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CC BY-NC-ND 4.0 · J Wrist Surg 2023; 12(04): 368-370
DOI: 10.1055/s-0042-1750873
Case Report

The Surgical Treatment of Bilateral Accessory Extensor Carpi Ulnaris: Case Report and Literature Review

Suwimol Prusmetikul 
1   Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
,
Tulyapruek Tawonsawatruk
1   Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
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Abstract

Several abnormal pathologies, such as inflammation or degenerative change, can be causes of ulnar-sided wrist pain. This study demonstrated bilateral accessory extensor carpi ulnaris found in a patient who presented with bilateral wrist pain. The patient was initially treated with all conventional methods but failed to improve. Following the operation by releasing the sixth extensor compartment, the pain was completely relieved. The Disabilities of the Arm, Shoulder, and Hand (DASH) score was remarkably improved and there was no limitation in daily living activities compared with preoperative status. We presented an uncommon condition of ulnar-sided wrist pain caused by bilateral accessory extensor carpi ulnaris which was successfully treated by releasing the extensor compartmental sheath without tendon resection.

Keywords

accessory extensor carpi ulnaris - accessory tendon - wrist pain - extensor compartment release


Publication History

Received: 22 January 2022

Accepted: 12 May 2022

Article published online:
28 June 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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