Download PDF
Handchir Mikrochir Plast Chir 2022; 54(05): 427-433
DOI: 10.1055/a-1740-4020
Übersichtsarbeit

A new comprehensive Classification Scheme for ECU Tendon Problems at the Wrist

Eine neue, umfassende Klassifikation für ECU-Sehnenprobleme am Handgelenk
Rastislav Burda
1   Pavol Jozef Šafárik University in Košice, Department of Trauma Surgery
,
Radoslav Morochovič
1   Pavol Jozef Šafárik University in Košice, Department of Trauma Surgery
,
Maroš Rudnay
2   Pavol Jozef Šafárik University in Košice, Department of Radiology
,
Timea Špaková
3   Pavol Jozef Šafárik University in Košice, Associated Tissue Bank of Faculty of Medicine
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Abstract

Based on a systematic review of the literature, description of previous classification schemes and new anatomical knowledge, a new comprehensive classification scheme for ECU tendon problems at the wrist is described.

Zusammenfassung

Basierend auf einer systematischen Auswertung der Literatur und unter Berücksichtigung vorhandener Klassifikationen sowie neuer anatomischer Erkenntnisse wird eine neue, umfassende Klassifikation für ECU-Sehnenprobleme am Handgelenk beschrieben.

Key words

ECU-Sehne - Klassifikation für ECU-Probleme

Schlüsselwörter

ECU tendon - classification of ECU tendon problems


Publication History

Received: 18 May 2021

Accepted: 05 January 2022

Article published online:
29 August 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Sawyer E, Sajjad H, Tadi P.. Anatomy, shoulder and upper limb, forearm extensor carpi ulnaris muscle. StatPearls [Internet]; Treasure Island (FL): Stand: 22. Sept. 2021
  • 2 Semisch M, Hagert E, Garcia-Elias M. et al. Histological assessment of the triangular fibrocartilage complex. J Hand Surg Eur Vol 2016; 41: 527-533
    CrossrefPubMedSearch in Google Scholar
  • 3 Petchprapa CN, Meraj S, Jain N.. ECU tendon “dislocation” in asymptomatic volunteers. Skeletal Radiol 2016; 45: 805-812
    CrossrefPubMedSearch in Google Scholar
  • 4 Garcia-Elias M.. Tendinopathies of the extensor carpi ulnaris. Handchir Mikrochir Plast Chir 2015; 47: 281-289
    Thieme ConnectPubMedSearch in Google Scholar
  • 5 Tang JB, Ryu J, Kish V.. The triangular fibrocartilage complex: an important component of the pulley for the ulnar wrist extensor. J Hand Surg Am 1998; 23: 986-991
    CrossrefPubMedSearch in Google Scholar
  • 6 Pang EQ, Yao J.. Ulnar-sided wrist pain in the athlete (TFCC/DRUJ/ECU). Curr Rev Musculoskelet Med 2017; 10: 53-61
    CrossrefPubMedSearch in Google Scholar
  • 7 French RJ, Graham TJ.. Injuries to the extensor carpi ulnaris and its investments in the athlete. In: Hayton M, Ng CY, Funk L et al., eds. Sports Injuries of the Hand and Wrist. Switzerland: Springer Nature Switzerland AG; 2019: 255-276
    CrossrefSearch in Google Scholar
  • 8 Allende C, Le Viet D.. Extensor carpi ulnaris problems at the wrist – classification, surgical treatment and results. J Hand Surg Br 2005; 30: 265-272
    CrossrefPubMedSearch in Google Scholar
  • 9 Inoue G, Tamura Y.. Surgical treatment for recurrent dislocation of the extensor carpi ulnaris tendon. J Hand Surg Br 2001; 26: 556-559
    CrossrefPubMedSearch in Google Scholar
  • 10 Montalvan B, Parier J, Brasseur JL. et al. Extensor carpi ulnaris injuries in tennis players: a study of 28 cases. Br J Sports Med 2006; 40: 424-429 discussion 429
    CrossrefPubMedSearch in Google Scholar
  • 11 Kaiser P, Haug L, Gabl M. et al. Mid-term outcome (11-90 months) of the extensor retinaculum flap procedure for extensor carpi ulnaris tendon instability. Arch Orthop Trauma Surg 2019; 139: 1323-1328
    CrossrefPubMedSearch in Google Scholar
  • 12 Kohyama S, Tanaka T, Okano E. et al. Anatomical variations of the extensor carpi ulnaris groove: A new computed tomography-based evaluation. J Hand Surg Asian Pac Vol 2017; 22: 281-285
    CrossrefPubMedSearch in Google Scholar
  • 13 Singh R, Patel A, Roulohamin N. et al. A classification for extensor carpi ulnaris groove morphology as an aid for ulnar sided wrist pain. J Hand Surg Asian Pac Vol 2016; 21: 246-252
    CrossrefPubMedSearch in Google Scholar
  • 14 Oh BS, Choi YR, Ko IH. et al. Operative treatment for extensor carpi ulnaris tendon dislocation. J Korean Orthop Assoc 2018; 53: 256-263
    CrossrefPubMedSearch in Google Scholar
  • 15 Page MJ, McKenzie JE, Bossuyt PM. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021; 372: n71
    Search in Google Scholar
  • 16 Inoue G, Tamura Y.. Recurrent dislocation of the extensor carpi ulnaris tendon. Br J Sports Med 1998; 32: 172-174
    CrossrefPubMedSearch in Google Scholar
  • 17 Graham TJ.. Pathologies of the extensor carpi ulnaris (ECU) tendon and its investments in the athlete. Hand Clin 2012; 28: 345-356 ix
    CrossrefPubMedSearch in Google Scholar
  • 18 Lee KS, Ablove RH, Singh S. et al. Ultrasound imaging of normal displacement of the extensor carpi ulnaris tendon within the ulnar groove in 12 forearm-wrist positions. AJR Am J Roentgenol 2009; 193: 651-655
    CrossrefPubMedSearch in Google Scholar
  • 19 Luijkx T, Buckens CF, van Seeters T. et al. ECU tendon subluxation: A nonspecific MRI finding occurring in all wrist positions irrespective of ulnar-sided symptoms?. Eur J Radiol 2019; 116: 192-197
    CrossrefPubMedSearch in Google Scholar
  • 20 Erickson J, Kwart A, Steven Yang S.. Extensor carpi ulnaris tendon anatomy may mimic tears. J Hand Surg Asian Pac Vol 2019; 24: 175-179
    CrossrefPubMedSearch in Google Scholar
  • 21 Sole JS, Wisniewski SJ, Newcomer KL. et al. Sonographic evaluation of the extensor carpi ulnaris in asymptomatic tennis players. PM R 2015; 7: 255-263
    CrossrefPubMedSearch in Google Scholar
  • 22 Spicer PJ, Romesberg A, Kamineni S. et al. Ultrasound of extensor carpi ulnaris tendon subluxation in a tennis player. Ultrasound Q 2016; 32: 191-193
    CrossrefPubMedSearch in Google Scholar
  • 23 Puri SK, Morse KW, Hearns KA. et al. A biomechanical comparison of extensor carpi ulnaris subsheath reconstruction techniques. J Hand Surg Am 2017; 42: 837 e831-837 e837
    CrossrefPubMedSearch in Google Scholar