand. There are several structures passing through. Clinical relevance edit edit source By extending fascial attachments to the underlying bones and periosteum, the retinaculum forms six osseofascial compartments over the dorsal wrist. De Quervain’s tenosynovitisis inflammation of the tendons within the first extensor compartment of the wrist, resulting in wrist pain and swelling. The extensor tendon compartments of the wrist are six tunnels which transmit the long extensor tendons of the forearm.They are located on the posterior. Extensor Retinaculum helps to keep the extensor tendons in alignment and prevent bowstringing during movements.
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