Extensor digitorum brevis manus associated with a dorsal wrist ganglion: case report

Complete extensor digitorum profundus complex: a deep hand extensor muscle to the medial four digits

PURPOSE

Anatomical variants in the posterior compartment of forearm and hand are not uncommon. Physicians should be aware of variations in this region for correct diagnosis and treatment of diseased hands.

METHODS

During a routine dissection at our department, an extremely rare case of deep hand extensor muscle was discovered.

RESULTS

A complete extensor digitorum profundus complex was found in the fourth extensor compartment in addition to the extensor indicis proprius. The complex consisted of two muscle bellies originating from the lateral aspect of distal ulna and the adjacent interosseous membrane. The first belly resembled the conventional extensor indicis proprius. The second belly gave off two tendon slips: one inserted to the index and middle fingers and the other formed aponeurosis before inserting to the ring and little fingers.

CONCLUSION

To our knowledge, a complete extensor digitorum profundus complex which inserts to all medial four digits has never been reported in humans. Awareness of variations in this region is critical for surgeons operating in the forearm and hand. The present case also provides insights into the evolutionary and developmental origin of these structures.

Dorsal Wrist Ganglion Associated with Extensor Digitorum Brevis Manus: Case Report and Review of the Literature

Aberrant accessory muscles are rare entities in the hand. The extensor digitorum brevis manus (EDBM) muscle is amongst them and may be seen in association with dorsal ganglion cysts. Distinguishing an EDBM muscle is relevant in the diagnostic consideration of a dorsal ganglion in order to facilitate and guide its proper treatment. To date, there have been only few reports of an EDBM in association with a dorsal ganglion cyst. We report our experience with an incidental intraoperative finding of an intramuscular EDBM dorsal ganglion cyst and follow with a literature review and guide to management.

Ultrasound diagnosis of a ganglion cyst within an extensor digitorum brevis manus muscle

A unique case of a ganglion cyst within the extensor digitorum brevis manus muscle diagnosed by ultrasound in an 18-year-old girl is presented. Different anatomical variations and the clinical importance of this accessory muscle are also discussed.

Extensor digitorum brevis manus muscle in association with a metacarpal boss

Awareness of the existence of accessory muscles in the hand, such as the extensor digitorum brevis manus (EDBM) muscle, is important when making a differential diagnosis and considering the treatment of mass lesions with similar appearances. Cases of EDBM with associated dorsal wrist ganglion have been reported in earlier published reports. This report describes an unusual case of the EDBM muscle in association with carpometacarpal (CMC) boss. To the best of the authors' knowledge this has not been previously reported.